2025-11-07T11:00:28-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2024-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2025-11-05 1 1 EVA NITTA P01286320 4158948000 2025-11-04 2024 2025-03-06 01:10:19Z ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 9809198271 0 X WWW.PROVIDENCE.ORG X 1859 WA AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 12 12 46131 3710 6054461 522638 76817706 55277011 9399737050 8802020185 134238956 656589626 167494952 214921366 9778288664 9728808188 17167349 21074609 0 0 5865857209 4995181560 0 0 2464387 4239114171 4307923886 10122138729 9324180055 -343850065 404628133 8459135189 9316459615 7049765375 7381124246 1409369814 1935335369 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 5866235113 21074609 8991105710 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 CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH 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 ACCOMPLISHMENTSAT PROVIDENCE, WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. AS A LEADING PROVIDER OF PRIMARY AND SPECIALTY CARE SERVING THOSE IN NEED, WE ARE DEDICATED TO IMPROVING COMMUNITY HEALTH. PROVIDENCE IS THE LARGEST HEALTH CARE PROVIDER IN WASHINGTON WITH HOSPITALS, CLINICS, ACROSS THE STATE. OUR NOT-FOR-PROFIT NETWORK INCLUDES HOSPITALS, PHYSICIANS, CLINICS, CARE CENTERS, AND DIVERSE COMMUNITY SERVICES ACROSS WASHINGTON. IN ADDITION. PROVIDENCE HAS A LONG HISTORY OF SERVING ALASKA, BEGINNING WHEN THE SISTERS OF PROVIDENCE FIRST BROUGHT HEALTH CARE TO NOME IN 1902 DURING THE GOLD RUSH. THIS PIONEERING SPIRIT SET THE STANDARD FOR MODERN HEALTH CARE IN ALASKA AND FORMED THE FOUNDATION FOR PROVIDENCE'S TRAJECTORY AS THE STATE'S LEADING HEALTH CARE PROVIDER. TODAY, PROVIDENCE SERVES ALASKANS IN SIX COMMUNITIES - ANCHORAGE, EAGLE RIVER, KODIAK ISLAND, MAT-SU, SEWARD AND VALDEZ. PROVIDENCE ALASKA IS THE STATE'S LARGEST PRIVATE EMPLOYER WITH MORE THAN 4,000 FULL AND PART-TIME EMPLOYEES WORKING FOR THE ORGANIZATION STATEWIDE. OUR COMMITMENT TO IMPROVING THE HEALTH OF OUR COMMUNITIES EXTENDS BEYOND PATIENT CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT AND STRATEGIC PARTNERSHIPS, HEALTH PROFESSIONS EDUCATION AND RESEARCH, FREE, DISCOUNTED AND SUBSIDIZED CARE, AND OTHER MEANS OF OUTREACH, WE COMMIT TO CARING FOR THOSE WE SERVE THROUGH HIGH-IMPACT COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN CY24, PROVIDENCE HEALTH AND SERVICES WASHINGTON REPORTED $94M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE), AND $223M OF UNPAID COST OF MEDICAID. PROVIDENCE HEALTH AND SERVICES WASHINGTON IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. EXAMPLES OF OUR COMMITMENT IN ACTION AND SERVICE ACCOMPLISHMENTS IN 2024 INCLUDE: PROVIDENCE ALASKA HOSPITALS BROTHER FRANCIS SHELTER HOMELESS RESPITE PROVIDENCE ALASKA PILOTED A TWO-BED HOMELESS RESPITE PROGRAM AT THE LARGEST HOMELESS SHELTER IN ANCHORAGE, ALASKA, OPERATED BY CATHOLIC SOCIAL SERVICES (CSS). AFTER DEMONSTRATING THE VALUE OF THE PROGRAM, PROVIDENCE APPROACHED CSS, AS WELL AS THE TWO OTHER MAJOR HOSPITALS IN ANHORAGE (ALASKA NATIVE MEDICAL CENTER AND ALASKA REGIONAL HOSPITAL) PROPOSING A PARTNERSHIP. THROUGH THAT PARTNERSHIP, THE HOSPITALS PROVIDED FUNDING FOR CSS TO OPERATE A TEN-BED RESPITE PROGRAM, WITH PROVIDENCE FUNDING MORE THAN HALF THE COST TO OPERATE THE PROGRAM ANNUALLY. THE MEDICAL RESPITE PROGRAM HAS BEEN SERVING THE NEEDS OF CRITICALLY ILL INDIVIDUALS SINCE 2015, WHEN PROVIDENCE ALASKA PROVIDED A DONATION TO CREATE RECUPERATIVE LIVING QUARTERS FOR PATIENTS EXPERIENCING HOMELESSNESS. THE TEN-BED PROGRAM PROVIDES A SAFE SPACE FOR THE SELF-CARE AND RECUPERATION OF PATIENTS DISCHARGED FROM MEDICAL FACILITIES IN ANCHORAGE. THE MEDICAL RESPITE SPACE PROVIDES GUESTS WITH 24-HOUR ACCESS TO A FURNISHED SEMI-PRIVATE ROOM, THREE MEALS A DAY, A COMMON AREA WITH A TELEVISION, KITCHENETTE, AND LAUNDRY. CASE MANAGERS ASSIST GUESTS WITH TRANSPORTATION FOR FOLLOW-UP APPOINTMENTS AND HELP GUESTS MEET THEIR DIVERSE HEALTHCARE GOALS. IN 2024, THE RESPITE PROGRAM PROVIDED 2,944 BED-NIGHTS (DAYS) TO 132 HOMELESS INDIVIDUALS IN NEED OF A SAFE PLACE, FOLLOWING DISCHARGE FROM THE THREE LOCAL HOSPITALS, PAMC, ARH, AND ANMC. PATHWAYS TO END YOUTH HOMELESSNESS: PROVIDENCE ALASKA PARTNERED WITH AND PROVIDED GRANT FUNDING TO COVENANT HOUSE ALASKA (CHA) IN SUPPORT OF THEIR PATHWAYS TO END YOUTH HOMELESSNESS PROGRAMMING. CHA IS THE ONLY SHELTER AND SERVICE PROVIDER SPECIFIC TO YOUTH IN SOUTHCENTRAL ALASKA AND THE ONLY PROVIDER OPERATING A PREVENTION PROGRAM FOR YOUTH AT RISK OF HOMELESSNESS. CHA'S CONTINUUM OF WRAP AROUND AND PREVENTION SERVICES FOR YOUNG PEOPLE INCLUDE SHELTER, MEALS, EDUCATION AND WORKFORCE TRAINING, HOUSING ASSISTANCE, LEGAL SERVICES, SUBSTANCE ABUSE AND/OR MENTAL HEALTH COUNSELING, HEALTHCARE AND CONNECTION TO HEALTH BENEFITS, ALL OF WHICH IS AVAILABLE AT THIER YOUTH ENGAGEMENT CENTER AT NO COST TO YOUTH. IN 2024, CHA SERVED 1,023 YOUNG PEOPLE, 572 IN RESIDENTIAL PROGRAMS AND 190 THROUGH STREET OUTREACH, WITH AN AVERAGE OF 179 YOUTH SLEEPING IN A COVENANT HOUSE BED EACH NIGHT. YOUTH ENGAGEMENT IN CHA SERVICES AND SUPPORTS RESULTED IN MANY POSITIVE OUTCOMES IN 2024 WITH 297 YOUTH ENGAGING IN ON-SITE MENTAL HEALTH SERVICES, 235 GAINING OR MAINTAINING EMPLOYMENT AND 123 MOVING INTO STABLE HOUSING. 5866235113 1 1 0 1 0 0 0 1 0 1 1 0 1 1 1 0 0 1 0 0 1 1 0 0 1 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 X 2158 0 1 46131 1 1 1 1 CA IN SN TW UK 0 0 0 1 1 0 0 0 0 1 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA CA OR GA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 50.50 14.50 X 8590356 0 535028 GREG HOFFMAN EVP & CFO/TREASURER 51.00 14.00 X 3880224 0 390705 DINELLI MONSON CHIEF MEDICAL OFF. CLINICAL NETWORK 50.00 0.00 X 3414149 0 14130 GREG TILL CHIEF PEOPLE OFFICER 65.00 0.00 X 2927623 0 383003 WASIF RASHEED CHIEF REV & GROWTH OFF. - THRU 4/24 64.50 0.50 X 3164494 0 13574 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 57.00 8.00 X 2610531 0 285144 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 17.00 48.00 X 2511979 0 317836 ELIZABETH WAKO PRESIDENT AND CEO - SWEDISH 0.00 55.00 X 2511022 0 309815 HODA ASMAR MD EVP SYSTEM CHIEF CLINICAL OFFICER 64.50 0.50 X 2675264 0 22605 ALI SANTORE CHIEF ADMIN OFFICER 62.50 2.50 X 2420269 0 276089 KEVIN BROOKS DIVISION CHIEF EXEC - NORTH 32.50 32.50 X 2223471 0 288855 MICHAEL MARSHALL PCN CHIEF EXECUTIVE - NORTH 50.00 0.00 X 2482019 0 16098 LAUREEN DRISCOLL RN DIVISION CHIEF EXECUTIVE - SOUTH 0.50 64.50 X 2086520 0 309720 JEFF STOLTE SENIOR PARTNER PROVIDENCE VENTURES 50.00 0.00 X 2327034 0 20116 SARA VAEZY EVP CHIEF STRATEGY AND DIGITAL OFF. 63.00 2.00 X 1932949 0 221622 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 55.00 0.00 X 1444874 0 264139 PK KHURANA CHIEF STRATEGY OFF. - CARE DELIVERY 54.50 0.50 X 1421525 0 243476 SCOTT O'BRIEN CHIEF EXEC EASTERN WA/MT 27.50 27.50 X 1441016 0 201616 SUSAN HUANG CHIEF EXECUTIVE - PCN 51.00 4.00 X 1315185 0 233280 GUY HUDSON MD FORMER DIVISION CE - NORTH 0.00 0.00 X 1311149 0 0 ELLA GOSS REGIONAL CHIEF EXEC - AK 54.50 0.50 X 1175902 0 58260 MARYBETH FORMBY DIVISION CFO - NORTH 27.50 27.50 X 971779 0 128741 JIM WATSON ESQ ASSISTANT SECRETARY 44.50 10.50 X 955923 0 128530 RAFA MARTINEZ-CHAPMAN SVP TREASURER 55.00 0.00 X 864548 0 179378 DARIN GOSS CHIEF EXEC SOUTH PUGET SOUND 54.50 0.50 X 872479 0 153032 KRISTY CARRINGTON CHIEF EXEC NORTH PUGET SOUND 27.50 27.50 X 829803 0 167974 MELISSA DAMM DIVISION CFO - CENTRAL 13.60 41.40 X 863710 0 109927 JIM MARTIN ASSISTANT TREASURER 45.00 10.00 X 820365 0 96888 SUSAN STACEY CHIEF EXEC SACRED HEART MEDICAL CTR 54.00 1.00 X 752021 0 161250 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 MIKE DENNEY CHIEF REAL ESTATE OFFICER 55.00 0.00 X 684618 0 101854 RYAN THOMPSON SVP CHIEF REV CYCLE OFFICER 55.00 0.00 X 654555 0 110740 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 41.50 13.50 X 316554 0 18932 MARY CRANSTOUN FRMR SVP TOTAL REWARDS - TALENT ACQ 0.00 0.00 X 333252 0 0 PRESTON SIMMONS FRMR SVP CHIEF EXEC AK REGION 0.00 0.00 X 197952 0 0 MIKE WATERS FRMR EVP AMBULATORY CARE NETWORK 0.00 0.00 X 180020 0 0 MARY LYONS PHD DIRECTOR 0.50 13.00 X 100944 0 0 MICHAEL MURPHY BOARD CHAIR 0.50 13.00 X 75168 0 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 51379 0 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 50000 0 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 50000 0 0 MARVIN O'QUINN DIRECTOR 0.50 12.50 X 42989 0 0 ERIC SPRUNK DIRECTOR 0.50 13.00 X 40000 0 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 40000 0 0 SISTER CAROL PACINI LCM DIRECTOR - THRU 12/31/24 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 63615614 879466 5762357 13409 1 1 0 MICROSOFT CORPORATION PO BOX 844510 DALLAS TX 752844510 TECHNOLOGY SERVICES 165646542 R1 RCM HOLDCO INC 29586 NETWORK PL LOCKBOX 29586 CHICAGO IL 60673 REVENUE CYCLE SERVICES 161757028 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 152439628 IBM CORP 15300 SW KOLL PKWY BEAVERTON OR 97006 TECHNOLOGY SERVICES 67443888 MORRISON HEALTHCARE 400 NORTHRIDGE RD STE 600 SANDY SPRINGS GA 30350 FOOD SERVICES 63557390 1224 1309524 32053248 12730623 9183616 55277011 NET PATIENT REVENUE 622110 6053964830 6053428210 536620 CORP SVCS-AFFILIATE 900099 2667770786 2667770786 JV INCOME 900099 49292745 49292745 OTHER PATIENT SVC REV 900099 30991824 30991824 8802020185 111250411 -1317310 112567721 82332519 63144836 19187683 19187683 19187683 196914417 365136834 16712036 0 180202381 365136834 545339215 545339215 346218 1309524 533211 -186993 -186993 PHARMACY REVENUE 456110 35972853 33189672 2783181 CAFETERIA REVENUE 722514 26125981 26123729 2252 PHYSICIAN RECRUITING 900099 25264998 21768112 3496886 108556844 108004012 552832 195920676 9728808188 8990569090 6054461 676907626 X 21074609 21074609 53978813 31313109 22649510 16194 3839566987 2227332809 1611082308 1151870 262888057 152501362 110307829 78866 563252641 326742857 236340808 168976 275495062 159814685 115597728 82649 105261 61062 44167 32 72719723 42184711 30513196 21816 14065103 8159166 5901717 4220 8267711 8267711 1662121307 964196571 697426100 498636 19687838 11420915 8261017 5906 89211735 51751727 37433244 26764 393612989 228334895 165160010 118084 149906931 86961011 62900948 44972 39341249 22821859 16507588 11802 121992762 70768001 51188163 36598 331481289 192292296 139089549 99444 27629974 16028148 11593537 8289 MEDICAL SUPPLIES 913422203 913422203 HOSPITAL FEE 166436954 166436954 LICENSES AND TAXES 76763474 44530491 32209954 23029 UBI TAXES PAID 358086 358086 220799297 128085672 92647385 66240 9324180055 5866235113 3455480555 2464387 489521442 227395631 682044691 913313551 29039505 37272254 939571867 1260549573 4789829 3616492 89583213 79698042 116055733 169604110 7940861609 5606208560 2364545139 2334653049 1405718864 2050689714 708841186 809670875 30538541 26119846 1598885179 1403876478 8459135189 9316459615 1603311302 1842414419 23541 85133240 5446430532 5453576587 7049765375 7381124246 X 1300497218 1811489604 108872596 123845765 1409369814 1935335369 8459135189 9316459615 X 404628133 -35743829 157081251 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 240000 1 560000 0 1 800647 1600647 0 PART II-B, LINE 1: LOBBYING ACTIVITIES, WITH THE EXCEPTION OF ADVOCACY, ARE LIMITED TO DIRECT CONTACT WITH GOVERNMENT OFFICIALS AND MAILINGS TO THE GENERAL PUBLIC AND LEGISLATORS FOR THE PURPOSE OF EXPRESSING OPINIONS ON LEGISLATIVE MATTERS. EXPENSES INCLUDE EMPLOYEE SALARIES, POSTAGE AND INCIDENTAL TRAVELING EXPENDITURES. PART II-B, LINE 1, LOBBYING ACTIVITIES: OUR 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 SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. 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. INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. 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 PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. 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. PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES. STRENGTHEN AND DEVELOP OUR WORKFORCE GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. 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. ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION 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. 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. ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. 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 ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY. 20000 X 0 5491487 209336 672720 413931 40091 5919521 5424955 134807 65343 99849 33769 5491487 5181112 131093 222589 79377 30462 5424955 4771547 183436 339178 72214 40835 5181112 4409252 115730 343663 64109 32989 4771547 0.00000 0.00470 0.99530 0 0 345661104 345661104 2340501833 1496433578 844068255 321830858 250904442 70926416 4506341219 3858870540 647470679 426526595 426526595 2334653049 HEALTHCARE JOINT VENTURES 634336483 C BENEFICIAL INTEREST IN FOUNDATION 175334392 C 809670875 LONG TERM ASSET EXEC 457B 520132213 LIMITED USE INVESTMENTS 361308199 RIGHT OF USE OPERATING LEASES 238892025 OTHER ASSETS 107701112 DUE FROM AFFILIATES 45859936 DUE FROM THIRD-PARTY 26327302 HOSPITAL FEE RECEIVABLE 804808 INVESTMENT IN CORP SUBSIDIARIES 102850883 1403876478 LONG-TERM MASTER TRUST DEBT 1896341192 ACCRUED RETIREMENT COMPENSATION 1324288176 DUE TO THIRD-PARTY 970080719 OTHER LIABILITIES 666397534 I/C - TAX-EXEMPT BOND LIABILITIES 388194699 CAPITAL LEASE OBLIGATIONS 161824862 HOSPITAL FEE 41227713 DUE TO AFFILIATES 5221692 5453576587 PART III, LINE 4: ARTWORK IS RECEIVED FROM A LOCAL WORLD-RENOWNED GLASS SCULPTOR DALE CHIHULY, AND IS DISPLAYED AT PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY TO ENHANCE THE ENVIRONMENT FOR THE PATIENTS AND THEIR FAMILIES. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE HOME HEALTH SERVICES TO THE POOR & VULNERABLE IN EASTERN WASHINGTON AND TO SUPPORT HOSPITAL OPERATIONS IN EVERETT. THE PRINCIPAL IS AVAILABLE IN CASE OF EMERGENCY/CRISIS, THROUGH AN APPLICATION PROCESS. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING 50000 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 300000 SOUTH ASIA 0 0 INVESTMENTS 76999324 NORTH AMERICA 0 0 INVESTMENTS 10935932 EUROPE 0 0 INVESTMENTS 6606142 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICE FOREIGN TRAVEL 52303 EUROPE 0 0 PROGRAM SERVICE FOREIGN TRAVEL 277817 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 25052 NORTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 76251 SOUTH ASIA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 1218485 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 20658 0 0 0 0 0 0 95246570 1315394 96561964 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 50000 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 300000 CHECK 0 2 0 1 0 1 1 1 0 PART I, LINE 2: PROVIDENCE HEALTH & SERVICES - WASHINGTON (PH&S - WA) REQUIRES A POTENTIAL RECIPIENT TO COMPLETE AN APPLICATION WHICH INCLUDES WHO WILL BE SERVED/BENEFITTING FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED. PART I, LINE 3, COLUMN (F) THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING. 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MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PSMMC CONDUCTED 21 KEY INFORMANT INTERVIEWS WITH 23 PARTICIPANTS, AND SEVEN LISTENING SESSIONS WITH 62 COMMUNITY MEMBERS BETWEEN FEBRUARY AND MAY OF 2024. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND THEIR ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WITH LOW INCOMES, AND UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. KEY INFORMANTS WERE FROM THE FOLLOWING ORGANIZATIONS AND MUNICIPALITIES: BLUE MOUNTAIN ACTION COUNCIL, BLUE MOUNTAIN HEART TO HEART, CATHOLIC CHARITIES WALLA WALLA, CITY OF COLLEGE PLACE, THE HEALTH CENTER, CITY OF WALLA WALLA, COLUMBIA COUNTY PUBLIC HEALTH DISTRICT #1, COMPREHENSIVE HEALTHCARE, FAMILY MEDICAL CENTER, MILTON-FREEWATER CHAMBER DOWNTOWN ALLIANCE, PORT OF WALLA WALLA, PROVIDENCE ST MARY MEDICAL CENTER, SUSTAINABLE LIVING CENTER, WALLA WALLA CLINIC, WALLA WALLA DEPARTMENT OF COMMUNITY HEALTH, WALLA WALLA FIRE DEPARTMENT, WALLA WALLA HOUSING AUTHORITY, WALLA WALLA IMMIGRATION RIGHTS COALITION, WALLA WALLA POLICE DEPARTMENT, WALLA WALLA PUBLIC SCHOOLS, AND YOUNG WOMEN'S CHRISTIAN ASSOCIATION (YWCA). PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 5: KODIAK ISLAND MEDICAL CENTER CONDUCTED THE 2024 CHNA IN COLLABORATION WITH A DIVERSE GROUP OF COMMUNITY LEADERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY TO IDENTIFY THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS IN KODIAK. THESE COMMUNITY LEADERS SERVED AS THE KODIAK CHNA ADVISORY GROUP, PROVIDING GUIDANCE AND INPUT ON THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THE MEMBERS OF THE CHNA ADVISORY GROUP WERE:- CAROL AUSTERMAN, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER - CAROL JEURGENS, RETIRED PHYSICIAN, KODIAK ISLAND MEDICAL ASSOCIATES - JAMES TURNER, ASSEMBLYMAN, KODIAK ASSEMBLY - JEROME SELBY, RETIRED MAYOR, KODIAK ISLAND BOROUGH - KARL HERTZ, HOSPITAL ADMINISTRATOR, PROVIDENCE KODIAK ISLAND MEDICAL CENTER - MARGE METE, NURSING PROGRAM, KODIAK COLLEGE - MARY JANE PEDIANGCO, CPA, SELF EMPLOYED - MIKE FEFFERC, CEO, KODIAK AREA NATIVE ASSOCIATION - PAT BRANSON, MAYOR, CITY OF KODIAK AND EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK - STEVE HONNALD, RETIRED REGIONAL SUPERVISOR, ALASKA DEPARTMENT OF FISH AND GAME - STEVE SMITH, MD, CHIEF OF STAFF, ED, PROVIDENCE KODIAK ISLAND MEDICAL CENTER - TERI SCHNEIDER, PRINCIPAL, ST. MARY'S SCHOOL COMMUNITY HEALTH SURVEYTHE 36-QUESTION SURVEY WAS FIELDED SUMMER OF 2022, WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE AND COLLABORATION WITH KODIAK AREA NATIVE ASSOCIATION. EVERY EFFORT WAS MADE TO ENSURE THAT THE SURVEY REPRESENTED THE DIVERSITY OF THE COMMUNITY AND CAPTURED INPUT FROM THOSE WITH LOW INCOMES AND OTHERWISE UNDERSERVED IN THE COMMUNITY. STAKEHOLDER INTERVIEWS: IN THE MONTH OF JUNE, NINE COMMUNITY LEADERS WERE INTERVIEWED INDIVIDUALLY REGARDING THE HEALTH NEEDS OF THE COMMUNITY - AMY BUTTS, PUBLIC HEALTH NURSE, KODIAK PUBLIC HEALTH CENTER (PUBLIC HEALTH) - CAROL AUSTERMAN, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER - JENNA LOWMASTER, EXECUTIVE DIRECTOR, KODIAK CHAMBER OF COMMERCE - BILL ROBERTS, MAYOR, KODIAK ISLAND BOROUGH - KARL HERTZ, HOSPITAL ADMINISTRATOR, PROVIDENCE KODIAK ISLAND MEDICAL CENTER - KIMBERLEE SAUNDERS, ASSISTANT SUPERINTENDENT, KODIAK ISLAND BOROUGH SCHOOL DISTRICT - MIKE PFEFFER, CEO, KODIAK AREA NATIVE ASSOCIATION - PAT BRANSON, MAYOR, CITY OF KODIAK AND EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK - STEVEN FLORA, CLINICAL MANAGER, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH PARTICIPATION FROM THE KODIAK AREA NATIVE ASSOCIATION. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF THE PSMMC 2024 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, THE 2025-2027 PSMMC CHIP PRIORITIZED THE FOLLOWING AREAS: BEHAVIORAL HEALTH AND ACCESS TO CARE, ACCESS TO HEALTH CARE, HOMELESSNESS AND HOUSING INSTABILITY. REGARDING PRIORITY 1, BEHAVIORAL HEALTH AND ACCESS TO CARE, BARRIERS TO CARE. MORE BILINGUAL AND BICULTURAL SERVICES ARE NEEDED TO PROVIDE CULTURALLY MATCHED AND LINGUISTICALLY APPROPRIATE SERVICES. BARRIERS TO ACCESS HEALTH CARE INCLUDE A LACK OF TRANSPORTATION AND CHILDCARE, APPOINTMENTS DURING WORK HOURS, AND INSURANCE ISSUES AND COST OF CARE. REGARDING PRIORITY 3, HOMELESSNESS AND HOUSING INSTABILITY. THERE IS A LACK OF AFFORDABLE HOUSING, RENTS HAVE INCREASED, AND THERE IS THE NEED FOR MORE HOMELESSNESS SERVICES, PARTICULARLY FOR YOUTH. PROVIDENCE ST. MARY MEDICAL CENTER'S 2025-2027 COMMUNITY HEALTH IMPROVEMENT PLAN WAS DEVELOPED IN 2024 AND APPROVED BY THE COMMUNITY MISSION BOARD OF THE HOSPITAL ON JANUARY 17, 2025. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH AND ACCESS TO CARE INCLUDE 1) INTEGRATE BEHAVIORAL HEALTH CARE IN PRIMARY CARE, 2) UTILIZE PSYCHIATRIST TO EXPAND BEHAVIORAL HEALTH SERVICE LINE, 3) COLLABORATE MONTHLY WITH COMPREHENSIVE HEALTHCARE'S MOBILE CRISIS OUTREACH TEAM TO RAPIDLY ADDRESS BEHAVIORAL HEALTH ISSUES, 4) WORK2BEWELL MENTAL HEALTH AND WELLNESS PROGRAM FOCUSED ON PROVIDING MENTAL HEALTH RESOURCES AND EDUCATION FOR TEENS, PARENTS, AND EDUCATORS, 5) UTILIZE COMMUNITY BENEFIT GRANT PROGRAM TO INCREASE ACCESS TO BEHAVIORAL HEALTH CARE IN COMMUNITIES WE SERVE. STRATEGIES TO ADDRESS ACCESS TO HEALTH CARE INCLUDE COMMUNITY HEALTH WORKER PROGRAM TO INCREASE NUMBER OF PERSONS EDUCATED ON AND CONNECTED TO PRIMARY CARE, PRIMARY CARE PROVIDER INITIATIVE, IMPROVE ACCESS TO FOLLOW UP CARE AND SDOH SUPPORTS FOR RECENTLY DISCHARGED PATIENTS THAT SCREENED POSITIVE FOR SDOH, MEDICAL ASSISTANCE-APPRENTICE PROGRAM TO ADDRESS WORKFORCE, INCREASE AWARENESS OF HEALTH CARE CAREERS TO BUILD CAPACITY TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVE, AND UTILIZE COMMUNITY BENEFIT GRANT PROGRAM TO INCREASE ACCESS TO HEALTH CARE IN THE COMMUNITIES WE SERVE. STRATEGIES TO ADDRESS HOMELESSNESS AND HOUSING INSTABILITY INCLUDE COMMUNITY HEALTH WORKER PROGRAM TO INCREASE THE NUMBER OF PERSONS CONNECTED TO HOUSING OR SHELTER RESOURCES, COLLABORATE WITH WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH ON BUILT FOR ZERO, AND UTILIZE COMMUNITY BENEFIT GRANT PROGRAM TO INCREASE ACCESS TO SUPPORTIVE SERVICES FOR PEOPLE EXPERIENCING HOMELESSNESS IN THE COMMUNITIES WE SERVE. 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. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGEMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 11: THE LATEST CHNA FOR PROVIDENCE KODIAK ISLAND MEDICAL CENTER WAS COMPLETED IN 2022. IT IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS.- BEHAVIORAL HEALTH (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE)- ECONOMIC SECURITY / BASIC NEEDS - HEALTHY BEHAVIORS / PHYSICAL HEALTH - ACCESS TO HEALTHCARE IN RESPONSE TO THE CHNA, PROVIDENCE KODIAK ISLAND MEDICAL CENTER DEVELOPED A MULTI-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT WAS FINALIZED IN APRIL 2023. THE CHIP OUTLINES STRATEGIES FOR HOW THE HOSPITALS WILL ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA OVER THE COURSE OF 2023-2025, PRIORITIZING BEHAVIORAL HEALTH, ECONOMIC SECURITY/BASIC NEEDS, AND ACCESS TO HEALTHCARE TO BEST LEVERAGE THEIR CAPACITY, EXPERTISE AND RESOURCES FOR GREATEST IMPACT: - ESTABLISH OUTPATIENT CENTER FOR URGENT CARE / CRISIS ENGAGEMENT - INCLUDING CREATION OF PROCESSES AND WORKFLOWS TO TRIAGE AND ENSURE WALK-IN CAPACITY FOR EMERGENT NEED AND CRISIS APPOINTMENTS, COLLABORATION WITH COMMUNITY MENTAL HEALTH PROVIDERS TO CREATE EMERGENT CAPACITY, COMMUNITY EDUCATION UTILIZING OUTPATIENT CRISIS ENGAGEMENT TO SUPPORT INDIVIDUALS BEFORE THE CRISIS ESCALATES TO A HIGHER LEVEL OF CARE (ED VISIT). - ADOPT INNOVATIVE EVIDENCE-BASED GROUP-WORK MODELS TO ADDRESS CAPACITY CHALLENGES DUE TO PROVIDER SHORTAGES LEVERAGING ADVANTAGES OF GROUP WORK MODELS SUCH AS POSITIVE PEER CULTURE, FORGED CONNECTION, AND DIALECTICAL BEHAVIORAL THERAPY GROUP WORK. - PKIMC WILL PARTNER WITH COMMUNITY EMPLOYERS, THE KODIAK ECONOMIC DEVELOPMENT CORPORATION, AND THE CITY OF KODIAK IN ESTABLISHING A KODIAK ISLAND COMMUNITY LAND TRUST AS A VEHICLE TO ADDRESS THE HOUSING SHORTAGE IN KODIAK.- NURTURE HEALTHCARE WORKFORCE TO ENSURE SUSTAINABLE STAFFING, CAREGIVER SATISFACTION, QUALITY, AND SUCCESSION PLANNING THROUGH WORK WITH PKIMC CAREGIVER ENGAGEMENT COMMITTEE AND THROUGH PARTNERSHIP WITH THE KODIAK HOSPITAL AUXILIARY.- DEVELOP 16 WORKFORCE HOUSING UNITS TO HELP ADDRESS KODIAK HOUSING SHORTAGES CONTRIBUTING TO ONGOING WORKFORCE SHORTAGES. - PARTNER WITH KANA, KCHC, AND STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES IN DEPLOYING A COMMUNITY CHILDCARE SURVEY TO EXPLORE A COLLABORATIVE COMMUNITY RESPONSE TO THE CHILDCARE SHORTAGE IN KODIAK.THESE STRATEGIES WERE PUT IN PLACE IN APRIL 2023 AND WORK HAS BEEN UNDERWAY TO MOVE THEM FORWARD. AN UPDATE ON THEIR PROGRESS WILL BE REPORTED IN THE 2025 CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA WILL NOT BE DIRECTLY ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW: - HEALTHY BEHAVIORS / PHYSICAL HEALTH GIVEN STAFFING CHALLENGES IN THE WAKE OF COVID AND THE FACT THAT THE PREVENTIVE, COMMUNITY-HEALTH NATURE OF THIS NEEDS AREA DOES NOT FALL INTO THE CORE COMPETENCIES OR KEY FUNCTIONS OF THE HOSPITAL, PKIMC WILL NOT BE ADDRESSING THIS NEED IN FAVOR OF DIRECTING RESOURCES TO THE OTHER NEEDS AREAS. ALL HEALTH NEEDS IDENTIFIED AS PART OF THE 2022 CHNA TOUCH ON CORE SOCIAL DETERMINANTS OF HEALTH AND SHARE COMMONALITIES. FOR AREAS OUTSIDE OUR IMMEDIATE FOCUS, WE WILL CONTINUE TO SUPPORT COMMUNITY PROGRAMS AND INITIATIVES THAT WORK TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND EXPAND OUR CAPACITY TO REACH THOSE IN NEED THROUGH REFERRALS, IN-KIND DONATIONS AND GRANTMAKING. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B, LINE 7A: PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA PART V, SECTION B, LINE 7A: PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE PART V, SECTION B, LINE 10A: PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA PART V, SECTION B, LINE 10A: PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE PART V, SECTION B, LINE 9: PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT ON JANUARY 17, 2025, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP B - 4 & 5)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT ON FEBRUARY 20, 2025, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP C - 2, 6 & 13)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 17, 2025, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP D - 1 & 12)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 15, 2025, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 3: PROVIDENCE ST. PETER HOSPITAL, - FACILITY 7: PROVIDENCE CENTRALIA HOSPITAL PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PROVIDENCE CENTRALIA AND ST. PETER HOSPITALS, IN PARTNERSHIP WITH THE THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENT, CONDUCTED 39 KEY INFORMANT INTERVIEWS WITH 45 INDIVIDUALS REPRESENTING 41 COMMUNITY-BASED ORGANIZATIONS, BETWEEN SEPTEMBER 2022 AND AUGUST 2023. DURING THESE INTERVIEWS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT KEY INFORMANTS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. FOR DETAILED LIST OF STAKEHOLDERS GO TO PGS. 76-79 OF CHNA REPORT LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 6A: AS PART OF THE 2023 CHNA, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS PARTNERED WITH MULTICARE HEALTH SYSTEM TO CONDUCT KEY INFORMANT INTERVIEWS. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 6B: AS PART OF THE 2023 CHNA, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS PARTNERED WITH THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES TO CONDUCT KEY INFORMANT INTERVIEWS. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF THE PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS' 2023 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SWEDISH SOUTH PUGET SOUND FOCUSED ON THE FOLLOWING AREAS FOR ITS COMMUNITY BENEFIT EFFORTS. THESE PRIORITY HEALTH NEEDS ARE PULLED DIRECTLY FROM THE 2023 CHNA FOR PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS: PRIORITY 1: BEHAVIORAL HEALTHBEHAVIORAL HEALTH, ENCOMPASSING BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE IS THE MOST PRESSING NEED IN OUR COMMUNITIES. ACCESS TO BEHAVIORAL HEALTH CARE, MENTAL HEALTH AND SUICIDE PREVENTION AND SUBSTANCE USE/MISUSE AND OVERDOSE PREVENTION WERE ALL IDENTIFIED AS AREAS OF CONCERN. MANY RESIDENTS HAVE EXPERIENCED SIGNIFICANT STRESS AND ISOLATION FROM THE COVID-19 PANDEMIC, RESULTING IN MORE SUICIDAL IDEATION AND UNADDRESSED MENTAL HEALTH CHALLENGES. OF PARTICULAR CONCERN IS AN INCREASE IN FENTANYL USE AND RESULTING OVERDOSES, AS WELL AS THE BROADER COMMUNITY IMPACTS OF OVERDOSE AND OVERDOSE DEATHS. IN THE 2024-2026 CHIP, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS IMPLEMENTED THE FOLLOWING STRATEGIES TO ADDRESS BEHAVIORAL HEALTH: - DELIVER BEHAVIORAL HEALTH CARE THROUGH THE MOBILE OUTREACH PROGRAM IN THURSTON COUNTY, FOCUSING ON PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. - UTILIZE COMMUNITY PARTNERSHIP GRANTS TO IMPROVE THE BEHAVIORAL HEALTH OF INDIVIDUALS IN LEWIS AND THURSTON COUNTIES. - BUILD PARTNERSHIPS WITH EXTERNAL BEHAVIORAL HEALTH PROVIDERS AND RESOURCES TO STREAMLINE BOTH ACCESS AND CONTINUITY OF CARE FOR INDIVIDUALS NEEDING CARE OUTSIDE THE SCOPE OF THE CARE PROVIDED BY PROVIDENCE SWEDISH BEHAVIORAL HEALTH PROGRAMS. PRIORITY 2: BASIC NEEDS / ECONOMIC SECURITY ECONOMIC SECURITY IS IMPORTANT FOR PEOPLE'S HEALTH AND WELL-BEING. LOW WAGES, HIGH UNEMPLOYMENT AND A HIGH COST OF LIVING CONTRIBUTE TO ECONOMIC INSECURITY FOR MANY FAMILIES. THERE ARE INEQUITIES IN HOW RESOURCES AND EDUCATIONAL OPPORTUNITIES ARE DISTRIBUTED IN THE COMMUNITY. PEOPLE WITH LOW INCOMES MAY BE UNABLE TO AFFORD THEIR BASIC NEEDS, SUCH AS FOOD, HEALTH CARE, CAR SEATS, BABY FORMULA, ETC., PARTICULARLY WITH THE RISING COST OF LIVING. ONE EVENT OR ACCIDENT COULD BE FINANCIALLY CATASTROPHIC FOR A FAMILY. INDIVIDUALS AND FAMILIES WITH INCOMES SLIGHTLY ABOVE THE THRESHOLD FOR QUALIFYING FOR PUBLIC BENEFITS, BUT WITHOUT ENOUGH MONEY TO AFFORD THOSE BASIC NEEDS WITHOUT ASSISTANCE, ARE ESPECIALLY VULNERABLE. THIS IS CALLED THE "BENEFITS CLIFF," WHICH MEANS PUBLIC BENEFITS DROP OFF SHARPLY WITH A SMALL INCREASE IN INCOME. THERE ARE LIMITED EMPLOYMENT OPPORTUNITIES FOR PEOPLE TO MAKE A LIVING WAGE WITHOUT HIGHER EDUCATION. INVESTING IN LOW-BARRIER EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES AND IN JOB SKILLS AND TECHNICAL TRAINING COULD HELP PEOPLE INCREASE THEIR ECONOMIC SECURITY. ECONOMIC INSECURITY MAY DISPROPORTIONATELY AFFECT PEOPLE LIVING IN RURAL AREAS, AS WELL AS HISTORICAL UNDERREPRESENTED COMMUNITY MEMBERS, PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS, OLDER ADULTS AND WOMEN. ACCESS TO NUTRITIOUS, AFFORDABLE FOOD, AS WELL AS FOOD RESOURCES IS A MAJOR ISSUE FOR MANY FAMILIES AND INDIVIDUALS, ESPECIALLY IN RURAL AREAS. A LACK OF HEALTHY AND NUTRITIOUS FOOD CONTRIBUTES TO LONG-TERM HEALTH CHALLENGES, LIKE OBESITY AND DIABETES. THE NEED HAS RECENTLY INCREASED WITH CUTS TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, LEADING MORE PEOPLE TO SEEK OTHER FOOD RESOURCES. FAMILIES WITH LOW INCOMES MAY BE ESPECIALLY AFFECTED BY FOOD INSECURITY, PARTICULARLY WITH THE RISING COST OF HOUSING. PEOPLE MAY HAVE TO TRAVEL LONG DISTANCES TO THE NEAREST FOOD BANK AND MAY EXPERIENCE TRANSPORTATION BARRIERS, PARTICULARLY WITH THE INCREASED COST OF FUEL. THE INTERCONNECTEDNESS OF HOUSING AND HEALTH IS KEY, AND HOUSING WAS IDENTIFIED AS A MAJOR NEED, WITH A LACK OF SAFE AND HEALTHY HOUSING AVAILABLE FOR FAMILIES AND EMPLOYEES. THE COST OF HOUSING IS THE PRIMARY BARRIER FOR PEOPLE, WITH A NEED FOR MORE AFFORDABLE HOUSING FOR PEOPLE WITH LOW INCOMES, AS WAGES HAVE NOT KEPT PACE WITH HOUSING COSTS. THERE IS ALSO A NEED FOR MORE SUPPORTIVE AND TRANSITIONAL HOUSING, PARTICULARLY FOR PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING STABILITY, AS WELL THOSE NEEDING SUPPORT SERVICES TO REMAIN STABLY HOUSED. MORE PERMANENT SUPPORTIVE HOUSING AND EMERGENCY, SHORT-TERM AND LONG-TERM SHELTERS. THE COMPLEXITY OF THE HOUSING SYSTEM CAN BE DIFFICULT FOR PEOPLE TO NAVIGATE AND CAN BE A BARRIER FOR PEOPLE FINDING STABLE HOUSING. IN THE 2024-26 CHIP, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS IMPLEMENTED THE FOLLOWING STRATEGIES TO ADDRESS BASIC NEEDS AND ECONOMIC SECURITY:- UTILIZE THE MOBILE OUTREACH PROGRAM TO HELP MEET INDIVIDUALS' BASIC NEEDS BY PROVIDING HEALTH CARE AND REFERRALS TO COMMUNITY-BASED SUPPORT SERVICES, FOCUSING ON PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. - COLLABORATE WITH THURSTON COUNTY'S BUILT FOR ZERO (BFZ) COHORT, WHICH AIMS TO MAKE HOMELESSNESS BRIEF, RARE, AND NON-RECURRINGIN THE COMMUNITY. THIS INCLUDES SUSTAINING QUALITY DATA STANDARDS AND ESTABLISHING AN IMPROVEMENT MEDIAN. - WORK WITH COMMUNITY PARTNERS TO TRANSITION UNHOUSED INDIVIDUALS NEEDING MEDICAL RESPITE POST HOSPITAL DISCHARGE INTO A SAFE, HEALING RESPITE CARE ENVIRONMENT.- WORK WITH COMMUNITY PARTNERS TO IMPROVE CARE COORDINATION FOR VULNERABLE, UNHOUSED INDIVIDUALS PREPARING FOR DISCHARGE FROM ST. PETER HOSPITAL OR ITS EMERGENCY DEPARTMENT, TO ENSURE INDIVIDUALS HAVE RESOURCES TO MAINTAIN OR IMPROVE THEIR HEALTH POST HOSPITAL DISCHARGE. PRIORITY 3: ACCESS TO HEALTH CARE ACCESS TO BOTH PRIMARY AND SPECIALTY CARE WAS IDENTIFIED AS A TOP HEALTH CONCERN. A LACK OF PRIMARY CARE PROVIDERS (PCPS) HAS STRAINED THE HEALTH CARE SYSTEM, CONTRIBUTING TO PEOPLE USING THE EMERGENCY DEPARTMENT (ED) AS THEIR MAIN FORM OF HEALTH CARE, AND TO A PREVALENCE OF UNMANAGED CHRONIC CONDITIONS. PATIENTS WHO HAVE DIFFICULTY FINDING PRIMARY CARE, ALONG WITH THOSE HAVING A BEHAVIORAL HEALTH CRISIS, PUT STRESS ON THE ED AND OVERWHELM CAPACITY. THERE IS A NEED FOR MORE ACCESS TO PRIMARY CARE, URGENT CARE, AND BEHAVIORAL HEALTH CRISIS SERVICES, AS WELL AS A NEED FOR INCREASED ACCESS TO SPECIALTY CARE, AS MANY PATIENTS TRAVEL OUTSIDE OF THEIR LOCAL AREA TO RECEIVE SERVICES. MORE HEALTH CARE PROVIDERS, HOME CARE AIDS AND CAREGIVERS, HOSPITAL CAPACITY, CARE COORDINATION, AND CANCER SCREENING ARE NEEDED IN THE COMMUNITY. TRANSPORTATION IS A SIGNIFICANT BARRIER TO CARE, AS ARE HOURS OF APPOINTMENTS DURING WORK TIME, A LACK OF HEALTH CARE LITERACY, TRUST IN THE MEDICAL SYSTEM, AND ACCESS TO OR COMFORT WITH TECHNOLOGY. SPECIFIC POPULATIONS MAY EXPERIENCE ADDITIONAL BARRIERS TO ACCESSING RESPONSIVE AND AFFIRMING CARE. STIGMA AND DISCRIMINATION AND A LACK OF PROVIDERS THAT ARE BILINGUAL AND BICULTURAL CONTRIBUTE TO THESE CHALLENGES. THERE ARE FEW RESOURCES FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED, OR NOT MEDICAID-ELIGIBLE.IN THE 2024-26 CHIP, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS IMPLEMENTED THE FOLLOWING STRATEGIES TO ADDRESS ACCESS TO HEALTH CARE: - UTILIZE THE MEDICATION ASSISTANCE PROGRAM AT PROVIDENCE CENTRALIA HOSPITAL TO ENSURE ACCESS TO MEDICATIONS NEEDED TO MANAGE THE HEALTH CONDITIONS OF UNDER-RESOURCED INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH CANCER. - DELIVER PROGRAMS AT NO CHARGE TO HELP INDIVIDUALS WITH CANCER SUCCESSFULLY NAVIGATE THE PROCESS OF THEIR DIAGNOSES AND TREATMENT AND PROVIDE SUPPORT SERVICES TO ASSIST WITH EMOTIONAL HEALTH AND FINANCIAL STABILITY FOR INDIVIDUALS WITH CANCER, THEIR CAREGIVERS, AND FAMILY MEMBERS. - LAUNCH A MATERNAL FETAL MEDICINE PROGRAM FOR INDIVIDUALS IN NEED OF HIGH-RISK OBSTETRICS/GYNECOLOGY CARE SPECIALTY CARE NOT CURRENTLY AVAILABLE IN THE SOUTH PUGET SOUND AREA.- IMPROVE ACCESS TO HEALTH CARE FOR UNDERSERVED INDIVIDUALS AND COMMUNITIES THROUGH MEDICAL AND PHARMACY RESIDENCY PROGRAMS, FOCUSING ON PERSONS LIVING IN RURAL AREAS AND VULNERABLE INDIVIDUALS. - INCREASE AWARENESS OF AND PROVIDE OPPORTUNITIES AND PATHWAYS FOR ENTERING HEALTH CARE FIELDS, IN ORDER TO BUILD CAPACITY TO MEET THE GROWING HEALTH NEEDS OF THE COMMUNITIES WE SERVE. THESE INCLUDE PROGRAMS FOR INDIVIDUALS SEEKING LIVING-WAGE, FULFILLING CAREERS AND FOR HIGH SCHOOL AND HIGHER EDUCATION STUDENTS. STRATEGIES INCLUDED IN THE 2024-2026 CHIP ARE REPRESENTATIVE OF EFFORTS TAKEN BY BOTH ST. PETER AND CENTRALIA HOSPITALS TO ADDRESS COMMUNITY NEEDS. ALL NEEDS PRIORITIZED IN THE CHNA WERE ADDRESSED IN THE CHIP. DETAILED STRATEGIES AND PLANS CAN BE FOUND ON PGS. 15-20 AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: ST. PETER AND CENTRALIA. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, PROVIDENCE CONDUCTED LISTENING SESSIONS, KEY INFORMANT INTERVIEWS, A COMMUNITY SURVEY, AND A COMMUNITY HEALTH SUMMIT. THE KEY INFORMANT INTERVIEWS AND LISTENING SESSIONS WERE CONDUCTED BETWEEN APRIL AND MAY 2024, THE COMMUNITY SURVEY IN MAY 2024, AND THE COMMUNITY HEALTH CONFERENCE IN OCTOBER 2024. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVED PEOPLE EXPERIENCING HEALTH DISPARITIES AND SYSTEMIC INEQUITIES. PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AIMED TO ENGAGE KEY INFORMANTS FROM SOCIAL SERVICE AGENCIES, MEDICALLY UNDERSERVED, EDUCATION, FAITH COMMUNITIES, GOVERNMENT GROUPS, AND THOSE REPRESENTING MEMBERS OF THE BLACK, BROWN, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BBIPOC) COMMUNITIES, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. THE GOAL OF THE INTERVIEWS AND LISTENING SESSIONS WAS TO IDENTIFY WHAT NEEDS ARE CURRENTLY NOT BEING MET IN THE COMMUNITY AND WHAT ASSETS COULD BE LEVERAGED TO ADDRESS THOSE NEEDS. A CHNA ADVISORY COMMITTEE WAS ESTABLISHED TO INFORM AND GUIDE THE CHNA PROCESS AND TO IDENTIFY THE TOP HEALTH PRIORITIES FOR THE COMMUNITY BASED ON COMMUNITY INPUT AND COMMUNITY HEALTH DATA. THE COMMITTEE WAS COMPRISED OF LOCAL COMMUNITY LEADERS WHO REPRESENT THE BROAD INTEREST AND DEMOGRAPHICS OF THE COMMUNITY. THE CHNA ADVISORY COMMITTEE MET MONTHLY FROM FEBRUARY THROUGH OCTOBER 2024 TO PROVIDE INPUT INTO THE CHNA AND CHIP PRIORITIES. DUE TO THE LIMITED DATA AVAILABLE THROUGH LOCAL, STATE, AND NATIONAL SOURCES, PROVIDENCE CONDUCTS AN ANNUAL SURVEY TO OBTAIN ADDITIONAL FEEDBACK DIRECTLY FROM SNOHOMISH COUNTY RESIDENTS ON THE COMMUNITY STRENGTHS AND INDICATORS OF HEALTH AND WELL-BEING. THE 2024 HEALTH AND WELL-BEING MONITOR SURVEY WAS CONDUCTED IN MAY 2024. A TOTAL OF 686 ADULTS OVER THE AGE OF 18 TOOK THE SURVEY THROUGH PHONE AND ONLINE SURVEYS. APPENDIX 2 AND APPENDIX 4 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: EVERETT. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 6A: SWEDISH EDMONDS PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 11: THE LATEST CHNA FOR PROVIDENCE REGIONAL MEDICAL CENTER EVERETT WAS COMPLETED IN 2024. IT IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS, WITH AN EMPHASIS ON VULNERABLE POPULATIONS. - BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE- ACCESS TO HEALTH CARE SERVICES IN RESPONSE TO THE CHNA, PRMCE DEVELOPED A MULTI-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT WAS FINALIZED IN MAY OF 2025. THE CHIP OUTLINES STRATEGIES FOR HOW THE HOSPITAL WILL ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA OVER THE COURSE OF 2025-2027, PRIORITIZING BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE, AND ACCESS TO HEALTH CARE SERVICES TO BEST LEVERAGE THEIR CAPACITY, EXPERTISE AND RESOURCES FOR GREATEST IMPACT: - PROVIDE CULTURALLY RELEVANT CARE NAVIGATION, UTILIZING COMMUNITY HEALTH NAVIGATORS, WITH A FOCUS ON SDOH AND OUTREACH. - FACILITATE OR HOST COMMUNITY HEALTH AND WELL-BEING EDUCATION, SUPPORT GROUPS AND/OR COLLABORATIVE PARTNERSHIPS TO BRIDGE GAPS IN INFORMATION, PREVENTION, AND CARE ACCESS. - IDENTIFY AND PROVIDE COMMUNITY CARE AND SOLUTIONS FOR THOSE IN NEED OF RESOURCES TO SUPPORT SDOH THAT IMPACT ACCESS TO CARE, INCLUDING BASIC NEEDS. - EXPAND COMMUNITY MENTAL HEALTH AND CRISIS SERVICES FOR ADULTS AND ADOLESCENTS THROUGH TIMELY AND CULTURALLY APPROPRIATE SERVICES IN URGENT CARE. - PROVIDE CRISIS INTERVENTION SERVICES TO THOSE IMPACTED BY SEXUAL, PHYSICAL, AND/OR RELATIONSHIP VIOLENCE IN THE COMMUNITY. - OFFER MEDICATION-ASSISTED TREATMENT (MAT) TO HELP TREAT OPIOID USE DISORDER AND CONNECT PATIENTS TO MAT PROGRAMS THROUGH SUBSTANCE USE NAVIGATION. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING HEALTH CARE ACCESS NEEDS AND BEHAVIORAL HEALTH SERVICES, INCLUDING SUBSTANCE USE. THESE STRATEGIES WERE PUT IN PLACE IN MAY 2025 AND WORK IS UNDERWAY TO MOVE THEM FORWARD. AN UPDATE ON THEIR PROGRESS WILL BE REPORTED IN THE 2027 CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA WILL NOT BE DIRECTLY ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW: - AFFORDABLE HOUSING AND HOMELESSNESS: NORTH PUGET SOUND DOES NOT DIRECTLY ADDRESS HOMELESSNESS; HOWEVER, WE PARTNER WITH SEVERAL ORGANIZATIONS THAT SERVE THOSE EXPERIENCING HOMELESSNESS IN THE COMMUNITY. THE PRIMARY FOCUS OF HOSPITAL SERVICES IS ACUTE CARE, RELATED TO SHORT-TERM CARE, WITH LIMITED SUPPORT FOR WRAP AROUND SERVICES. OUR COMMUNITY-BASED ORGANIZATIONS ARE BETTER SUITED TO PROVIDE SPECIALIZED SUPPORT AND FLEXIBILITY IN MEETING THIS NEED. - ACCESS TO CHILDCARE AND PRESCHOOLS: NORTH PUGET SOUND UNDERSTANDS THE CRITICAL NEED TO SUPPORT FAMILIES' ECONOMIC SECURITY AND WELL-BEING, AS WELL AS TO ENSURE HEALTHY FUTURES FOR CHILDREN BY PROVIDING AN ARRAY OF SERVICES FOR CHILDREN, YOUTH, AND FAMILIES. HOWEVER, THE HOSPITAL FACILITIES DO NOT DIRECTLY ADDRESS OR PROVIDE CHILDCARE AND PRESCHOOLS BECAUSE OUR EXPERTISE IS NOT FOCUSED ON EARLY CHILDHOOD EDUCATION OR PRESCHOOLS, AND IS WITHOUT THE INFRASTRUCTURE, FUNDING, AND STAFF TO ADEQUATELY ADDRESS THIS NEED. - ECONOMIC SECURITY WITH FOCUS ON FOOD SECURITY: NORTH PUGET SOUND DOES NOT PROVIDE SERVICES THAT DIRECTLY ADDRESS SAFETY NET SERVICES FOR ECONOMIC INSECURITY, INCLUDING FOOD INSECURITY, DUE TO A LACK OF EXPERTISE TO EFFECTIVELY ADDRESS THIS SPECIFIC NEED. HOWEVER, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT PARTNERS WITH OR REFERS TO COMMUNITY BASED ORGANIZATIONS THAT ADDRESS ECONOMIC AND FOOD SECURITY. COMMUNITY ORGANIZATIONS ARE BETTER SUITED TO HANDLE SUPPLY, STORAGE OR DISTRIBUTION SYSTEMS NEEDED FOR EFFECTIVE FOOD DISTRIBUTION. ALL HEALTH NEEDS IDENTIFIED AS PART OF THE 2024 CHNA TOUCH ON CORE SOCIAL DETERMINANTS OF HEALTH AND SHARE COMMONALITIES. FOR AREAS OUTSIDE OUR IMMEDIATE FOCUS, WE WILL CONTINUE TO SUPPORT COMMUNITY PROGRAMS AND INITIATIVES THAT WORK TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND EXPAND OUR CAPACITY TO REACH THOSE IN NEED THROUGH REFERRALS, IN-KIND DONATIONS AND GRANTMAKING. THE ENTIRE CHIP CAN BE FOUND HERE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 13: PROV. ST. LUKE'S REHAB. MED. CTR. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 5: PROVIDENCE SACRED HEART MEDICAL CENTER, PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 554,600 PEOPLE. IN 2024 THE HOSPITALS PARTICIPATED IN A COLLABORATIVE PROCESS TO EVALUATE THE COMMUNITY'S NEEDS IN PARTNERSHIP WITH THE SPOKANE REGIONAL HEALTH DISTRICT, EMPIRE HEALTH FOUNDATION AND MULTICARE HEALTH SYSTEM INLAND NORTHWEST REGION. TO ACTIVELY ENGAGE THE COMMUNITY, THE SPOKANE COLLABORATIVE ENGAGED THE COMMUNITY THROUGH A VARIETY OF METHODS, INCLUDING KEY INFORMANT INTERVIEWS, STORY CARDS, FOCUS GROUPS, AND A COLLECTIVE SENSEMAKING WORKSHOP. PARTICIPANTS WERE PRIORITIZED TO INCLUDE GROUPS EXPERIENCING INEQUITIES IN THE DETERMINANTS OF HEALTH OR WHO HAVE HISTORICALLY BEEN EXCLUDED FROM COMMUNITY CONVERSATIONS. ALL COMMUNITY ENGAGEMENT ACTIVITIES TOOK PLACE BETWEEN APRIL AND JUNE 2024. A LIST OF PARTICIPATING COMMUNITY PARTNERS CAN BE FOUND ON PAGE 105 OF THE 2024 CHNA. THE 2024 CHNA WAS APPROVED BY THE PROVIDENCE INLAND NORTHWEST COMMUNITY MISSION BOARD OF THE HOSPITAL ON OCTOBER 24, 2024, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2024. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6A: PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, ST. LUKE'S REHABILITATION MEDICAL CENTER AND WA MULTICARE HEALTH SYSTEM INLAND NORTHWEST REGION. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE SPOKANE REGIONAL HEALTH DISTRICT, EMPIRE HEALTH FOUNDATION AND MULTICARE HEALTH SYSTEM INLAND NORTHWEST REGION. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 11: THROUGH A COLLABORATIVE PROCESS ENGAGING THE SPOKANE COMMUNITY AND BASED ON DATA FROM THE SPOKANE COUNTY 2024 CHNA, PRIORITY HEALTH NEEDS AMONG SPOKANE COUNTY RESIDENTS WERE IDENTIFIED. THESE PRIORITIES RESULTED FROM APPLYING A PRIORITIZATION PROCESS AND CRITERIA TO THE HEALTH INDICATOR DATA AND COMMUNITY ENGAGEMENT THEMES. THE PRIORITIZATION CRITERIA INCLUDED TREND, COMPARISON TO WASHINGTON STATE, NUMBER OF DISPARITIES, PERCENTAGE OF THE POPULATION IMPACTED, AND THE AMOUNT OF CONCERN EXPRESSED IN COMMUNITY CONVERSATIONS. TO ENSURE THAT COMMUNITY VOICE WAS REPRESENTED IN THE PRIORITIZATION, A LIST OF TOP-SCORING INDICATORS, ALONG WITH FREQUENTLY MENTIONED THEMES FROM THE COMMUNITY NOT REPRESENTED BY INDICATOR DATA WAS SENT TO INTERVIEW AND FOCUS GROUP PARTICIPANTS. BASED ON THE COLLABORATIVE PRIORITIES ABOVE, KEY INFORMANT INTERVIEW FINDINGS AND PRIORITY SPOKANE NEEDS ASSESSMENT FINDINGS, THE FOLLOWING WERE THE TOP NEEDS IDENTIFIED: 1. BEHAVIORAL HEALTH CHALLENGES AND ACCESS (MENTAL HEALTH AND SUBSTANCE USE/MISUSE), 2. HOMELESSNESS AND HOUSING STABILITY, 3. ACCESS TO HEALTH CARE SERVICES, 4. ECONOMIC SECURITY, 5. EXPAND EARLY LEARNING/CHILDCARE CAPACITY TO BOOST THE ECONOMY, 6. EXPAND THE TREE CANOPY TO ENHANCE THE ENVIRONMENT. THESE NEEDS, ALONG WITH THE RELEVANT PRIMARY AND SECONDARY DATA, WERE PRESENTED AT THE SEPTEMBER 18TH INLAND NORTHWEST WASHINGTON (INWA) COMMUNITY BENEFIT COMMITTEE (CBC) MEETING FOR A POLL FOR FURTHER PRIORITIZATION. BASED ON THE RESULTS FROM THE CBC'S POLLING, PROVIDENCE SPOKANE IS COMMITTED TO ADDRESSING THE FOLLOWING PRIORITY AREAS: AS A RESULT OF THE FINDINGS OF OUR 2024 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL AND ST. LUKE'S REHABILITATION MEDICAL CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2025-2027 COMMUNITY BENEFIT EFFORTS: COMMUNITY NEED ADDRESSED #1 - BEHAVIORAL HEALTH CHALLENGES AND ACCESS (MENTAL HEALTH AND SUBSTANCE USE/MISUSE): THE LONG-TERM GOALS/VISION FOR ADDRESSING NEEDS IN THIS PRIORITY INCLUDE: ENSURING EQUITABLE ACCESS TO HIGH-QUALITY, CULTURALLY RESPONSIVE, AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH SERVICES, ESPECIALLY FOR POPULATIONS WITH LOW INCOMES. REDUCING SUBSTANCE USE DISORDERS AND RELATED HEALTH CONDITIONS THROUGH EVIDENCE-BASED PREVENTIONS, TREATMENT, AND RECOVERY SUPPORTIVE SERVICES. A REDUCTION IN DEATH OF DESPAIR IN THE COMMUNITY. PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER IS COMMITTED TO INVESTING IN SERVING THE MENTAL HEALTH NEEDS OR OUR COMMUNITIES AND WILL ENSURE NECESSARY FUNDING AND/OR STAFFING TO COLLABORATE WITH COMMUNITY PARTNERS TO SUPPORT THE BEHAVIORAL HEALTH NEEDS OF RESIDENT OF SPOKANE COUNTY. 1. COLLABORATING WITH SPOKANE TREATMENT AND RECOVERY SERVICES TO INCREASE THE NUMBER OF SCREENED PATIENTS DIVERTED TO WITHDRAW MANAGEMENT AND TREATMENT SERVICES. 2. IMPROVE ACCESS TO MENTAL HEALTH RESOURCES BY INTEGRATING BEHAVIORAL HEALTH SERVICES AT PROVIDENCE COMMUNITY CLINIC, PROVIDING DEPRESSION TREATMENT SERVICES AT HOLY FAMILY HOSPITAL, AND REDUCING THE WAITLIST FOR VIRTUAL ELECTROCONVULSIVE THERAPY (ECT) CONSULTATIONS3. INCREASE ACCESS TO INTEGRATED MENTAL HEALTH CARE IN PRIMARY CARE SETTINGS COMMUNITY NEED ADDRESSED #2 - HOMELESSNESS AND HOUSING STABILITY: THERE IS A NEED FOR MORE AFFORDABLE HOUSING, INCLUDING PERMANENT AND TEMPORARY HOUSING TO MEET COMMUNITY NEEDS. A CRITICAL GAP IN HOUSING IN THE COMMUNITY IS FOR A RESPITE FACILITY WITH ON-SITE MEDICAL CARE FOR PEOPLE EXPERIENCING HOMELESSNESS THAT CANNOT LIVE INDEPENDENTLY OR STAY IN A SHELTER, PEOPLE LIVING WITH HIV AND THOSE EXPERIENCING DOMESTIC VIOLENCE. THE LONG-TERM GOAL/VISION IS TO END HOMELESSNESS BY REACHING FUNCTIONAL ZERO, WHICH MEANS THAT THE SYSTEM WILL NOT HAVE MORE INDIVIDUALS ENTER THAN EXIT FROM THE HOMELESSNESS SYSTEM AT ANY GIVEN TIME. PROVIDENCE RECOGNIZES THE VITAL INTERSECTION BETWEEN HEALTH CARE AND HOUSING AND BELIEVE BOTH AR BASIC HUMAN RIGHTS. PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER IS COMMITTED TO PROVIDING FUNDING AND COLLABORATION WITH COMMUNITY PARTNERS WORKING IN SUPPORT OF SAFE AND AFFORDABLE HOUSING AND TO RESPONDING TO THE HEALTH NEEDS OF PEOPLE LIVING WITHOUT SALTER OR PERMANENT HOUSING. 1. COLLABORATION WITH COMMUNITY RESPITE PROVIDERS TO INCREASE ACCESS TO RESOURCES. 2. INCREASE ACCESS TO CIVIL LEGAL ASSISTANCE FOR HOUSING CONCERNS. 3. ADDRESS SOCIAL DETERMINANT OF HEALTH NAVIGATION AND HOUSING SUPPORT FOR PATIENTS COMMUNITY NEED ADDRESSED #3 - ACCESS TO HEALTH CARE SERVICES: THERE IS SPECIFICALLY A NEED FOR MORE BILINGUAL AND BICULTURAL PROVIDERS, PARTICULARLY FOR IMMIGRANT AND REFUGEE POPULATIONS. THERE IS ALSO A NEED FOR MORE CULTURALLY RESPONSIVE AND TRADITIONAL HEALTH CARE SERVICES AND PROVIDERS. CERTAIN POPULATIONS MAY BE MORE HESITANT TO ACCESS HEALTH CARE SERVICES FOR FEAR OF NOT BEING HEARD OR TREATED WITH DIGNITY. FOR A LIST OF POTENTIAL RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS, SEE PAGE 61 ON HEALTH PRIORITIES AND RESOURCES OF THE COLLABORATIVE CHNA REPORT. ADDITIONAL RESOURCES FOR COMMUNITY SUPPORT SERVICES PROGRAMS IN SPOKANE CAN BE FOUND ON FINDHELP.ORG THE LONG-TERM GOALS/VISION INCLUDE; IMPROVE ACCESS TO HEALTH CARE AND PREVENTIVE RESOURCES FOR PEOPLE WITH LOW INCOMES AND THOSE UNINSURED BY DEPLOYING PROGRAMS TO ASSIST WITH NAVIGATING THE HEALTH CARE SYSTEM. TO EASE THE WAS FOR PEOPLE TO ACCESS THE APPROPRIATE LEVEL OF CARE AT THE RIGHT TIME. PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL IS COMMITTED TO ITS ROLE AS A REGIONAL TERTIARY CARE CENTER IN EASTERN WASHINGTON, INCLUDING OPERATING AS A LEVEL II TRAUMA CENTER. PROVIDENCE HOLY FAMILY HOSPITAL OPERATES AS A LEVEL III TRAUMA CENTER AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER OPERATES AS THE LARGEST FREESTANDING MEDICAL REHABILITATION IN THE INLAND NORTHWEST. THE THREE HOSPITALS WILL CONTINUE TO PROVIDE CRITICAL HEALTH SERVICES INCLUDING MENTAL HEALTH, PRIMARY AND SPECIALTY CARE SERVICES. 1. ACCESS TO INTERPRETATION/LANGUAGE SERVICES FOR PATIENTS WITH DISPROPORTIONATELY LONG LENGTH OF STAY AT ST. LUKE'S (EQUITABLE LENGTH OF STAY (LOS) FOR NON-ENGLISH-SPEAKING PATIENTS). 2. INCREASE ACCESS TO PRESCRIPTION ASSISTANCE PROGRAMS. 3. ADDRESS SOCIAL DETERMINANTS OF HEALTH NAVIGATION AND SUPPORT FOR PATIENTS. PROVIDENCE SPOKANE DEVELOPED A THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO RESPOND TO THESE PRIORITIZED NEEDS IN COLLABORATION WITH COMMUNITY PARTNERS CONSIDERING RESOURCES AND COMMUNITY STRENGTHS AND CAPACITY. THE 2025-2027 CHIP APPROVED BY THE INWA COMMUNITY MISSION BOARD ON APRIL 17, 2025, AND MADE PUBLICLY AVAILABLE ON MAY 15, 2025. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COLLABORATION WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN THE 2024 CHNA, WITH FULL ACKNOWLEDGEMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. THE FOLLOWING NEEDS WILL NOT BE DIRECTLY ADDRESSED BY OUR HOSPITALS BECAUSE OF RESOURCE CONSTRAINTS AND OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THEM: ECONOMIC SECURITY; EXPAND EARLY LEARNING/CHILDCARE CAPACITY TO BOOST THE ECONOMY; AND EXPAND THE TREE CANOPY TO ENHANCE THE ENVIRONMENT. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: PROVIDENCE ALASKA MEDICAL CENTER, - FACILITY 12: ALASKA SPECIALTY HOSPITAL PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5: PROVIDENCE ALASKA MEDICAL CENTER AND PROVIDENCE ST ELIAS SPECIALTY HOSPITAL CONDUCTED THE 2024 CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS TO IDENTIFY THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS WERE ENGAGED IN KEY INFORMANT INTERVIEWS REGARDING COMMUNITY NEED IN JUNE AND JULY OF 2024. THESE REPRESENTATIVES ALSO COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP THAT PROVIDED GUIDANCE AND INPUT ON THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROAD INTERESTS OF THE COMMUNITY OF ANCHORAGE. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6A: PROVIDENCE ALASKA MEDICAL CENTER AND PROVIDENCE ST. ELIAS SPECIALTY HOSPITAL. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11: THE LATEST CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER AND PROVIDENCE ST. ELIAS SPECIALTY HOSPITAL WAS COMPLETED IN 2024. IT IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS. - BASIC NEEDS / ECONOMIC SECURITY - MENTAL HEALTH - SUBSTANCE USE-MISUSE - PHYSICAL HEALTH/HEALTHY BEHAVIORS (INCLUDES PREVENTION, UTILIZATION AND ACCESS TO CARE) IN RESPONSE TO THE CHNA, PROVIDENCE ALASKA MEDICAL CENTER AND PROVIDENCE ST. ELIAS SPECIALTY HOSPITAL DEVELOPED A MULTI-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT WAS FINALIZED IN APRIL 2025. THE CHIP OUTLINES STRATEGIES FOR HOW THE HOSPITALS WILL ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA OVER THE COURSE OF 2025-2027. THE CHIP STRATEGIES ENUMERATED BELOW ADDRESS NEEDS IN EACH OF THE FOUR NEEDS AREAS IDENTIFIED IN THE CHNA: - PROVIDE 4-6 MONTH EMPLOYMENT AND ON-THE-JOB TRAINING OPPORTUNITIES AT PROVIDENCE ALASKA MEDICAL CENTER THROUGH COLLABORATION BETWEEN REFUGEE AND IMMIGRANT SERVICES TRAINEE (RAIS) PROGRAM AND CATHOLIC SOCIAL SERVICES - PROVIDE 9-MONTH INTERNSHIP OPPORTUNITIES AT PROVIDENCE ALASKA MEDICAL CENTER FOR ANCHORAGE SCHOOL DISTRICT HIGH SCHOOL GRADUATES WITH DEVELOPMENTAL DISABILITIES, THROUGH THE PROJECT SEARCH PROGRAM - MAINTAIN 10-BED HOMELESS RESPITE PARTNERSHIP BETWEEN PROVIDENCE ALASKA MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA NATIVE MEDICAL CENTER, AND CATHOLIC SOCIAL SERVICES - PROVIDE YEAR-ROUND DAILY MEAL SERVICE FOR BROTHER FRANCIS EMERGENCY HOMELESS SHELTER GUESTS - ESTABLISH PARTNERSHIPS WITH COMMUNITY PRIMARY CARE AND OBGYN CARE SITES TO ESTABLISH REFERRAL PATHWAYS - INCREASE NEUROPSYCHOLOGICAL EVALUATION CAPACITY BY ADDING CAREGIVERS IN ANCHORAGE BEHAVIORAL HEALTH CLINIC - REDUCE WAIT TIMES AND PATIENT DISENGAGEMENT BY INCREASING SAME-DAY, WALK-IN MEDICATION TREATMENT AVAILABILITY - INCREASE THE NUMBER OF ASSESSMENT APPOINTMENTS AVAILABLE WEEKLY TO REDUCE WAIT TIMES FOR PATIENTS WITH SUD REQUIRING ASSESSMENT FOR TREATMENT- SUPPORT VICTIMS OF CHILD NEGLECT AND ABUSE AND THEIR FAMILIES WITH WRAP-AROUND SUPPORT SERVICES THROUGH THE PROVIDENCE ALASKA CARES CHILD ADVOCACY CENTER - EXPLORE OPPORTUNITIES TO MAINTAIN AND INCREASE PALLIATIVE CARE CAPACITY ACROSS THE CARE CONTINUUM AND THROUGH WORKFORCE DEVELOPMENT - MAINTAIN COMMUNITY INJURY PREVENTION PROGRAM TO PROVIDE EDUCATION AND INJURY PREVENTION EQUIPMENT TO LOW-INCOME AND VULNERABLE POPULATIONS (E.G. BIKE HELMETS, REFLECTIVE GEAR, CAR SEATS, ICE CLEATS, ETC.) - HELP ADDRESS CLINICAL CARE WORKFORCE SHORTAGE AND GROW THE PIPELINE OF PRIMARY CARE PHYSICIANS BY RETAINING AND PREPARING FAMILY MEDICINE PHYSICIANS TO PRACTICE THROUGH A 3-YEAR ALASKA FAMILY MEDICINE RESIDENCY (AFMR) PROGRAM - HELP ADDRESS CLINICAL CARE WORKFORCE SHORTAGE AND GROW PIPELINE OF PALLIATIVE AND ADDICTION CARE PHYSICIANS BY PROVIDING FELLOWSHIPS AT ALASKA FAMILY MEDICINE CENTER THESE STRATEGIES WERE PUT IN PLACE IN APRIL 2025 AND WORK IS UNDERWAY TO MOVE THEM FORWARD. AN UPDATE ON THEIR PROGRESS WILL BE REPORTED IN THE 2027 CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA WILL NOT BE DIRECTLY ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW: - N/A. THE CHIP INCLUDES STRATEGIES THAT ADDRESS ELEMENTS OF ALL FOUR IDENTIFIED NEEDS AREAS. ALL HEALTH NEEDS IDENTIFIED AS PART OF 2024 CHNA TOUCH ON CORE SOCIAL DETERMINANTS OF HEALTH AND SHARE COMMONALITIES. GIVEN LIMITED CAPACITY, RESOURCES, AND EXPERTISE, PROVIDENCE WILL FOCUS ITS EFFORTS ON THE SIGNIFICANT NEED AREAS OUTLINED IN THIS CHIP TO MAXIMIZE OUR IMPACT. FOR AREAS OUTSIDE OUR IMMEDIATE FOCUS, WE WILL CONTINUE TO SUPPORT COMMUNITY PROGRAMS AND INITIATIVES THAT WORK TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND EXPAND OUR CAPACITY TO REACH THOSE IN NEED THROUGH COLLABORATION, REFERRALS, IN-KIND DONATIONS, AND GRANT MAKING. FOR MORE INFORMATION PLEASE GO TO THE PROVIDENCE ALASKA MEDICAL CENTER 2025-2027 COMMUNITY HEALTH IMPROVEMENT PLAN POSTED HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP E FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 9: PROVIDENCE MT. CARMEL HOSPITAL, - FACILITY 10: PROVIDENCE ST. JOSEPH'S HOSPITAL PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 5: PROVIDENCE MOUNT CARMEL HOSPITAL AND ST. JOSEPH HOSPITAL UTILIZED SURVEYS OF THE COMMUNITY THROUGHOUT THE MONTH OF APRIL 2022. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 35 OF THE NEEDS ASSESSMENT DOCUMENT.OVER 100 EMAIL AND PERSONAL INVITATIONS WERE SENT TO TARGETED ORGANIZATIONS AND INDIVIDUALS, INCLUDING LOCAL CITY GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICTS, THE CHEWELAH TRIBE, AND VARIOUS SOCIAL SERVICE AGENCIES. ANNOUNCEMENTS WERE PLACED IN LOCAL NEWSPAPERS AND POSTED IN COMMUNITY CENTERS. THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 6A: PROVIDENCE MOUNT CARMEL HOSPITAL & PROVIDENCE ST. JOSEPH HOSPITAL. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11: THE 2022 PROVIDENCE MOUNT CARMEL HOSPITAL & PROVIDENCE ST. JOSEPH HOSPITAL, CHEWELAH, COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITIZED SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH: THE LONG-TERM GOAL IS TO ENSURE EQUITABLE ACCESS TO HIGH-QUALITY, CULTURALLY RESPONSIVE, AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH SERVICES, ESPECIALLY FOR POPULATIONS WITH LOW INCOMES. AN IMPROVED WORKFORCE OF MENTAL HEALTH PROFESSIONALS THAT IS REPRESENTATIVE OF THE COMMUNITY SERVED AND CAN EFFECTIVELY AND COMPASSIONATELY RESPOND TO THE COMMUNITY'S MENTAL HEALTH AND SUBSTANCE USE NEEDS. MENTAL HEALTH AND BEHAVIORAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY. PROVIDENCE IS COMMITTED TO INVESTING IN SERVING THE MENTAL HEALTH NEEDS OF OUR COMMUNITIES. THIS INCLUDES SERVICES WITHIN PROVIDENCE, AS WELL AS SUPPORT AND PARTNERSHIP WITH COMMUNITY ORGANIZATIONS THAT ALSO WORK TO MEET THIS NEED. IN 2024, PROVIDENCE PARTNERED WITH NEW ALLIANCE COUNSELLING TO PROVIDE PHYSICALS FOR ALL PATIENTS ADMITTED WITH A POSITIVE MENTAL HEALTH DISORDER AT MOUNT CARMEL HOSPITAL. ALL PATIENTS WITH THIS DIAGNOSIS RECEIVE A MENTAL HEALTH EVALUATION AND TREATMENT. IN 2024 PROVIDENCE OUTREACHED TO CHARLIE HEALTH ABOUT VIRTUAL INTENSIVE OUTPATIENT PROGRAM. THE PROVIDENCE CLINIC MANAGER FOR STEVENS COUNTY ADDED RESOURCES FOR CHARLIE HEALTH IN THEIR MONTHLY RESOURCE GUIDE THAT GETS DISTRIBUTED TO PROVIDERS. ACCESS: ACCESS TO CARE GOES BEYOND MEDICAL CARE, AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, HEALTH FOOD, AND CARE COORDINATION. IN RURAL AREAS, ACCESS TO SPECIALTY CARE IS OF PARTICULAR CONCERN TO COMMUNITY MEMBERS. FOR THIS NEED AREA, THE HOSPITAL IS WORKING ON ACCESS TO GENERAL AND SPECIALTY CARE IS IMPROVED FOR RESIDENTS OF STEVENS COUNTY. ECONOMIC SECURITY IS IMPROVED, ALLOWING MORE PEOPLE TO ACCESS COMPONENTS OF A HEALTHY LIFE, INCLUDING SECURE, HEALTHY FOOD ACCESS AND JOB OPPORTUNITIES. THE HOSPITAL PARTNERED WITH EASTERN WASHINGTON UNIVERSITY TO PROVIDE STUDENT STIPENDS TO INCREASE THE NUMBER OF ALLIED HEALTH STUDENTS COMPLETING CLINICAL ROTATIONS. THE HOSPITAL ALSO PROVIDED FUNDING TO THE STEVENS COUNTY LIBRARY TO EXTEND BROADBAND TO RESIDENTS TO ACCESS TELEHEALTH. THE SUPPORT THAT THE HOSPITAL PROVIDED TO THE STEVENS COUNTY AMBULANCE ENSURES THE IMPORTANT LINK TO HEALTH CARE IN RURAL AREAS. THIS HAS HELPED MAINTAIN ACCESS TO ALS MEDICATIONS AND SUPPLY, ENHANCE PARAMEDIC PROGRAM AND PURCHASE OF ALS EQUIPMENT. THE PARTNERSHIP WITH THE PROVIDENCE NORTHEAST WASHINGTON HUNGER COALITION HAS HELPED INCREASE THE AVAILABILITY OF FRESH FOOD DISTRIBUTED TO LOCAL FOOD PANTRY PARTNERS. PROVIDENCE IS COMMITTED TO INVESTING IN MAINTAINING AND EXPANDING ACCESS IN STEVENS COUNTY. THIS INCLUDES SERVICES WITHIN PROVIDENCE, AS WELL AS SUPPORT AND PARTNERSHIP WITH COMMUNITY ORGANIZATIONS THAT ALSO WORK TO MEET THIS NEED. TO ENSURE ACCESS TO ALL PATIENTS, PROVIDENCE PROVIDES FINANCIAL ASSISTANCE AND CHARITY CARE. PROVIDENCE FINANCIAL COUNSELING STAFF ASSIST PATIENTS TO OBTAIN COVERAGE, INCLUDING MEDICAID AND ACA COVERAGE THROUGH WASHINGTON HEALTHPLANFINDER. PROVIDENCE WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS THAT ARE DEVELOPING THE FOUNDATION FOR ECONOMIC SECURITY AND OPPORTUNITY IN STEVENS COUNTY.IN 2024, FIVE STUDENTS COMPLETED THEIR CLINICAL ROTATION IN STEVENS COUNTY THROUGH THE RURAL STIPENDS PROGRAM THAT IS SPONSORED BY PROVIDENCE. THIS PROGRAM IS A PARTNERSHIP WITH EASTERN WASHINGTON UNIVERSITY TO STRENGTHEN THE WORKFORCE PIPELINE BY ENCOURAGING OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY STUDENTS PLACEMENTS IN NORTHEAST WASHINGTON RURAL COMMUNITIES (STEVENS COUNTY PROVIDENCE MINISTRIES) AS PART OF THEIR DEGREE COMPLETION AND AS A RECRUITMENT TOOL FOR MUCH NEEDED HEALTHCARE PROVIDERS IN RURAL SETTINGS. THE LIBRARIES OF STEVENS COUNTY LAUNCHED A LIBRARY PRESCRIPTION AND DEVICES PROGRAM TO INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH FOR RESIDENTS WITHOUT INTERNET ACCESS. THIS WAS MADE POSSIBLE IN PART THROUGH A $60,000 GRANT FROM PROVIDENCE. THE TELEMEDICINE KITS PROVIDED THROUGH THE PROGRAM CONTAINED A HOTSPOT AND A LAPTOP THAT RESIDENTS WERE ABLE TO CHECK OUT THROUGH THE LIBRARY. THIS PROJECT EXPANDED OPPORTUNITIES FOR PROVIDERS AND SCHOOL COUNSELORS TO IDENTIFY AND GET "TECHNOLOGY PRESCRIPTIONS," INTO THE HANDS OF MORE YOUTH AND ADULTS. IN 2024 THE PROGRAM SERVED 1,000 PATRONS. IN 2024, PROVIDENCE MOUNT CARMEL IN COLVILLE AND PROVIDENCE ST. JOSEPH'S IN CHEWELAH, BOTH LOCATED IN RURAL STEVENS COUNTY IN WASHINGTON, CONTINUED THEIR PARTNERSHIP WITH PROVIDENCE NORTHEAST WASHINGTON HUNGER COALITION (NEWHC). THIS PARTNERSHIP SUPPORTS NEWHC'S WORK TO REDUCE FOOD INSECURITY AND INCREASE ACCESS TO HEALTHY FRESH PRODUCE FOR VULNERABLE POPULATIONS IN RURAL NORTHEAST COUNTY REGION. IN 2024 NEWHC'S FARM TO FOOD PANTRY PROGRAM DELIVERED OVER 60,000 POUNDS OF LOCALLY GROWN PRODUCE TO FOOD PANTRIES. NEWHC ALSO USED STAFF AND VOLUNTEERS TO TEACH AND EQUIP FOOD PANTRY CLIENTS TO VEGETABLE GARDEN AT NO CHARGE IN A PROGRAM CALLED 'GROW YOUR OWN ROW. THE PROGRAM EQUIPPED 392 PEOPLE IN 2024. THIS PROGRAM INVESTS IN INDEPENDENCE, IMPROVES LIFESTYLE AND CONTRIBUTES TO OVERALL HUMAN HEALTH. THE ORGANIZATION SERVED 8,880 UNDUPLICATED INDIVIDUALS IN 2024. PROVIDENCE PROVIDED GRANT FUNDING FOR STEVENS COUNTY SHERIFF'S AMBULANCE TO CONTINUE TO PROVIDE A HIGHER STANDARD OF PRE-HOSPITAL CARE TO THE SICK IN RURAL WASHINGTON. THE FUNDING ALSO ENABLED THE ORGANIZATION TO PROVIDED TRAINING FOR THOSE WORKING WITH ADVANCED LIFE SUPPORT (ALS) AND CRITICAL THINKING OF ALL FIRST RESPONDERS, EMERGENCY MEDICAL TECHNICIANS (EMTS) AND ADVANCED EMTS AND PARAMEDICS. THE RESPONSE TIMES FOR 911 CALLS HAVE DECREASED WHILE THE INTERFACILITY TRANSPORTS REQUIRING ALS CARE FROM PROVIDENCE MOUNT CARMEL, PROVIDENCE ST. JOSEPHS AND REPUBLIC HOSPITALS HAS INCREASED ALLOWING THOSE PATIENTS TO RECEIVE THE HIGER LEVEL OF CARE THAT THEY NEED. 1,493 INDIVIDUALS WERE SERVED IN 2024. SUBSTANCE USE/MISUSE: SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL AND/OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS AND TOBACCO. ADEQUATE ACCESS TO TREATMENT, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY, INCLUDES ACCESS TO OUTPATIENT, INPATIENT AND EXPANDED TREATMENT MODELS, SUCH AS MEDICATION-ASSISTED TREATMENT AND PEER-SUPPORT PROGRAMS. THE HOSPITAL'S LONG-TERM GOAL IS TO REDUCE SUBSTANCE USE DISORDERS AND RELATED HEALTH CONDITIONS THROUGH EVIDENCE-BASED PREVENTION, TREATMENT AND RECOVERY SUPPORT SERVICES. PROVIDENCE IS COMMITTED TO SERVING PATIENTS WHO SEEK TREATMENT SUBSTANCE MISUSE. THIS INCLUDES SERVICES WITHIN PROVIDENCE, AS WELL AS SUPPORT AND PARTNERSHIP WITH COMMUNITY ORGANIZATIONS THAT ALSO WORK TO MEET THIS NEED. THE MEDICATION ASSISTED TREATMENT PROGRAM HAD 159 UNIQUE TREATMENT EPISODES IN 2024. THE NALOXONE LEAVE-BEHIND PROGRAM LAUNCHED IN STEVENS COUNTY. EVERY RESPONDER AGENCY IN THE AREA CAN ORDER NALOZONE FOR PEOPLE NEEDING EMERGENCY MEDICAL TREATMENT. ECONOMIC SECURITY: PEOPLE WITH DISABILITIES, INJURIES, OR CONDITIONS LIKE ARTHRITIS MAY BE ESPECIALLY LIMITED IN THEIR ABILITY TO WORK. IN ADDITION, MANY PEOPLE WITH STEADY WORK STILL DO NOT EARN ENOUGH TO AFFORD THE THINGS THEY NEED TO STAY HEALTHY. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B, LINE 11 (CONTINUATION): PHS - WASHINGTON (GROUP B - 4 & 5)NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMTHERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE CHNA.PRMCE HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN THE ORGANIZATIONS AREA OF FOCUS AND EXPERTISE. ALTHOUGH FOOD INSECURITY AND ECONOMIC INSTABILITY WERE IDENTIFIED IN THE CHNA AS A SIGNIFICANT NEED FOR SNOHOMISH COUNTY, THESE NEEDS WILL NOT BE ADDRESSED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO RESOURCE RESTRAINTS AND RELATIVE LOW PRIORITY ASSIGNED TO THESE NEEDS. HOWEVER, PRMCE MAY COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS THESE UNMET COMMUNITY NEEDS. PART V, SECTION B, LINE 11 (CONTINUATION): PHS - WASHINGTON (GROUP E - 9 & 10)HOUSING INSTABILITY: HOUSING INSTABILITY ENCOMPASSES SEVERAL CHALLENGES SUCH AS HAVING TROUBLE PAYING RENT, OVERCROWDING, MOVING FREQUENTLY, STAYING WITH RELATIVES, OR SPENDING THE BULK OF HOUSEHOLD INCOME ON HOUSING. HOUSEHOLDS ARE CONSIDERED "COST BURDENED" IF SPENDING MORE THAN 30% OF HOUSEHOLD INCOME ON HOUSING, AND "SEVERELY COST BURDENED" IF SPENDING MORE THAN 50% OF HOUSEHOLD INCOME ON HOUSING. COST-BURDENED HOUSEHOLDS HAVE LITTLE LEFT OVER EACH MONTH TO SPEND ON OTHER NECESSITIES SUCH AS FOOD, CLOTHING, UTILITIES, AND HEALTH CARE. FOR THIS NEED AREA, THE HOSPITAL'S LONG-TERM GOAL IS A SUFFICIENT SUPPLY OF SAFE, AFFORDABLE HOUSING UNITS TO ENSURE THAT ALL PEOPLE IN THE COMMUNITY HAVE ACCESS TO A HEALTHY PLACE TO LIVE THAT MEETS THEIR NEEDS. PROVIDENCE RECOGNIZES THE VITAL INTERSECTION BETWEEN HEALTH CARE AND HOUSING AND BELIEVE BOTH ARE BASIC HUMAN RIGHTS. PROVIDENCE IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WORKING IN SUPPORT OF SAFE AND AFFORDABLE HOUSING. PROVIDENCE WAS THE CONVENER DURING COMMUNITY PLANNING PROCESS TO SUPPORT CATHOLIC CHARITY'S CONSTRUCTION OF THE COLVILLE FAMILY HAVEN, A 71-UNITY PERMANENT SUPPORTIVE HOUSING COMMUNITY. LEADERSHIP AT PROVIDENCE ALSO TESTIFIED BEFORE THE PLANNING COMMISSION TO SUPPORT THE PROJECT. COLVILLE FAMILY HAVEN OPENED IN THE SPRING OF 2025 TO HOUSE THOSE EXPERIENCING HOUSING INSECURITY AND THOSE WITH LOW INCOMES. ANOTHER PROGRAM THAT SUPPORTED THOSE EXPERIENCING HOMELESSNESS WAS MAKING WARMING SHELTER SERVICES AVAILABLE DURING WINTER MONTHS IN COLVILLE. THE SHELTER IS OPEN STARTING IN OCTOBER AND AVAILABLE WHEN ITS BELOW FREEZING. RECENTLY THERE HAS ALSO BEEN THE LAUNCH OF THE EXTREME WEATHER PROGRAM WHERE THEY PROVIDE SHELTER SERVICES IN THE SUMMER WHEN TEMPERATURES REACH 95 DEGREES AND ABOVE FOR THREE CONSECUTIVE DAYS AND WHEN THE AIR QUALITY INDEX IS 151 AND OVER FOR MORE THAN TWO CONSECUTIVE DAYS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO ADVANCE EFFORTS TO ADDRESS THE PRIORITIZED NEEDS. 470 1 - ABHM - ANCHORAGE (3260 PROVIDENCE DR) 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 99508 SPECIALTY CLINIC 2 - ABHM - ANCHORAGE (3760 PIPER ST) 3760 PIPER ST STE 1108 ANCHORAGE AK 99508 SPECIALTY CLINIC 3 - ABHM - PALMER 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 4 - ACRC - LAKE OTIS 3331 LAKE OTIS PARKWAY ANCHORAGE AK 99508 SPECIALTY CLINIC 5 - ACRC - LL139 3760 PIPER ST LL 139 ANCHORAGE AK 99508 SPECIALTY CLINIC 6 - ACRC - MULDOON 525 CHERRY ST ANCHORAGE AK 99504 SPECIALTY CLINIC 7 - ACRC - TUDOR 1666 CACHE DR ANCHORAGE AK 99507 SPECIALTY CLINIC 8 - ACRC - WENDLER 2905 LAKE OTIS PARKWAY ANCHORAGE AK 99508 SPECIALTY CLINIC 9 - AEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99577 SPECIALTY CLINIC 10 - AEC - HUFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 11 - AEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 12 - AEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 13 - AHHC - HORIZON HOUSE 3760 PIPER ST SUITE 1061 ANCHORAGE AK 98508 SENIOR CARE 14 - AKCC 1818 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 15 - AKI - PROVIDENCE CHINIAK BAY ELDER HOUSE 1915 E REZANOF DRIVE KODIAK ISLAND AK 99615 SENIOR CARE 16 - AMC - ALASKA CARES 4901 A STREET STE 1030 ANCHORAGE AK 99507 SPECIALTY CLINIC 17 - AMG 3220 PROVIDENCE DR STE E3-040 ANCHORAGE AK 99508 SPECIALTY CLINIC 18 - AMG - BRAIN INJURY SERVICES 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 19 - AMG - BRAIN INJURY SERVICES 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 99508 SPECIALTY CLINIC 20 - AMG - DEBARR 6307 DEBARR RD STE C ANCHORAGE AK 99504 SPECIALTY CLINIC 21 - AMG - EAGLE RIVER 12001 BUSINESS BLVD STE 3B EAGLE RIVER AK 99577 SPECIALTY CLINIC 22 - AMG - EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 23 - AMG - FAMILY MEDICINE CENTER 1201 E 36TH AVE ANCHORAGE AK 99508 PRIMARY CARE 24 - AMG - FETAL MEDICINE CLINIC 3831 PIPER ST STE SLL020 ANCHORAGE AK 99508 SPECIALTY CLINIC 25 - AMG - GASTROENTEROLOGY CLINIC 3340 PROVIDENCE DR STE A567 ANCHORAGE AK 99508 SPECIALTY CLINIC 26 - AMG - HEALTH PARK 3831 PIPER ST STE S220 ANCHORAGE AK 99508 PRIMARY CARE 27 - AMG - KODIAK ISLAND PALLIATIVE CARE 1915 E REZENOF DR STE A301 KODIAK AK 99615 SPECIALTY CLINIC 28 - AMG - MATERNAL FETAL MEDICINE 3260 PROVIDENCE DR STE C522 ANCHORAGE AK 99508 SPECIALTY CLINIC 29 - AMG - PALLIATIVE CARE CLINIC 3300 PROVIDENCE DR STE B104 ANCHORAGE AK 99508 SPECIALTY CLINIC 30 - AMG - PEDIATRIC SUB-SPECIALTY - PULMONOLOG 3200 PROVIDENCE DR STE D-338 ANCHORAGE AK 99508 SPECIALTY CLINIC 31 - AMG - PMG MOBILE THERAPIES 3300 PROVIDENCE DRIVE SUITE B302 ANCHORAGE AK 99508 SPECIALTY CLINIC 32 - AMG - PMGA PEDIATRIC GASTROENTEROLOGY 4001 DALE STREET SUITE B201 ANCHORAGE AK 99508 SPECIALTY CLINIC 33 - AMG - PMGA PEDIATRIC NEURODEVELOPMENT 3340 PROVIDENCE DR STE A565 ANCHORAGE AK 99508 SPECIALTY CLINIC 34 - AMG - PRIMARY CARE HUFFMAN 1389 HUFFMAN PARK DR STE 202 ANCHORAGE AK 99515 SPECIALTY CLINIC 35 - AMG - PRIMARY CARE MIDTOWN 1200 W NORTHERN LIGHTS BLVD STE A ANCHORAGE AK 99503 SPECIALTY CLINIC 36 - AMG - PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DR ANCHORAGE AK 99508 SPECIALTY CLINIC 37 - AMG - ST ELIAS 4800 CORDOVA ST ANCHORAGE AK 99503 PRIMARY CARE 38 - AMG AT PROVIDENCE SEWARD MEDICAL CENTER 417 1ST AVE SEWARD AK 99664 PRIMARY CARE 39 - AMG AT PROVIDENCE VALDEZ MEDICAL CENTER 911 MEALS AVE VALDEZ AK 99686 PRIMARY CARE 40 - AMG- PROVIDENCE KODIAK ISLAND MEDICAL CENT 1915 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 41 - APIC - ANCHORAGE 3340 PROVIDENCE DR STE 101 ANCHORAGE AK 99508 SPECIALTY CLINIC 42 - APIC - MOBILE MAMMO UNIT 3340 PROVIDENCE DR ANCHORAGE AK 99508 SPECIALTY CLINIC 43 - ART - ADOLESCENT - DOES NOT BILL MEDICARE 3210 W 62ND AVE ANCHORAGE AK 99502 SPECIALTY CLINIC 44 - DO NOT USE - DELETE 1000 N ARGONNE RD STE 201 SPOKANE VALLEY WA 99212 HOME HEALTH 45 - JILL KORKIS 2801 ST ANTHONY WAY PENDLETON OR 97801 SPECIALTY CLINIC 46 - OEC - NORTH PASCO 5506 ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 47 - OEC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 48 - OEC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 49 - OEC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 50 - OEC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE WA 99324 SPECIALTY CLINIC 51 - OEC - CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 52 - OEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99577 SPECIALTY CLINIC 53 - OEC - EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 54 - OEC - FISHERS LANDING 1905 SE 164TH AVE VANCOUVER WA 98683 SPECIALTY CLINIC 55 - OEC - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 56 - OEC - HUFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 57 - OEC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 58 - OEC - KRUSE WAY 4823 MEADOWS DR STE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 59 - OEC - LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 60 - OEC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 98258 SPECIALTY CLINIC 61 - OEC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 62 - OEC - LOMBARD 5308 N LOMBARD ST STE 102 PORTLAND OR 97203 SPECIALTY CLINIC 63 - OEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 64 - OEC - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 65 - OEC - MISSOULA SOUTHGATE 3624 BROOKS ST STE 101 MISSOULA MT 59801 SPECIALTY CLINIC 66 - OEC - NEWBERG 1840 PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 67 - OEC - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 68 - OEC - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 97124 SPECIALTY CLINIC 69 - OEC - PEARL 1025 NW 14TH AVE PORTLAND OR 97209 SPECIALTY CLINIC 70 - OEC - RICHLAND DOWNTOWN 1601 GEORGE WASHINGTON WAY RICHLAND WA 99354 SPECIALTY CLINIC 71 - OEC - RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 72 - OEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 73 - OEP - ELDERPLACE SEATTLE 1801 LIND AVE SW STE W2-17 RENTON WA 98057 SENIOR CARE 74 - OEP - FULL LIFE 7829 S 180TH ST KENT WA 98032 SENIOR CARE 75 - OEP - HERITAGE HOUSE 1533 WESTERN AVE SEATTLE WA 98101 SENIOR CARE 76 - OEP - NORTHAVEN 531 NE 112TH ST SEATTLE WA 98125 SENIOR CARE 77 - OEP - REDMOND 8632 160TH AVE NE REDMOND WA 98052 SENIOR CARE 78 - OEP - SEATTLE 4515 MARTIN LUTHER KING JR WAY S STE 100 SEATTLE WA 98108 SENIOR CARE 79 - OEP - WEST SEATTLE 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 80 - PMG NW WA EVERETT PEDIATRIC THERAPY 900 PACIFIC AVE STE 130 EVERETT WA 98201 SPECIALTY CLINIC 81 - PMG NW WA MILL CREEK ENT 16708 BOTHELL HWY STE 201 MILL CREEK WA 98012 SPECIALTY CLINIC 82 - PMG PSYCHOLOGY & PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 99204 SPECIALTY CLINIC 83 - PROVIDENCE KIDNEY CARE 105 W 8TH AVE STE 7030 SPOKANE WA 99204 SPECIALTY CLINIC 84 - PROVIDENCE KODIAK ISLAND MEDICAL CENTER C 1838 CHICHENOF ST KODIAK AK 99615 SPECIALTY CLINIC 85 - PROVIDENCE MEDICAL GROUP INDIAN TRAIL PEDS 8925 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 86 - PROVIDENCE PRIMARY CARE COWLEY PARK 62 W 7TH AVE STE 320 SPOKANE WA 99204 PRIMARY CARE 87 - PUGET PARK PRIMARY CARE STE 201 13020 MERIDIAN AVE S STE 201 EVERETT WA 98208 PRIMARY CARE 88 - PUGET PARK PRIMARY CARE STE 201 13020 MERIDIAN AVE S STE 201 EVERETT WA 98208 SPECIALTY CLINIC 89 - PUGET PARK PRIMARY CARE STE 202 13020 MERIDIAN AVE S STE 202 EVERETT WA 98208 PRIMARY CARE 90 - PUGET PARK PRIMARY CARE STE 202 13020 MERIDIAN AVE S STE 202 EVERETT WA 98208 SPECIALTY CLINIC 91 - PUGET PARK PRIMARY CARE STE 203 13020 MERIDIAN AVE S STE 203 EVERETT WA 98208 PRIMARY CARE 92 - PUGET PARK PRIMARY CARE STE 203 13020 MERIDIAN AVE S STE 203 EVERETT WA 98208 SPECIALTY CLINIC 93 - WAS - AT ASC SPOKANE 16528 E DESMET CT SPOKANE WA 99216 SPECIALTY CLINIC 94 - WAS - AT PCH 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 95 - WAS - AT PHFH 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 96 - WAS - AT PSHMC 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 97 - WAS - AT PSMMC 401 W POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 98 - WAS - AT WALLA WALLA CLINIC ASC 55 W TIETAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 99 - WCH - RADIANT CARE ABERDEEN 1200 BASICH BLVD ABERDEEN WA 98520 SPECIALTY CLINIC 100 - WDC - CHEWELAH 110 S 3RD STREET EAST CHEWELAH WA 99109 HOME HEALTH 101 - WEC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 102 - WEC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 103 - WEC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 104 - WEC - CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 105 - WEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99557 SPECIALTY CLINIC 106 - WEC - EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 107 - WEC - FISHERS LANDING 1905 SE 164TH AVE VANCOUVER WA 98683 SPECIALTY CLINIC 108 - WEC - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 109 - WEC - HOFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 110 - WEC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 111 - WEC - KRUSE WAY 4823 MEADOWS RD STE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 112 - WEC - LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 113 - WEC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 99258 SPECIALTY CLINIC 114 - WEC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 115 - WEC - LOMBARD 5308 N LOMBARD ST STE 102 PORTLAND OR 97203 SPECIALTY CLINIC 116 - WEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 117 - WEC - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 118 - WEC - MISSOULA SOUTHGATE 3624 BROOK ST STE 101 MISSOULA MT 59801 SPECIALTY CLINIC 119 - WEC - NEWBERG 1840 PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 120 - WEC - NORTH PASCO 5506 N ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 121 - WEC - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 122 - WEC - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 97124 SPECIALTY CLINIC 123 - WEC - PEARL 1025 NW 14TH AVE PORTLAND OR 97209 SPECIALTY CLINIC 124 - WEC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 125 - WEC - RICHLAND DOWNTOWN 1601 GEORGE WASHINGTON WAY RICHLAND WA 99354 SPECIALTY CLINIC 126 - WEC - RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 127 - WEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 128 - WEV - AUTISM CENTER 900 PACIFIC AVE FL 5 EVERETT WA 98201 SPECIALTY CLINIC 129 - WEV - SLEEP MEDICINE 900 PACIFIC AVE FL 2 EVERETT WA 98201 SPECIALTY CLINIC 130 - WEV - SUBSTANCE ABUSE 2722 COLBY AVE STE 200 EVERETT WA 98201 SPECIALTY CLINIC 131 - WEV -COMPREHENSIVE BREAST CENTER 900 PACIFIC AVE SUITE 120 EVERETT WA 98201 SPECIALTY CLINIC 132 - WMC - HOSPITAL REHAB CLINIC 298 S MAIN ST STE B12 COLVILLE WA 99114 REHAB & PHYSICAL THERAPY 133 - WMGNE - AUDIOLOGY CATALDO 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 134 - WMGNE - AUDIOLOGY VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 135 - WMGNE - BREAST HEALTH 212 E CENTRAL AVE STE 335 SPOKANE WA 99208 SPECIALTY CLINIC 136 - WMGNE - BREAST HEALTH 920 N WASHINGTON SUITE 200 SPOKANE WA 99201 SPECIALTY CLINIC 137 - WMGNE - CENTER FOR CONGENITAL HEART DISEAS 101 W 8TH AVE STE 4300 SPOKANE WA 99204 SPECIALTY CLINIC 138 - WMGNE - CENTER FOR CONGENITAL HEART DISEAS 1025 S 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 139 - WMGNE - CENTRAL STE 440 212 E CENTRAL AVE STE 440 SPOKANE WA 99208 PRIMARY CARE 140 - WMGNE - CHILD NEUROLOGY AND DEVELOPMENT ME 101 W 8TH AVE STE 4200 SPOKANE WA 99204 SPECIALTY CLINIC 141 - WMGNE - COCHLEAR IMPLANT 217 W CATALDO THIRD FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 142 - WMGNE - COCHLEAR IMPLANT 910 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 143 - WMGNE - COLVILLE RURAL HEALTH CLINIC 1200 E COLUMBIA AVE COLVILLE WA 99114 PRIMARY CARE 144 - WMGNE - COTTONWOOD 701 LEWISTON ST COTTONWOOD ID 83522 SPECIALTY CLINIC 145 - WMGNE - DENTAL RESIDENCY 105 W 8TH AVE STE 123C SPOKANE WA 99204 SPECIALTY CLINIC 146 - WMGNE - EAR NOSE AND THROAT 217 W CATALDO SPOKANE WA 99201 SPECIALTY CLINIC 147 - WMGNE - EAR NOSE AND THROAT NORTH 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 148 - WMGNE - EAR NOSE AND THROAT VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 149 - WMGNE - ENT CT 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 150 - WMGNE - EPILEPSY CENTER 105 W 8TH AVE STE 318-C SPOKANE WA 99204 SPECIALTY CLINIC 151 - WMGNE - EXPRESS CARE INDIAN TRAILS 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 152 - WMGNE - EXPRESS CARE AIRWAY HEIGHTS 10258 W SUNSET HWY SUITE 6 SPOKANE WA 99001 SPECIALTY CLINIC 153 - WMGNE - EXPRESS CARE LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 154 - WMGNE - FAMILY MEDICINE 9911 N NEVADA ST SUITE 200 SPOKANE WA 99218 PRIMARY CARE 155 - WMGNE - FAMILY MEDICINE AT PROVIDENCE MEDI 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 99216 PRIMARY CARE 156 - WMGNE - FAMILY MEDICINE CHEWELAH 100 W SOUTH AVE CHEWELAH WA 99109 PRIMARY CARE 157 - WMGNE - FAMILY MEDICINE NORTH PINES 1212 N PINES RD SPOKANE VALLEY WA 99206 PRIMARY CARE 158 - WMGNE - FAMILY PHYSICIANS PROVIDENCE MEDIC 16528 E DESMET CT STE B3100 SPOKANE VALLEY WA 99216 PRIMARY CARE 159 - WMGNE - FATHER MALNAR MATERNITY CLINIC 101 W 8TH AVE STE 1300 SPOKANE WA 99204 SPECIALTY CLINIC 160 - WMGNE - FERRY COUNTY CLINICORTHOPEDICS 36 KLONDIKE RD REPUBLIC WA 99166 SPECIALTY CLINIC 161 - WMGNE - GARDEN HOMES CLINIC 143 GARDEN HOMES DR COLVILLE WA 99114 PRIMARY CARE 162 - WMGNE - GASTROENTEROLOGY 212 E CENTRAL AVE STE 245 SPOKANE WA 99208 SPECIALTY CLINIC 163 - WMGNE - GASTROENTEROLOGY PMP 16528 E DESMET CT STE A2200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 164 - WMGNE - GENERAL & SPECIALTY SURGERY 217 W CATALDO THIRD FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 165 - WMGNE - GENERAL & SPECIALTY SURGERY NORTH 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 166 - WMGNE - GENERAL & SPECIALTY SURGERY VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 167 - WMGNE - GENETICS CLINIC 105 W 8TH AVE STE 454E SPOKANE WA 99204 SPECIALTY CLINIC 168 - WMGNE - GRAND PEDIATRICS 1402 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 169 - WMGNE - GYNECOLOGIC ONCOLOGY CLINIC 101 W 8TH AVE STE 1400 SPOKANE WA 99204 SPECIALTY CLINIC 170 - WMGNE - HEARING CENTERS 3022 E 57TH AVE SUITE 21 SPOKANE WA 99223 SPECIALTY CLINIC 171 - WMGNE - HIGH RISK PREGNANCY CLINIC 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 172 - WMGNE - HOLY FAMILY PARTIAL HOSPITALZATION 235 E ROWAN AVE STE 107 SPOKANE WA 99207 SPECIALTY CLINIC 173 - WMGNE - HOSPITALISTS 714 W PINES NEWPORT WA 99156 SPECIALTY CLINIC 174 - WMGNE - HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 PRIMARY CARE 175 - WMGNE - INFECTIOUS DISEASE CLINIC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 176 - WMGNE - INLAND NEUROSURGERY AND SPINE 235 E ROWAN AVE STE 114 SPOKANE WA 99207 SPECIALTY CLINIC 177 - WMGNE - INLAND NEUROSURGERY AND SPINE ASSO 1200 FAIRVIEW ST W COLFAX WA 99111 SPECIALTY CLINIC 178 - WMGNE - INLAND NEUROSURGERY AND SPINE ASSO 825 BISHOP BLVD SE 140 P PULLMAN WA 99163 SPECIALTY CLINIC 179 - WMGNE - INLAND VASCULAR INST 62 W 7TH AVE STE 420 SPOKANE WA 99204 SPECIALTY CLINIC 180 - WMGNE - INLAND VASCULAR INSTITUTE NORTH 212 E CENTRAL AVE SPOKANE WA 99208 SPECIALTY CLINIC 181 - WMGNE - INLAND VASCULAR INSTITUTE SOUTH 62 W 7TH AVE STE 420 SPOKANE WA 99204 SPECIALTY CLINIC 182 - WMGNE - INSA DOWNTOWN 105 W 8TH AVE STE 200 SPOKANE WA 99204 SPECIALTY CLINIC 183 - WMGNE - INTERNAL MEDICINE 820 S MCCLELLAN ST STE 200 SPOKANE WA 99204 PRIMARY CARE 184 - WMGNE - INTERNAL MEDICINE HOSPITALISTS 105 W 8TH AVE STE 450E SPOKANE WA 99204 PRIMARY CARE 185 - WMGNE - INTERNAL MEDICINE KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 186 - WMGNE - IVI MANITO 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 187 - WMGNE - KETTLE FALLS CLINIC 840 S MEYERS ST KETTLE FALLS WA 99141 PRIMARY CARE 188 - WMGNE - KIDNEY CARE AT PROVIDENCE MEDICAL 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 189 - WMGNE - KIDNEY DIS AND HTN 105 W 8TH AVE STE 1000 SPOKANE WA 99204 SPECIALTY CLINIC 190 - WMGNE - LAB SOUTH 29TH 2020 E 29TH LOWER LEVEL SPOKANE WA 99203 PRIMARY CARE 191 - WMGNE - LEWISTON 415 6TH ST LEWISTON ID 93501 SPECIALTY CLINIC 192 - WMGNE - MEDICAL GROUP WOMEN'S CLINIC 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 193 - WMGNE - MOSCOW MAIN ST 700 S MAIN ST MOSCOW ID 83843 SPECIALTY CLINIC 194 - WMGNE - MOSCOW RODEO DR 212 RODEO DR MOSCOW ID 83843 SPECIALTY CLINIC 195 - WMGNE - NEUROLOGY NEUROSCIENCE 101 W 8TH AVE STE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 196 - WMGNE - NEUROLOGY HOSPITALISTS 105 W 8TH AVE STE 318-C SPOKANE WA 99204 SPECIALTY CLINIC 197 - WMGNE - OB HOSPITALISTS 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 198 - WMGNE - OBSTETRICS AND GYNECOLOGY 105 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 199 - WMGNE - OCCUPATIONAL MEDICINE 16528 E DESMET CT STE B1600A SPOKANE VALLLEY WA 99216 SPECIALTY CLINIC 200 - WMGNE - OCCUPATIONAL MEDICINE AIRWAY HEIGH 11919 W SUNSET HWY STE D AIRWAY HEIGHTS WA 99001 SPECIALTY CLINIC 201 - WMGNE - OCCUPATIONAL MEDICINE NORTH 235 E ROWAN AVE STE 202 SPOKANE WA 99207 SPECIALTY CLINIC 202 - WMGNE - ORTHOPEDICS 212 E CENTRAL AVE STE 440 SPOKANE WA 99208 SPECIALTY CLINIC 203 - WMGNE - ORTHOPEDICS 820 S MCCLELLAN ST STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 204 - WMGNE - ORTHOPEDICS DME 16528 DESMET CT SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 205 - WMGNE - ORTHOPEDICS PMP 16528 E DESMET CT STE B2200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 206 - WMGNE - OUTPATIENT PSYCHOLOGY CLINIC 105 W 8TH AVE STE 418C SPOKANE WA 99204 SPECIALTY CLINIC 207 - WMGNE - PEDIATRIC ASSOCIATES 9911 N NEVADA ST SPOKANE WA 99218 SPECIALTY CLINIC 208 - WMGNE - PEDIATRIC DIGESTIVE HEALTH AND NEP 105 W 8TH AVE STE 7060 SPOKANE WA 99204 SPECIALTY CLINIC 209 - WMGNE - PEDIATRIC ENDOCRINOLOGY DIABETES 101 W 8TH AVE STE 100-L1 SPOKANE WA 99204 SPECIALTY CLINIC 210 - WMGNE - PEDIATRIC GASTROENTEROLOGY 105 W 8TH AVE STE 7060 SPOKANE WA 99204 SPECIALTY CLINIC 211 - WMGNE - PEDIATRIC HEMATOLOGY ONCOLOGY 101 W 8TH AVE PSHMC FLR 3 SPOKANE WA 99204 SPECIALTY CLINIC 212 - WMGNE - PEDIATRIC HOSPITALISTS 101 W 8TH AVE PSHMC 3 NORTH SPOKANE WA 99204 SPECIALTY CLINIC 213 - WMGNE - PEDIATRIC NEPHROLOGY 105 W 8TH AVE STE 150E SPOKANE WA 99204 SPECIALTY CLINIC 214 - WMGNE - PEDIATRIC PULMONOLOGY AND ALLERGY 105 W 8TH AVE STE 660E SPOKANE WA 99204 SPECIALTY CLINIC 215 - WMGNE - PEDIATRIC UROLOGY 101 W 8TH AVE STE 100 L-1 SPOKANE WA 99204 SPECIALTY CLINIC 216 - WMGNE - PEDIATRICS LIBERTY LAKE 23813 E APPLE WAY AVE LIBERTY LAKE WA 99019 SPECIALTY CLINIC 217 - WMGNE - PEDIATRICS MANITO 1919 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 218 - WMGNE - PEDIATRICS NORTHPOINTE 1111 E WESTVIEW CT SUITE B SPOKANE WA 99218 SPECIALTY CLINIC 219 - WMGNE - PHYSIATRY 16528 E DESMET CT STE B1600A SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 220 - WMGNE - PMG LAB 9631 N NEVADA ST STE 300 SPOKANE WA 99218 PRIMARY CARE 221 - WMGNE - PMG LAB - KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 222 - WMGNE - PMG LAB - MCB 820 S MCCLELLAN ST STE LL12 SPOKANE WA 99204 PRIMARY CARE 223 - WMGNE - PMG LAB HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 PRIMARY CARE 224 - WMGNE - PMG LAB HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 PRIMARY CARE 225 - WMGNE - PMG LAB NORTH PINES 1212 N PINES RD SPOKANE WA 99206 PRIMARY CARE 226 - WMGNE - PMG LAB NORTHPOINT 9911 N NEVADA ST STE 200 SPOKANE WA 99218 PRIMARY CARE 227 - WMGNE - PMG LAB PMP 16528 DESMET CT STE B1400 SPOKANE VALLEY WA 99216 PRIMARY CARE 228 - WMGNE - PMG LAB SOUTH DIVISION 421 S DIVISION ST SPOKANE WA 99202 PRIMARY CARE 229 - WMGNE - PMG LAB STHC 624 E FRONT AVE SPOKANE WA 99202 PRIMARY CARE 230 - WMGNE - PMG PALLIATIVE CARE SERVICES 101 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 231 - WMGNE - PMG PSYCHOLOGY AND PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 99204 SPECIALTY CLINIC 232 - WMGNE - POST FALLS 1300 E MULLAN AVE STE 900 POST FALLS ID 83854 URGENT CARE 233 - WMGNE - PRIMARY CARE COWLEY PARK 62 W 7TH AVE STE 300C SPOKANE WA 99204 PRIMARY CARE 234 - WMGNE - PRIMARY CARE SOUTH 2020 E 29TH AVE LOWR LEVEL SPOKANE WA 99203 PRIMARY CARE 235 - WMGNE - PROVIDENCE CARDIOLOGY 212 E CENTRAL AVE STE 240 SPOKANE WA 99208 SPECIALTY CLINIC 236 - WMGNE - PROVIDENCE CENTER FOR CLEFT LIP AN 412 E SPOKANE FALLS BLVD SPOKANE WA 99202 SPECIALTY CLINIC 237 - WMGNE - PROVIDENCE DIGESTIVE HEALTH 105 W 8TH AVE STE 7050 SPOKANE WA 99204 SPECIALTY CLINIC 238 - WMGNE - PROVIDENCE MEDICAL ONCOLOGY & HEMA 212 E CENTRAL AVE STE 315 SPOKANE WA 99208 SPECIALTY CLINIC 239 - WMGNE - PROVIDENCE MEDICAL PARK PEDIATRICS 16528 E DESMET CT STE B1000 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 240 - WMGNE - PROVIDENCE MULTIPLE SCLEROSIS CENT 5633 N LIDGERWOOD ST STE 1800 SPOKANE WA 99208 PRIMARY CARE 241 - WMGNE - PROVIDENCE PALLIATIVE CARE 105 W 8TH AVE STE 120C SPOKANE WA 99204 SPECIALTY CLINIC 242 - WMGNE - PROVIDENCE PULMONARY & SLEEP DISOR 105 W 8TH AVE STE 512C SPOKANE WA 99204 SPECIALTY CLINIC 243 - WMGNE - PROVIDENCE SPOKANE HEART INSTITUTE 808 PORT DR CLARKSTON WA 99403 SPECIALTY CLINIC 244 - WMGNE - PROVIDENCE VEIN CENTER 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 245 - WMGNE - PSYCHIATRIC CENTER 105 W 8TH AVE STE 450E SPOKANE WA 99204 SPECIALTY CLINIC 246 - WMGNE - PSYCHIATRY RESIDENCY SPOKANE 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 247 - WMGNE - PULMONARY AND SLEEP DISORDER CLINI 9631 N NEVADA ST STE 300 SPOKANE WA 99218 SPECIALTY CLINIC 248 - WMGNE - RECONSTRUCTIVE SURGERY 820 S MCCLELLAN ST STE 118 SPOKANE WA 99204 SPECIALTY CLINIC 249 - WMGNE - RESIDENCY FAMILY MEDICINE 624 E FRONT AVE SPOKANE WA 99202 PRIMARY CARE 250 - WMGNE - SANDPOINT 520 N THIRD AVE SANDPOINT ID 83864 SPECIALTY CLINIC 251 - WMGNE - SOUTH URGENT CARE 421 S DIVISION ST SPOKANE WA 99202 URGENT CARE 252 - WMGNE - SPECIALISTS KIDNEY CARE ENDOCRINOL 105 W 8TH AVE STE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 253 - WMGNE - SPOKANE HEART INSTITUTE 62 W 7TH STE 300C SPOKANE WA 99204 SPECIALTY CLINIC 254 - WMGNE - SPORTS MEDICINE FELLOWSHIP 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 255 - WMGNE - SPORTS MEDICINE SOUTH 820 S MCCLELLAN ST STE 101 SPOKANE WA 99204 SPECIALTY CLINIC 256 - WMGNE - SPORTS MEDICINE STHC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 257 - WMGNE - ST LUKES PHYSIATRY 715 S COWLEY ST STE 228 SPOKANE WA 99202 REHAB & PHYSICAL THERAPY 258 - WMGNE - STROKE CVB DISORDER CLINIC 105 W 8TH AVE STE 122C SPOKANE WA 99204 SPECIALTY CLINIC 259 - WMGNE - TELEHEALTH CLINIC 77 DEER CREEK RD SOMERS MT 59932 SPECIALTY CLINIC 260 - WMGNE - TELEHEALTH CLINIC 900 N ORANGE ST STE 202 MISSOULA MT 59802 SPECIALTY CLINIC 261 - WMGNE - THERAPY AND BALANCE 910 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 262 - WMGNE - URGENT CARE HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 URGENT CARE 263 - WMGNE - URGENT CARE PMP 16528 E DESMET CT STE A1200 SPOKANE VALLEY WA 99216 URGENT CARE 264 - WMGNE - UROGYNECOLOGY 920 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 265 - WMGNE - VALLEY YOUNG PEOPLE'S CLINIC 1414 N VERCLER RD STE 1 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 266 - WMGNE - VEIN CENTER PROVIDENCE MEDICAL PAR 16528 E DESMET CT SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 267 - WMGNE MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 99114 SPECIALTY CLINIC 268 - WMGNE PROVIDENCE HOLY FAMILY HOSPITAL 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 269 - WMGNE PROVIDENCE MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 99114 SPECIALTY CLINIC 270 - WMGNE PROVIDENCE SACRED HEART MEDICAL CT 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 271 - WMGNE PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVE SPOKANE WA 99202 SPECIALTY CLINIC 272 - WMGNE PROVIDENCE ST JOSEPHS HOSPITAL 500 E WEBSTER AVE CHEWELAH WA 99109 SPECIALTY CLINIC 273 - WMGNE ST PATRICK HOSPITAL 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 274 - WMGNE CTR FOR CONGENTIAL HEART 112 COLUMBIA POINT SR STE 103 RICHLAND WA 99352 SPECIALTY CLINIC 275 - WMGNE LAB CLIFF DR 110 W CLIFF DR STE 320 SPOKANE WA 99204 PRIMARY CARE 276 - WMGNE ORTHO DME CENTRAL 212 E CENTRAL AVE STE 365 SPOKANE WA 99208 SPECIALTY CLINIC 277 - WMGNE PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 99204 SPECIALTY CLINIC 278 - WMGNE-OBGYN-SURGERY 101 W 8TH AVE STE 1600 SPOKANE WA 99204 SPECIALTY CLINIC 279 - WMGNW - ASSAULT AND ABUSE INTERVENTION CEN 1509 CALIFORNIA ST EVERETT WA 98201 SPECIALTY CLINIC 280 - WMGNW - BEHAVIORAL HEALTH URGENT CARE 1330 ROCKEFELLER AVE STE 140 EVERETT WA 98201 SPECIALTY CLINIC 281 - WMGNW - BETHANY AT PACIFIC 916 PACIFIC AVE EVERETT WA 98201 SPECIALTY CLINIC 282 - WMGNW - BETHANY AT SILVER CREST 2131 LAKE HEIGHTS DR EVERETT WA 98208 SPECIALTY CLINIC 283 - WMGNW - BETHANY AT SILVERLAKE 2235 LAKE HEIGHTS DR EVERETT WA 98208 SPECIALTY CLINIC 284 - WMGNW - CARDIOVASCULAR & THORACIC SURGERY 1330 ROCKEFELLER AVE STE 400 EVERETT WA 98201 SPECIALTY CLINIC 285 - WMGNW - CASCADE VALLEY HOSPITAL 330 S STILLAGUAMISH AVE ARLINGTON WA 98223 SPECIALTY CLINIC 286 - WMGNW - CRANIAL SPINE AND JOINT ON SMC CH 550 17TH AVE FL 5 SEATTLE WA 98122 SPECIALTY CLINIC 287 - WMGNW - EDMONDS UROLOGY 21822 76TH AVE W EDMONDS WA 98026 SPECIALTY CLINIC 288 - WMGNW - ENDOCRINOLOGY 1330 ROCKEFELLER AVE STE 520 EVERETT WA 98201 SPECIALTY CLINIC 289 - WMGNW - EVERETT INTERNAL MEDICINE 1330 ROCKEFELLER AVE STE 210 EVERETT WA 98201 PRIMARY CARE 290 - WMGNW - EVERETT NEUROSCIENCES CENTER 1717 13TH ST STE 401 EVERETT WA 98201 SPECIALTY CLINIC 291 - WMGNW - EVERETT REHAB AND CARE CENTER 1919 112TH ST SW EVERETT WA 98204 SPECIALTY CLINIC 292 - WMGNW - EVERETT YMCA PT 4730 COLBY AVE STE 220 EVERETT WA 98203 REHAB & PHYSICAL THERAPY 293 - WMGNW - GASTROENTEROLOGY 1330 ROCKEFELLER AVE STE 450 EVERETT WA 98201 SPECIALTY CLINIC 294 - WMGNW - GENERAL SURGERY CLINIC 1330 ROCKEFELLER AVE STE 310 EVERETT WA 98201 SPECIALTY CLINIC 295 - WMGNW - GYNECOLOGIC ONCOLOGY 1717 13TH ST STE 210 EVERETT WA 98201 SPECIALTY CLINIC 296 - WMGNW - HARBOUR POINT WALK IN 4112 HARBOUR POINT BLVD SW STE 100 MUKILTEO WA 98275 SPECIALTY CLINIC 297 - WMGNW - LYNNWOOD CLINIC 2902 164TH ST SW STE E1 LYNNWOOD WA 98087 PRIMARY CARE 298 - WMGNW - LYNNWOOD POST ACUTE REHABILITATION 5821 188TH ST SW LYNNWOOD WA 98037 REHAB & PHYSICAL THERAPY 299 - WMGNW - MARYSVILLE FAMILY MEDICINE 4404 80TH ST NE MARYSVILLE WA 98270 PRIMARY CARE 300 - WMGNW - MILL CREEK FAMILY MEDICINE 12800 BOTHELL EVERETT HWY 160 EVERETT WA 98208 SPECIALTY CLINIC 301 - WMGNW - MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT WA 98208 PRIMARY CARE 302 - WMGNW - MILL CREEK WALK-IN 12800 BOTHELL EVERETT HWY STE 120 EVERETT WA 98208 URGENT CARE 303 - WMGNW - MONROE CLINIC 19200 N KELSEY ST MONROE WA 98272 SPECIALTY CLINIC 304 - WMGNW - MOUNTAIN VIEW REHABILITATION AND C 5925 47TH AVE NE MARYSVILLE WA 98270 REHAB & PHYSICAL THERAPY 305 - WMGNW - PAVILION FOR WOMEN & CHILDREN 900 PACIFIC AVE STE 501 EVERETT WA 98201 SPECIALTY CLINIC 306 - WMGNW - PLASTIC AND RECONSTRUCTIVE SURGERY 12800 BOTHELL EVERETT HWY STE 260B EVERETT WA 98208 SPECIALTY CLINIC 307 - WMGNW - PMG MARYSVILLE CLINIC 11603 STATE AVE STE G MARYSVILLE WA 98271 PRIMARY CARE 308 - WMGNW - PMG NW WA PUGET PARK OCC MED 12800 BOTHELL-EVERETT HWY STE 205 EVERETT WA 98208 SPECIALTY CLINIC 309 - WMGNW - PMG UROLOGY 4310 COLBY AVE STE 203 EVERETT WA 98203 SPECIALTY CLINIC 310 - WMGNW - PPG MONROE WALK IN 14692 179TH AVE SE STE 500 MONROE WA 98272 URGENT CARE 311 - WMGNW - PROVIDENCE CARDIOLOGY 12800 BOTHELL EVERETT HWY STE 270 EVERETT WA 98208 SPECIALTY CLINIC 312 - WMGNW - PROVIDENCE CLEARVIEW FAMILY MEDICI 17432 STATE ROUTE 9 SUITE 201 SNOHOMISH WA 98296 SPECIALTY CLINIC 313 - WMGNW - PROVIDENCE MILL CREEK PEDIATRICS 12800 BOTHELL-EVERETT HWY STE 190 EVERETT WA 98208 SPECIALTY CLINIC 314 - WMGNW - PROVIDENCE MILL CREEK WALKIN 12800 BOTHELL EVERETT HWY STE 110 EVERETT WA 98208 URGENT CARE 315 - WMGNW - PROVIDENCE REGIONAL MEDICAL CENTER 1700 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 316 - WMGNW - REGENCY CARE CENTER AT MONROE 1355 W MAIN ST MONROE WA 98272 REHAB & PHYSICAL THERAPY 317 - WMGNW - REGIONAL MEDICAL CENTER 1321 COLBY AVE EVERETT WA 98201 SPECIALTY CLINIC 318 - WMGNW - REGIONAL MEDICAL CENTER EVERETT - 1717 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 319 - WMGNW - SKAGIT VALLEY REGIONAL MEDICAL CEN 1415 E KINCAID ST MOUNT VERNON WA 98274 PRIMARY CARE 320 - WMGNW - SNOHOMISH CLINIC 1830 BICKFORD AVE STE 211 SNOHOMISH WA 98290 SPECIALTY CLINIC 321 - WMGNW - SPORTS ORTHOPEDIC AND HAND 3726 BROADWAY STE 201 EVERETT WA 98201 SPECIALTY CLINIC 322 - WMGNW - STANWOOD CLINIC 7209 265TH ST NW STE 203 STANWOOD WA 98292 PRIMARY CARE 323 - WMGNW - SUNRISE VIEW CONVALESCENT CENTER 2520 MADISON ST EVERETT WA 98203 SPECIALTY CLINIC 324 - WMGNW - SWEDISH EDMONDS MEDICAL CENTER 21601 76TH AVE W EDMONDS WA 98026 SPECIALTY CLINIC 325 - WMGNW - SWEDISH MEDICAL CENTER CHERRY HILL 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 326 - WMGNW - SWEDISH MEDICAL CENTER FIRST HILL 747 BROADWAY SEATTLE WA 98122 SPECIALTY CLINIC 327 - WMGNW - TRANSITIONAL CARE PACIFIC CAMPUS 916 PACIFIC AVE FLR 6 EVERETT WA 98201 SPECIALTY CLINIC 328 - WMGNW - VIEW RIDGE CARE CENTER 5129 HILLTOP RD EVERETT WA 98203 SPECIALTY CLINIC 329 - WMGNW - WOUND HEALING AND HYPERBARIC MEDIC 1330 ROCKEFELLER AVE STE 540 EVERETT WA 98201 SPECIALTY CLINIC 330 - WMGNW - WSU RESIDENCY INTERNAL MEDICINE 1321 COLBY AVE B400 EVERETT WA 98201 SPECIALTY CLINIC 331 - WMGSE - BROOKDALE SENIOR LIVING 1460 DALLES MILITARY RD WALLA WALLA WA 99362 SPECIALTY CLINIC 332 - WMGSE - CARDIOLOGY 55 WEST TIETAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 333 - WMGSE - CARDIOLOGY & INTERVENTIONAL CARDIO 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 334 - WMGSE - CHASE MEDICAL 380 CHASE AVE WALLA WALLA WA 99362 PRIMARY CARE 335 - WMGSE - COUNTRY LANE ADULT CARE ADULT FOST 1840 GRAY LYNN DR WALLA WALLA WA 99362 SPECIALTY CLINIC 336 - WMGSE - DAVITA DIALYSIS 72556 COYOTE RD PENDLETON OR 97801 SPECIALTY CLINIC 337 - WMGSE - DAYTON GENERAL HOSPITAL 1012 SOUTH 3RD ST DAYTON WA 98328 SPECIALTY CLINIC 338 - WMGSE - EAGLE MEADOWS 550 EAST WHITMAN DR COLLEGE PLACE WA 99324 SPECIALTY CLINIC 339 - WMGSE - EAGLE SPRINGS MEMORY CARE 20 SOUTHEAST LARCH AVE COLLEGE PLACE WA 99324 SPECIALTY CLINIC 340 - WMGSE - ER PHYSICIANS 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 341 - WMGSE - GASTROENTEROLOGY 1017 S 2ND AVE STE 3 SPOKANE WA 99224 SPECIALTY CLINIC 342 - WMGSE - GOOD SHEPARD MEDICAL CENTER 610 NORTHWEST 11TH ST HERMISTON OR 97838 SPECIALTY CLINIC 343 - WMGSE - IMAGING 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 344 - WMGSE - NEUROLOGY AT KADLEC MEDICAL CENTER 888 SWIFT BLVD RICHLAND WA 99352 SPECIALTY CLINIC 345 - WMGSE - NEUROSCIENCE INSTITUTE 301 WEST POPLAR ST STE 220 WALLA WALLA WA 99362 SPECIALTY CLINIC 346 - WMGSE - OCC MED 1017 S 2ND AVE STE 2 WALLA WALLA WA 99362 SPECIALTY CLINIC 347 - WMGSE - PARK MANOR REHABILITATION CENTER 1710 PLAZA WAY WALLA WALLA WA 99362 SPECIALTY CLINIC 348 - WMGSE - PENDLETON 1601 SOUTHEAST COURT AVE PENDLETON OR 97801 SPECIALTY CLINIC 349 - WMGSE - POPLAR MEDICAL 301 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 350 - WMGSE - PROVIDENCE ENT 1017 S 2ND AVE STE 4 WALLA WALLA WA 99362 SPECIALTY CLINIC 351 - WMGSE - PROVIDENCE FAMILY AND SPORTS MEDIC 1017 S 2ND AVE STE 1 WALLA WALLA WA 99362 SPECIALTY CLINIC 352 - WMGSE - PROVIDENCE FAMILY MED WALLA WALLA 1111 S 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 353 - WMGSE - PROVIDENCE NEPHROLOGY 301 W POPLAR ST STE 100 WALLA WALLA WA 99362 SPECIALTY CLINIC 354 - WMGSE - PROVIDENCE PHYSICAL MEDICINE AND R 301 W POPLAR ST STE 210 WALLA WALLA WA 99362 SPECIALTY CLINIC 355 - WMGSE - QUALICENTER OF WALLA WALLA 135 AVERY ST WALLA WALLA WA 99362 SPECIALTY CLINIC 356 - WMGSE - RADIATION 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 357 - WMGSE - REGENCY AT THE PARK 420 SOUTHEAST MYRA RD COLLEGE PLACE WA 99324 SPECIALTY CLINIC 358 - WMGSE - SACRED HEART MC 101 WEST 8TH AVE STE 4200 SPOKANE WA 99204 SPECIALTY CLINIC 359 - WMGSE - ST MARY MEDICAL CENTER 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 360 - WMGSE - SWEDISH MEDICAL CENTER 747 BROADWAY SEATTLE WA 98122 SPECIALTY CLINIC 361 - WMGSE - VALLEY RESIDENTIAL SERVICES 240 BUSH ST WALLA WALLA WA 99362 SPECIALTY CLINIC 362 - WMGSE - WA ODD FELLOWS HOME 534 BOYER AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 363 - WMGSE - WA STATE PENITENTIARY 1313 NORTH 13TH AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 364 - WMGSE FRESENIUS DIALYSIS 1213 S MAIN ST MILTONFREEWATERR OR 97862 SPECIALTY CLINIC 365 - WMGSE WALLA WALLA VETERANS ADMINISTRATIO 77 WAINWRIGHT DR WALLA WALLA WA 99362 SPECIALTY CLINIC 366 - WMGSE WHEATLAND VILLAGE ASSISTED LIVING 1500 CATHERINE ST WALLA WALLA WA 99362 SPECIALTY CLINIC 367 - WMGSE WHITMAN PLACE ASST LIVING 1018 WHITMAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 368 - WMGSE URGENT CARE 1025 SOUTH 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 369 - WMGSE URGENT CARE 1025 SOUTH 2ND AVE WALLA WALLA WA 99362 URGENT CARE 370 - WMGSE-WOUNDCARE STE 110 301 W POPLAR ST STE 110 WALLA WALLA WA 99362 SPECIALTY CLINIC 371 - WMGSW - CARDIAC SURGERY 525 LILLY RD NE STE 200 OLYMPIA WA 98506 PRIMARY CARE 372 - WMGSW - CARDIOLOGY ASSOCIATES - ABERDEEN 1921 SUMNER AVE ABERDEEN WA 98520 SPECIALTY CLINIC 373 - WMGSW - CARDIOLOGY ASSOCIATES - CENTRALIA 1800 COOKS HILL RD STE K CENTRALIA WA 98531 SPECIALTY CLINIC 374 - WMGSW - CARDIOLOGY ASSOCIATES OLYMPIA 500 LILLY RD NE STE 100 OLYMPIA WA 98506 SPECIALTY CLINIC 375 - WMGSW - CARDIOLOGY ASSOCIATES SHELTON 939 MT VIEW DR STE 120 SHELTON WA 98584 SPECIALTY CLINIC 376 - WMGSW - CARDIOLOGY ASSOCIATES YELM 201 TAHOMA BLVD STE 204 YELM WA 98597 SPECIALTY CLINIC 377 - WMGSW - CENTRALIA GENERAL SURGERY 1720 COOKS HILL RD CENTRALIA WA 98531 SPECIALTY CLINIC 378 - WMGSW - CENTRALIA HOSPITAL 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 379 - WMGSW - CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3/4 CENTRALIA WA 98531 PRIMARY CARE 380 - WMGSW - CENTRALIA OCCUPATIONAL MEDICINE 1800 COOKS HILL RD STE K CENTRALIA WA 98531 SPECIALTY CLINIC 381 - WMGSW - CENTRALIA PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 382 - WMGSW - CENTRALIA WOMEN'S CENTER 1000 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 383 - WMGSW - CHEHALIS FAMILY MEDICINE AND RESID 931 S MARKET BLVD CHEHALIS WA 98532 PRIMARY CARE 384 - WMGSW - CLINIC AT PANORAMA 1450 NORTHWEST LN SE STE A LACEY WA 98503 SPECIALTY CLINIC 385 - WMGSW - HARBOR REGIONAL HEALTH COMMUNITY H 915 ANDERSON DR ABERDEEN WA 98520 SPECIALTY CLINIC 386 - WMGSW - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 98516 PRIMARY CARE 387 - WMGSW - HOSPITALISTS TEAM 413 LILLY RD NE OLYMPIA WA 98506 PRIMARY CARE 388 - WMGSW - MALLARD LANDING ASSISTED LIVING 813 SE CLARK AVE BATTLE GROUND WA 98604 SPECIALTY CLINIC 389 - WMGSW - MDPP BOLDT DIABETES 4800 COLLEGE ST SE LACEY WA 98503 SPECIALTY CLINIC 390 - WMGSW - MDPP CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3 CENTRALIA WA 98531 SPECIALTY CLINIC 391 - WMGSW - MDPP HAWKS PRARIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 98516 SPECIALTY CLINIC 392 - WMGSW - MDPP WEST OLYMPIA FAMILY MEDICINE 1620 COOPER POINT RD SW OLYMPIA WA 98502 SPECIALTY CLINIC 393 - WMGSW - MONTESANO HEALTH AND REHABILITATIO 800 N MEDCALF LN MONTESANO WA 98563 SPECIALTY CLINIC 394 - WMGSW - MULTI SPECIALTY CLINIC AND LACEY F 4800 COLLEGE ST SE LACEY WA 98503 PRIMARY CARE 395 - WMGSW - OLYMPIA INFECTIOUS DISEASE CLINIC 3525 ENSIGN RD NE STE F OLYMPIA WA 98506 SPECIALTY CLINIC 396 - WMGSW - OLYMPIA NEUROLOGY 525 LILLY RD NE STE 210 OLYMPIA WA 98506 SPECIALTY CLINIC 397 - WMGSW - OLYMPIA OBGYN 615 LILLY RD NE STE 200 OLYMPIA WA 98506 SPECIALTY CLINIC 398 - WMGSW - OLYMPIA PSYCHIATRY 525 LILLY RD NE STE 250 OLYMPIA WA 98506 SPECIALTY CLINIC 399 - WMGSW - OLYMPIA TRANSITIONAL CARE AND REHA 430 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 400 - WMGSW - ORCHARD POINTE 300 S KITSAP BLVD PORT ORCHARD WA 98366 SPECIALTY CLINIC 401 - WMGSW - PANORAMA CONVALESCENT AND REHABILI 1600 SLEATER KINNEY RD SE LACEY WA 98503 SPECIALTY CLINIC 402 - WMGSW - PMGSW WA OLYMPIA UROGYNECOLOGY 615 LILLY RD NE STE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 403 - WMGSW - PRESTIGE POST-ACUTE AND REHAB CENT 917 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 404 - WMGSW - PUGET SOUND HEALTHCARE CENTER 4001 CAPITAL MALL DR SW OLYMPIA WA 98502 SPECIALTY CLINIC 405 - WMGSW - PULMONARY AND SLEEP MEDICINE 500 LILLY RD NE STE 204 OLYMPIA WA 98506 SPECIALTY CLINIC 406 - WMGSW - REGENCY OLYMPIA REHABILITATION AND 1811 22ND AVE SE OLYMPIA WA 98501 SPECIALTY CLINIC 407 - WMGSW - REGIONAL CANCER CENTER - SHELTON 2026 OLYMPIC HWY N STE 203 SHELTON WA 98584 SPECIALTY CLINIC 408 - WMGSW - REGIONAL CANCER SYSTEM - ABERDEEN 954 ANDERSON RD ABERDEEN WA 98520 SPECIALTY CLINIC 409 - WMGSW - REGIONAL CANCER SYSTEM - CENTRALIA 2015 COOKS HILL RD STE 200 CENTRALIA WA 98531 SPECIALTY CLINIC 410 - WMGSW - REGIONAL CANCER SYSTEM LACEY 4525 3RD AVE SE STE 200 OLYMPIA WA 98503 SPECIALTY CLINIC 411 - WMGSW - RIVERSIDE NURSING AND REHABILITATI 1305 ALEXANDER ST CENTRALIA WA 98531 SPECIALTY CLINIC 412 - WMGSW - ROO LAN HEALTH AND REHAB 1505 CARPENTER RD SE LACEY WA 98503 SPECIALTY CLINIC 413 - WMGSW - SHARON CARE CENTER 1509 HARRISON AVE CENTRALIA WA 98531 SPECIALTY CLINIC 414 - WMGSW - ST PETER FAMILY MEDICINE 525 LILLY RD NE OLYMPIA WA 98506 PRIMARY CARE 415 - WMGSW - TELEHEALTH CLINIC 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 416 - WMGSW - TELEHEALTH CLINIC 900 N ORANGE ST STE 202 MISSOULA MT 59802 SPECIALTY CLINIC 417 - WMGSW - TELEHEALTH CLINIC 902 N ORANGE ST MISSOULA MT 59802 SPECIALTY CLINIC 418 - WMGSW - THE HAMPTON ALZHEIMER'S SPECIAL CA 1400 TROSPER RD SW TUMWATER WA 98512 SPECIALTY CLINIC 419 - WMGSW - THE SEQUOIA ASSISTED LIVING COMMUN 825 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 420 - WMGSW - UROLOGY OLYMPIA 149 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 421 - WMGSW - VASCULAR SURGERY (OLYMPIA) 128 LILLY RD NE STE 205 OLYMPIA WA 98506 SPECIALTY CLINIC 422 - WMGSW - WEST OLYMPIA FAMILY MEDICINE AND I 1620 COOPER POINT RD SW OLYMPIA WA 98502 URGENT CARE 423 - WMGSW - WOMENS HEALTH SERVICES OLYMPIA 3425 ENSIGN RD NE STE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 424 - WMGSW MOTHER JOSEPH CARE CENTER 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 425 - WMJC - PROVIDENCE MOTHER JOSEPH CARE CENTE 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 426 - WMSV - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 427 - WNWHL - 62 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 428 - WNWHL - ADVANCE HEART DISEASE & TRANSPLANT 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 429 - WNWHL - KIDNEY TRANSPLANT 105 W 8TH AVE STE 1000 SPOKANE WA 99204 SPECIALTY CLINIC 430 - WNWHL - MULTICARE TACOMA GENERAL ALLENMORE 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 SPECIALTY CLINIC 431 - WNWHL - PROVIDENCE PULMONARY 105 W 8TH AVE STE 512C SPOKANE WA 99204 SPECIALTY CLINIC 432 - WNWHL - SPOKANE HEART INSTITUTE 62 W 7TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 433 - WNWHL - SPOKANE STE 110 62 W 7TH AVE STE 110 SPOKANE WA 98024 SPECIALTY CLINIC 434 - WNWHL - ST LUKES REHAB 711 S COWLEY ST SPOKANE WA 99202 SPECIALTY CLINIC 435 - WNWHL - STE 300 62 W 7TH AVE STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 436 - WNWHL - SWEDISH CHERRY HILL CAMPUS 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 437 - WNWHL - VALLEY MEDICAL CENTER 808 PORT DRIVE CLARKSTON WA 99403 SPECIALTY CLINIC 438 - WNWHL AT DEACONESS MEDICAL CENTER 800 W 5TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 439 - WNWHL AT HOLY FAMILY HOSPITAL 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 440 - WNWHL AT SACRED HEART MEDICAL CENTER 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 441 - WNWHL BELLINGHAM 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 442 - WNWHL SEATTLE 1600 E JEFFERSON ST STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 443 - WPIPS - EAST 15918 E EUCLID AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 444 - WPIPS - WEST 3333 SOUTH 120TH PL STE 100 TUKWILA WA 98168 SPECIALTY CLINIC 445 - WPM - MARIANWOOD 3725 PROVIDENCE POINT DR SE ISSAQUAH WA 98029 SPECIALTY CLINIC 446 - WRFM - PROVIDENCE ROCHESTER FAMILY MEDICIN 18313 PAULSON ST SW STE A ROCHESTER WA 98579 PRIMARY CARE 447 - WSHI - BELLINGHAM 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 448 - WSHI - CENTRAL AVE 212 E CENTRAL AVE STE 240 SPOKANE WA 99208 SPECIALTY CLINIC 449 - WSHI - CLARKSON 808 PORT DR CLARKSON WA 99403 SPECIALTY CLINIC 450 - WSHI - COLFAX 1200 W FAIRVIEW ST COLFAX WA 99111 SPECIALTY CLINIC 451 - WSHI - DEER PARK 905 E D ST DEER PARK WA 99006 SPECIALTY CLINIC 452 - WSHI - DESMET 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 453 - WSHI - GARDEN HOMES 143 GARDEN HOMES DR COLVILLE WA 99114 SPECIALTY CLINIC 454 - WSHI - MISSOULA 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 455 - WSHI - NEWPORT 714 W PINE ST NEWPORT WA 99156 SPECIALTY CLINIC 456 - WSHI - PULLMAN 825 SE BISHOP BLVD STE 140 PULLMAN WA 99163 SPECIALTY CLINIC 457 - WSHI - SEATTLE 1600 E JEFFERSON STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 458 - WSHI - STE 232 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 459 - WSHI - STE 300 62 W 7TH AVE STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 460 - WSHI - STE 450 62 W 7TH AVE STE 450 SPOKANE WA 99204 SPECIALTY CLINIC 461 - WSHI - TACOMA 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA WA 98405 SPECIALTY CLINIC 462 - WSHSP - SPOKANE 1000 N ARGONNE RD STE 201 SPOKANE VALLEY WA 99212 HOME HEALTH 463 - WSP - DIAGNOSTIC IMAGING LACEY 4800 COLLEGE ST SE STE E LACEY WA 98503 SPECIALTY CLINIC 464 - WSP - PROVIDENCE ABUSE INTERVENTION CENTER 3020 WILLAMETTE DR NE LACEY WA 98516 SPECIALTY CLINIC 465 - WSP - PROVIDENCE ST PETER OUTPATIENT PALLI 3525 ENSIGN RD NE STE F LACEY WA 98506 SPECIALTY CLINIC 466 - WSP - SEXUAL ASSAULT CLINIC PACIFIC COUN 1216 W ROBERT BUSH DRIVE WEST PACIFIC COU SOUTH BEND WA 98586 SPECIALTY CLINIC 467 - WSP - SEXUAL ASSAULT CLINIC PACIFIC COUN 7013 SANDRIDGE ROAD S PACIFIC COUNTY HHSD LONG BEACH WA 98586 SPECIALTY CLINIC 468 - WSP - SEXUAL ASSAULT CLINIC PROVIDENCE C 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 469 - WSP - SEXUAL ASSAULT CLINIC WSO AND EMER 413 LILLY RD OLYMPIA WA 98506 SPECIALTY CLINIC 470 - WSP - SEXUAL ASSAULT CLINIC YOUTH ADVOCA 220 WASHINGTON WAY BLDG A CENTRALIA WA 98531 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: ANNUAL COMMUNITY BENEFIT REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART II, COMMUNITY BUILDING ACTIVITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT WORK(S) TO PROTECT AND IMPROVE COMMUNITY HEALTH AND SAFETY THROUGH COMMUNITY BUILDING ACTIVITIES THAT ADVANCE HEALTH EQUITY AND ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS, INCLUDING EMPLOYMENT. AN EXAMPLE OF THESE EFFORTS CAN BE SEEN IN PROVIDENCE REGIONAL MEDICAL CENTER EVERETT'S WORK WITH PROJECT SEARCH. PROJECT SEARCH IS A COMPREHENSIVE INTERNSHIP AND WORKFORCE DEVELOPMENT PROGRAM DEDICATED TO EMPOWERING INDIVIDUALS WITH DISABILITIES TO ACHIEVE MEANINGFUL EMPLOYMENT. THROUGH THIS PROGRAM, PARTICIPANTS ENGAGE IN A STRUCTURED CURRICULUM THAT COMBINES CLASSROOM INSTRUCTION WITH HANDS-ON JOB TRAINING IN VARIOUS HOSPITAL DEPARTMENTS. THE PROGRAM FOSTERS SKILL DEVELOPMENT IN AREAS SUCH AS COMMUNICATION, PROBLEM SOLVING, AND TASK MANAGEMENT WHILE PROVIDING CRITICAL SUPPORT FROM MENTORS AND JOB COACHES. BY THE END OF THE PROGRAM, PARTICIPANTS ARE EQUIPPED WITH THE TOOLS AND CONFIDENCE NEEDED TO SECURE EMPLOYMENT WITH THE DEPARTMENT OR COMMUNITY. PROVIDENCE ST. MARY MEDICAL CENTERIN 2024, MEMBERS OF PROVIDENCE ST. MARY MEDICAL CENTER LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS RELATED TO ECONOMIC DEVELOPMENT, COALITION BUILDING, AND WORKFORCE DEVELOPMENT: BLUE ZONES STEERING COMMITTEE, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, CBC/WSU NURSING ADVISORY COMMITTEE, PORT OF WALLA WALLA, AND CHAMBER EVENTS.PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITALSCHOOL-BASED HEALTH CAREER PARTNERSHIPS: THE HOSPITALS PARTNER WITH SCHOOLS TO PROVIDE STUDENTS WITH EXPOSURE TO HEALTHCARE CAREER OPPORTUNITIES AND UTILIZE COMMUNITY PARTNERSHIPS TO GROW A HIGH-QUALITY WORKFORCE IN A VARIETY OF HEALTH CARE FIELDS. THESE COMBINED EFFORTS HELP ADDRESS HEALTH CARE WORKFORCE SHORTAGES, INCREASE ACCESS TO CARE, AND IMPROVE ECONOMIC SECURITY AND UPWARD ECONOMIC MOBILITY IN OUR COMMUNITIES. 2024 PROGRAM ACTIVITIES INCLUDED: - PRESENTING TO ALL HEALTH/PHYSICAL EDCUATION CLASSES IN THREE MIDDLE SCHOOLS, REACHING APPROXIMATELY 400 STUDENTS IN TOTAL. - PRESENTING TO THE INTRODUCTION TO HEALTH CAREERS CLASSES IN 8 HIGH SCHOOLS AND COORDINATING GUEST SPEAKERS FOR FOLLOW-UP DISCUSSIONS, REACHING APPROXIMATELY 1,400 STUDENTS. - PARTNERING WITH TWO HIGH SCHOOLS FOR HEALTH CAREERS FAIRS THAT INCLUDED HANDS-ON ACTIVITIES FOR STUDENTS, WITH PROVIDENCE REPRESENTATIVES PROVIDING INTERACTIVE ACTIVITIES IN EIGHT DISCIPLINES AT EACH EVENT, REACHING APPROXIMATELY 1,400 STUDENTS - ATTENDING CAREER EXPOS AT SIX AREA HIGH SCHOOLS WITH LEADERS AND CAREGIVERS FROM VARIOUS PROVIDENCE PROFESSIONS PROVIDING CLASSROOM AND TABLE-BASED CONVERSATIONS REGARDING CAREER PATHWAYS IN HEALTH CARE, REACHING APPROXIMATELY 4,000 STUDENTS. - HOSTING A LUNCH AND LEARN AT A SUMMER S.T.E.M. CAMP, AT WHICH PROVIDENCE PROFESSIONALS PROVIDED HAND-ON ACTIVITIES, REACHING 75 STUDENTS. - WORKING WITH BIG BROTHERS/BIG SISTERS TO ESTABLISH A COMMUNITY MENTORSHIP PROGRAM AT ST. PETER HOSPITAL. - WORKING WITH PROVIDENCE VOLUNTEER SERVICES TO CREATE AN ONGOING JUNIOR VOLUNTEER PROGRAM FOR STUDENTS 16 AND OLDER AT BOTH HOSPITAL CAMPUSES, AND PROMOTING IT AT EACH PRESENTATION, OUTREACH MEETING AND FAIR. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09 AS DESCRIBED IN NOTE 1, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO THE CHNA, PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIAS SPECIALTY HOSPITAL USE SEVERAL TOOLS TO ASSESS THE HEALTH NEEDS OF COMMUNITIES THEY SERVE. FOR EXAMPLE: PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIAS SPECIALTY HOSPITAL RECOGNIZE THAT SOCIAL DRIVERS OF HEALTH (SDOH) HAVE A MAJOR IMPACT ON A PERSON'S HEALTH, WELL-BEING AND QUALITY OF LIFE, AND CONTRIBUTE TO MAJOR DISPARITIES THAT LEAD TO POOR HEALTH OUTCOMES. AS REQUIRED BY THE JOINT COMMISSION, ALL INDIVIDUALS 18 YEARS OR OLDER IN ACUTE CARE SETTINGS ARE SCREENED FOR SDOH, INCLUDING FOR FACTORS SUCH AS SAFE HOUSING; RELIABLE TRANSPORTATION AND UTILITIES; ACCESS TO FOOD, MEDICINE AND HEALTHCARE; EMPLOYMENT; AND EDUCATION. FOR THOSE WHO IDENTIFY AS HAVING A SDOH NEED OR VULNERABILITY, A FOLLOW-UP PLAN IS CREATED TO HELP CONNECT INDIVIDUALS WITH SERVICES. SCREENING DATA IS ALSO USED TO IDENTIFY GAPS IN COMMUNITY RESOURCES FOR THOSE WHO ARE MOST VULNERABLE AND UNDERSERVED. WHEN SOCIAL NEEDS ARE ADDRESSED, HOSPITALS SEE IMPROVEMENTS IN HEALTH OUTCOMES AND AVOIDABLE EMERGENCY DEPARTMENT AND HOSPITAL UTILIZATION. PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIAS SPECIALTY HOSPITAL CONDUCT A PROVIDER NEEDS ASSESSMENT (PNA) EVERY THREE YEARS TO HELP DETERMINE WHETHER A PARTICULAR GEOGRAPHY HAS AN APPROPRIATE NUMBER OF MEDICAL PROVIDERS TO SERVE THE UNIQUE HEALTH NEEDS OF A COMMUNITY. THIS ASSESSMENT PROVIDES DETAILED DEMOGRAPHIC DATA THAT ALLOWS THE HOSPITALS TO ASSESS CURRENT AND PROJECTED CLINICIAN NEEDS. THE PNA CONSIDERS FACTORS SUCH AS THE RATE OF POPULATION GROWTH AND AGING, POPULATION DEMOGRAPHIC MAKEUP AND LOCAL CLINICIAN MARKET COMPOSITION. THESE ASSESSMENTS AND THE DATA THEY PRODUCE HELP THE HOSPITALS DETERMINE HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEIR PROVIDER NETWORKS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICIN ADDITION TO THE CHNA, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT USE SEVERAL TOOLS TO ASSESS THE HEALTH NEEDS OF COMMUNITES THEY SERVE. FOR EXAMPLE: PROVIDENCE HOSPITALS RECOGNIZE THAT SOCIAL DRIVERS OF HEALTH (SDOH) HAVE A MAJOR IMPACT ON A PERSON'S HEALTH, WELL-BEING AND QUALITY OF LIFE, AND CONTRIBUTE TO MAJOR DISPARITIES THAT LEAD TO POOR HEALTH OUTCOMES. AS REQUIRED BY THE JOINT COMMISSION, ALL INDIVIDUALS 18 YEARS OR OLDER IN ACUTE CARE SETTINGS ARE SCREENED FOR SDOH, INCLUDING FOR FACTORS SUCH AS SAFE HOUSING; RELIABLE TRANSPORTATION AND UTILITIES; ACCESS TO FOOD, MEDICINE AND HEALTHCARE; EMPLOYMENT; AND EDUCATION. FOR THOSE WHO IDENTIFY AS HAVING A SDOH NEED OR VULNERABILITY, A FOLLOW-UP PLAN IS CREATED TO HELP CONNECT INDIVIDUALS WITH SERVICES. SCREENING DATA IS ALSO USED TO IDENTIFY GAPS IN COMMUNITY RESOURCES FOR THOSE WHO ARE MOST VULNERABLE AND UNDERSERVED. WHEN SOCIAL NEEDS ARE ADDRESSED, HOSPITALS SEE IMPROVEMENTS IN HEALTH OUTCOMES AND AVOIDABLE EMERGENCY DEPARTMENT AND HOSPITAL UTILIZATION.PROVIDENCE HOSPITALS CONDUCT A PROVIDER NEEDS ASSESSMENT (PNA) EVERY THREE YEARS TO HELP DETERMINE WHETHER A PARTICULAR GEOGRAPHY HAS AN APPROPRIATE NUMBER OF MEDICAL PROVIDERS TO SERVE THE UNIQUE HEALTH NEEDS OF A COMMUNITY. THIS ASSESSMENT PROVIDES DETAILED DEMOGRAPHIC DATA THAT ALLOWS THE HOSPITALS TO ASSESS CURRENT AND PROJECTED CLINICIAN NEEDS. THE PNA CONSIDERS FACTORS SUCH AS THE RATE OF POPULATION GROWTH AND AGING, POPULATION DEMOGRAPHIC MAKEUP AND LOCAL CLINICIAN MARKET COMPOSITION. THESE ASSESSMENTS AND THE DATA THEY PRODUCE HELP THE HOSPITALS DETERMINE HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEIR PROVIDER NETWORKS.ADDITIONALLY, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT CONDUCTS A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING SURVEY ANNUALLY TO REASSESS HOW THE MEMBERS OF THE SNOHOMISH COUNTY COMMUNITY FEEL ABOUT THE COMMUNITY HEALTH STRENGTHS AND AREAS FOR IMPROVEMENTS. MORE INFORMATION ON THIS SURVEY CAN BE FOUND HERE:WWW.PIHCSNOHOMISH.ORG/WORK-WITH-US/MCHWBM. PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) PSMMC REPRESENTATIVES PARTICIPATE IN WALLA WALLA COMMUNITY HEALTH PARTNERSHIP MEETINGS, WALLA WALLA COUNCIL ON HOUSING MEETINGS, AND HAVE AN EFFECTIVE AND COLLABORATIVE WORKING RELATIONSHIP WITH WALLA WALLA COUNTY DEPARTMENT OF HEALTH. MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS: VITAL BOARD, BLUE ZONES STEERING COMMITTEE, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE. PSMMC'S MISSION AND COMMUNITY HEALTH COMMITTEE MEMBERS INCLUDES COMMUNITY REPRESENTATION. COMMITTEE MEMBERS HAVE THE OPPORTUNITY TO PROVIDE INPUT ON COMMUNITY NEEDS. IN 2024, THE FOLLOWING ORGANIZATIONS WERE REPRESENTED ON THE COMMITTEE: WALLA WALLA DEPARTMENT OF COMMUNITY HEALTH, WALLA WALLA CATHOLIC CHARITIES, BLUE MOUNTAIN ACTION COUNCIL, AND WALLA WALLA UNIVERSITY'S CENTER FOR HUMANITARIAN ENGAGEMENT. A MEMBER OF THE PROVIDENCE COMMUNITY HEALTH INVESTMENT TEAM WAS AN ACTIVE MEMBER OF THE WALLA WALLA DEPARTMENT OF COMMUNITY HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN'S OVERSIGHT COMMITTEE. PROVIDENCE KODIAK IS. MEDICAL CENTERPROVIDENCE KODIAK ISLAND MEDICAL CENTER RECOGNIZES THAT SOCIAL DRIVERS OF HEALTH (SDOH) HAVE A MAJOR IMPACT ON A PERSON'S HEALTH, WELL-BEING AND QUALITY OF LIFE, AND CONTRIBUTE TO MAJOR DISPARITIES THAT LEAD TO POOR HEALTH OUTCOMES. AS REQUIRED BY THE JOINT COMMISSION, ALL INDIVIDUALS 18 YEARS OR OLDER IN ACUTE CARE SETTINGS ARE SCREENED FOR SDOH, INCLUDING FOR FACTORS SUCH AS SAFE HOUSING; RELIABLE TRANSPORTATION AND UTILITIES; ACCESS TO FOOD, MEDICINE AND HEALTHCARE; EMPLOYMENT; AND EDUCATION. FOR THOSE WHO IDENTIFY AS HAVING A SDOH NEED OR VULNERABILITY, A FOLLOW-UP PLAN IS CREATED TO HELP CONNECT INDIVIDUALS WITH SERVICES. SCREENING DATA IS ALSO USED TO IDENTIFY GAPS IN COMMUNITY RESOURCES FOR THOSE WHO ARE MOST VULNERABLE AND UNDERSERVED. WHEN SOCIAL NEEDS ARE ADDRESSED, HOSPITALS SEE IMPROVEMENTS IN HEALTH OUTCOMES AND AVOIDABLE EMERGENCY DEPARTMENT AND HOSPITAL UTILIZATION. PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A PROVIDER NEEDS ASSESSMENT (PNA) EVERY THREE YEARS TO HELP DETERMINE WHETHER A PARTICULAR GEOGRAPHY HAS AN APPROPRIATE NUMBER OF MEDICAL PROVIDERS TO SERVE THE UNIQUE HEALTH NEEDS OF A COMMUNITY. THIS ASSESSMENT PROVIDES DETAILED DEMOGRAPHIC DATA THAT ALLOWS THE HOSPITALS TO ASSESS CURRENT AND PROJECTED CLINICIAN NEEDS. THE PNA CONSIDERS FACTORS SUCH AS THE RATE OF POPULATION GROWTH AND AGING, POPULATION DEMOGRAPHIC MAKEUP AND LOCAL CLINICIAN MARKET COMPOSITION. THESE ASSESSMENTS AND THE DATA THEY PRODUCE HELP THE HOSPITALS DETERMINE HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEIR PROVIDER NETWORKS. PROVIDENCE MT. CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS. ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITALIN ADDITION TO THE CHNA, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS USE SEVERAL TOOLS TO ASSESS THE HEALTH NEEDS OF COMMUNITIES THEY SERVE. FOR EXAMPLE: IN 2024, PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS CONDUCTED TWO COMMUNITY DIALOGUE SESSIONS TO DISCUSS HEALTH PRIORITIES WITH LOCAL LEADERS AND TO GATHER FEEDBACK ON HOW PROVIDENCE CAN BEST PARTNER WITH THE COMMUNITY TO ADDRESS NEEDS IDENTIFIED IN THE 2023 CHNA. ONE EVENT WAS HOSTED IN LEWIS COUNTY, WASH., BY PROVIDENCE CENTRALIA HOSPITAL AND ONE WAS HOSTED IN THURSTON COUNTY, WASH. BY PROVIDENCE ST. PETER HOSPITAL. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION: PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITALBASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITIES AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, LEWIS AND THURSTON COUNTIES IN SOUTHWEST WASHINGTON STATE COMPRISE THE PROVIDENCE SWEDISH SOUTH PUGET SOUND SERVICE AREA. PROVIDENCE CENTRALIA HOSPITAL IS LOCATED IN LEWIS COUNTY, IN CENTRALIA, WASH.; PROVIDENCE ST. PETER HOSPITAL IS LOCATED IN THURSTON COUNTY, IN OLYMPIA, WASH. BASED ON DATA FROM THE 2022 AMERICAN COMMUNITY SURVEY AND THE 2023 COUNTY HEALTH RANKINGS: OF 39 COUNTIES IN WASHINGTON, LEWIS COUNTY IS THE 16TH LARGEST COUNTY BY POPULATION, WITH 85,370 RESIDENTS. IT IS COMPRISED OF 2,402.8 SQUARE MILES OF LAND AND IS THE 6TH LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 33RD IN THE COUNTY HEALTH RANKINGS, THE 17TH PERCENTILE IN THE STATE. THURSTON COUNTY IS THE 6TH LARGEST BY POPULATION, WITH 298,758 RESIDENTS. IT IS COMPRISED OF 722.5 SQUARE MILES OF LAND AND IS THE 32ND LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 17TH IN THE COUNTY HEALTH RANKINGS, THE 61ST PERCENTILE IN THE STATE. TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE SOUTH PUGET SOUND SERVICE AREA, ENCOMPASSING BOTH LEWIS AND THURSTON COUNTIES. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY. FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE SOUTH PUGET SOUND SERVICE AREA, 41 OF 82 CENSUS TRACTS (50%) SCORED ABOVE THE AVERAGE OF 45.1, INDICATING A HIGH NEED. ABOUT ONE IN FOUR PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IS BETWEEN THE AGES OF 35 AND 54. THIS AGE GROUP, ALONG WITH PEOPLE BETWEEN THE AGES OF 55 AND 84, ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. PEOPLE AGES 18 TO 34 ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. MALE AND FEMALE SEXES ARE ROUGHLY PROPORTIONAL ACROSS THE SERVICE AREAS. ALMOST 80% OF PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IDENTIFY AS WHITE, WHICH IS SLIGHTLY OVER-REPRESENTED IN THE BROADER SERVICE AREA COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA. PEOPLE IDENTIFYING AS TWO OR MORE RACES, SOME OTHER RACE, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, BLACK OR AFRICAN AMERICAN, ASIAN, AND AMERICAN INDIAN OR ALASKA NATIVE ARE SLIGHTLY OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. INDIVIDUALS IDENTIFYING AS HISPANIC/LATINO/LATINA ARE ALSO OVER-REPRESENTED IN THE HIGH NEED SERVICE ARE COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA. HOUSEHOLD MEDIAN INCOME INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. LEWIS'S COUNTY'S MEDIAN HOUSEHOLD INCOME IS NEARLY $20,000 BELOW THAT OF THURSTON COUNTY, AND MORE THAN $27,000 BELOW THAT OF THE BROADER NEED AREA OF SOUTH PUGET SOUND. THURSTON COUNTY ALSO FALLS SLIGHTLY BEHIND THE STATE IN THIS MEASURE. RENTER HOUSEHOLDS EXPERIENCING SEVERE HOUSING COST BURDEN ARE HOUSEHOLDS SPENDING 50% OR MORE OF THE INCOME ON HOUSING COSTS. THE INFORMATION OFFERS AN EXCELLENT MEASURE OF HOUSING AFFORDABILITY AND EXCESSIVE SHELTER COSTS. ABOUT 21% OF RENTER HOUSEHOLDS IN BOTH WASHINGTON STATE AND LEWIS COUNTY ARE SEVERELY HOUSING-COST BURDENED, WHILE 24% RENTERS IN THURSTON COUNTY AND 25% IN THE HIGH NEED AREA OF THE SOUTH PUGET SOUND ARE EXPERIENCING THIS STRAIN. OTHER HOSPITALS IN SERVICE AREA OTHER HOSPITALS IN THE COMMUNITY INCLUDE MULTICARE CAPITAL MEDICAL CENTER AND ARBOR HEALTH. PROVIDENCE REGIONAL MEDICAL CENTER COLBY AND REGIONAL MEDICAL CENTER PACIFIC.THE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY OF PROVIDENCE REGIONAL MEDICAL CENTER EVERETT'S INPATIENT POPULATION RESIDES. MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY AND FOR THIS REASON, THE PRIMARY COMMUNITY SERVED IS SNOHOMISH COUNTY. SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE WITH BOUNDARIES EXTENDING FROM SKAGIT COUNTY IN THE NORTH, KING COUNTY IN THE SOUTH, THE CASCADE MOUNTAINS IN THE EAST, AND PUGET SOUND IN THE WEST. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 828,337 WITH 434,130 RESIDENTS IN HIGH NEED AREA. THE LARGEST PERCENT OF RESIDENTS ARE IN THE 35-54 AGE GROUP (28.1%) COMPARED TO OTHER AGE GROUPS. THOSE YOUNGER (18-34) HAVE A DISPROPORTIONATELY HIGHER REPRESENTATION IN HIGH-NEED AREAS. THE LARGEST RACIAL GROUPS INCLUDE WHITE (68.9%), ASIAN (12.3%), HISPANIC (11.1%) AND BLACK/AFRICAN AMERICAN (3.5%), WITH 9.7% OF RESIDENTS REPORTING TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME IN THE HIGH NEED SERVICE AREA AND IN WASHINGTON STATE ARE BOTH AROUND $90,000, ALTHOUGH THE PERCENTAGE OF HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IN THE HIGH NEED SERVICE AREA IS HIGHER THAN WASHINGTON STATE. SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE AVERAGE PERCENT OF HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IN THE HIGH-NEED SERVICE AREA IS 15.7%, WHICH IS HIGHER THAN THE COUNTY VALUE (13.0%) AND THE BROADER SERVICE AREA (9.4%) THE MEDIAN HOUSEHOLD INCOME IS $104,083, EXCEEDING THAT OF THE STATE OF WASHINGTON OF $90,325. 6.2% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE AND 17.9% OF THE POPULATION IS CONSIDERED LOW-INCOME (BELOW 200% OF THE FEDERAL POVERTY LEVEL). OTHER HOSPITALS IN SERVICE AREA HOSPITALS LOCATED IN SNOHOMISH COUNTY, WASHINGTON, IN ADDITION TO PROVIDENCE ARE: BHC FAIRFAX HOSPITAL NORTH, CASCADE VALLEY HOSPITAL, EVERGREENHEALTH MONROE, SMOKEY POINT BEHAVIORAL HOSPITAL, AND SWEDISH EDMONDS. PART VI, LINE 5: PROVIDENCE HEALTH AND SERVICES - WASHINGTON PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY MISSION BOARD COMPRISED OF EIGHT TO FIFTEEN BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO CLOSELY REPRESENT THE AGE, GENDER, RACE, AND ETHNIC PROFILE OF ITS SERVICE AREA. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE.2) OPEN MEDICAL STAFF, HEALTH PROFESSIONS EDUCATION PROGRAM THAT RESPONDS TO COMMUNITY NEED, SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED 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: - 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 CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THE 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 RESILIENCE CAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION. ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY. IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUND INVESTING 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 EFFORTS. 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 SERVICES ADVOCACY 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 FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIP WELL BEING TRUST: PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES WA,OR,CA,MT,AK,TX PART VI, LINE 2 (CONTINUED): THE HOSPITALS RECOGNIZE THAT SOCIAL DRIVERS OF HEALTH (SDOH) HAVE A MAJOR IMPACT ON A PERSON'S HEALTH, WELL-BEING AND QUALITY OF LIFE, AND CONTRIBUTE TO MAJOR DISPARITIES THAT LEAD TO POOR HEALTH OUTCOMES. AS REQUIRED BY THE JOINT COMMISSION, ALL INDIVIDUALS 18 YEARS OR OLDER IN ACUTE CARE SETTINGS ARE SCREENED FOR SDOH, INCLUDING FOR FACTORS SUCH AS SAFE HOUSING; RELIABLE TRANSPORTATION AND UTILITIES; ACCESS TO FOOD, MEDICINE AND HEALTHCARE; EMPLOYMENT; AND EDUCATION. FOR THOSE WHO IDENTIFY AS HAVING A SDOH NEED OR VULNERABILITY, A FOLLOW-UP PLAN IS CREATED TO HELP CONNECT INDIVIDUALS WITH SERVICES. SCREENING DATA IS ALSO USED TO IDENTIFY GAPS IN COMMUNITY RESOURCES FOR THOSE WHO ARE MOST VULNERABLE AND UNDERSERVED. WHEN SOCIAL NEEDS ARE ADDRESSED, HOSPITALS SEE IMPROVEMENTS IN HEALTH OUTCOMES AND AVOIDABLE EMERGENCY DEPARTMENT AND HOSPITAL UTILIZATION.PROVIDENCE HOSPITALS CONDUCT A PROVIDER NEEDS ASSESSMENT (PNA) EVERY THREE YEARS TO HELP DETERMINE WHETHER A PARTICULAR GEOGRAPHY HAS AN APPROPRIATE NUMBER OF MEDICAL PROVIDERS TO SERVE THE UNIQUE HEALTH NEEDS OF A COMMUNITY. THIS ASSESSMENT PROVIDES DETAILED DEMOGRAPHIC DATA THAT ALLOWS THE HOSPITALS TO ASSESS CURRENT AND PROJECTED CLINICIAN NEEDS. THE PNA CONSIDERS FACTORS SUCH AS THE RATE OF POPULATION GROWTH AND AGING, POPULATION DEMOGRAPHIC MAKEUP AND LOCAL CLINICIAN MARKET COMPOSITION. THESE ASSESSMENTS AND THE DATA THEY PRODUCE HELP THE HOSPITALS DETERMINE HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEIR PROVIDER NETWORKS. PART VI, LINE 4 (CONTINUED): PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER'S.PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER'S CHNA SERVICE AREA IS SPOKANE COUNTY BASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITY, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES. SPOKANE COUNTY IS THE FOURTH MOST POPULATED COUNTY IN WASHINGTON AND IS HOME TO THE CITY OF SPOKANE, THE SECOND MOST POPULATED CITY IN WASHINGTON. IN 2023, APPROXIMATELY 554,600 PEOPLE LIVED IN SPOKANE COUNTY, AN INCREASE OF MORE THAN 39,000 PEOPLE SINCE 2019. ADULTS 65 YEARS AND OLDER WERE THE SMALLEST AGE GROUP, BUT THEY ARE ESTIMATED TO BECOME THE SECOND LARGEST AGE GROUP BY 2050. ADULTS 35-64 YEARS OLD WERE THE LARGEST AGE GROUP AT 37% IN 2023. SPOKANE COUNTY IS NOT A RACIALLY DIVERSE COUNTY, BUT IT IS GROWING MORE DIVERSE. POPULATION ESTIMATES SHOW THE PERCENTAGE OF RESIDENTS WHO WERE 2 OR MORE RACES ROSE FROM 4.4% IN 2019 TO 8.9% IN 2023. THE PERCENTAGE OF WHITE RESIDENTS DECLINED AT THE SAME TIME, ALTHOUGH WHITE PEOPLE MADE UP A MAJORITY (83.6%) OF THE POPULATION IN 2023. DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A MORE DIVERSE POPULATION. THE PERCENTAGE OF YOUTH WHO WERE 2 OR MORE RACES INCREASED FROM 9.7% IN 2019 TO 16% IN 2023. ADDITIONALLY, THE PERCENTAGE OF WHITE YOUTH DECLINED FROM 82.3% TO 75.9% AT THE SAME TIME. THE MEDIAN HOUSEHOLD INCOME CONTINUES TO RISE IN SPOKANE COUNTY. IN 2022, THE MEDIAN HOUSEHOLD INCOME WAS $69,070, AN INCREASE FROM THE 2018 MEDIAN OF $59,783. THIS GROWTH IS SLOWER THAN WASHINGTON STATE'S GROWTH, AND THE SPOKANE COUNTY MEDIAN HOUSEHOLD INCOME CONTINUES TO BE LESS THAN THE STATE MEDIAN. NOT ALL HOUSEHOLDS EARNED EQUALLY IN 2022. WHITE HOUSEHOLDERS EARNED SIGNIFICANTLY MORE THAN BLACK AND MULTIRACIAL HOUSEHOLDERS. HOUSEHOLDS THAT SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING COSTS ARE COST BURDENED. COST. BURDENED HOUSEHOLDS EXPERIENCE MORE FINANCIAL STRESS AND SPEND LESS ON HEALTH CARE. IN 2022, AN ESTIMATED 28.1% OF HOMEOWNERS WITH A MORTGAGE AND 56.4% OF RENTERS SPENT 30% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING COSTS. ADDITIONALLY, ONLY 33.2% OF RENTERS SPENT LESS THAN 25% OF THEIR HOUSEHOLD INCOME ON HOUSING COSTS COMPARED TO 61.7% OF HOMEOWNERS. THIS HIGHLIGHTS DISPARITIES IN THE HOUSING COST BURDEN BETWEEN HOMEOWNERS AND RENTERS. (DATA FROM U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES) FULL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION FOR THE SERVICE AREA CAN BE FOUND IN THE 2024 CHNA FOR PROVIDENCE SPOKANE INCLUDING PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER OTHER HOSPITALS IN SERVICE AREA OTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS CHILDREN'S SPOKANE, SPOKANE, MULTICARE DEACONESS HOSPITAL, MULTICARE VALLEY HOSPITAL, MANN-GRANDSTAFF VETERAN AFFAIRS MEDICAL CENTER, EASTERN STATE HOSPITAL AND INLAND NORTHWEST BEHAVIORAL HEALTH. PROVIDENCE ST. MARY MEDICAL CENTERPSMMC SERVICE AREA IS IN WALLA WALLA COUNTY AND SERVES WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES, WHICH INCLUDES A POPULATION OF APPROXIMATELY 146,034 PEOPLE. POPULATION AND AGEIN WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES, PEOPLE AGES 18-34 HAVE THE MOST REPRESENTATION IN THE HIGH NEED AREA, WITH GREATER THAN ONE IN FOUR (26.3%) PEOPLE IN THE HIGH NEED AREA IN THAT AGE GROUP. COLUMBIA COUNTY HAS A HIGHER POPULATION OF PEOPLE 65 YEARS AND OLDER (28.9%) THAN ANY OTHER AGE GROUP THROUGHOUT THE COUNTIES OVERALL. POPULATION BY SEX IS NEARLY EQUALLY DISTRIBUTED ACROSS THE SERVICE AREAS, ALTHOUGH MALES ARE OVERREPRESENTED IN THE BOARDER SERVICE AREA (52.5%) COMPARED TO THE HIGH NEED SERVICE AREA (50.5%), AND FEMALES ARE OVERREPRESENTED IN THE HIGH NEED SERVICE AREA (49.5%) COMPARED TO THE BROADER SERVICE AREA (47.5%). RACE AND ETHNICITY PEOPLE IDENTIFYING AS HISPANIC ARE DISPROPORTIONALLY REPRESENTED IN THE HIGH NEED AREA, COMPRISING 30.6% OF THE HIGH NEED SERVICE AREA. WHITE PEOPLE ARE MORE LIKELY TO LIVE IN THE BROADER SERVICE AREA (80.8%) COMPARED TO THE HIGH NEED SERVICE AREA. THE PERCENTAGE OF PEOPLE IDENTIFYING AS AMERICAN INDIAN OR ALASKA NATIVE, ASIAN, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, "SOME OTHER RACE, AND TWO OR MORE RACES IS LARGER IN THE HIGH NEED SERVICE AREA COMPARED O THE BROADER SERVICE AREA. INCOME AND HOUSING MEDIAN HOUSEHOLD INCOME IN THE BROADER SERVICE AREA IS NEARLY $19,000 GREATER THAN IN THE HIGH NEED SERVICE AREA. THE MEDIAN HOUSEHOLD INCOME IN ALL THREE COUNTIES IS MORE THAN $20,000 LOWER THAN WASHINGTON STATE'S. ALL THREE COUNTIES, AS WELL AS THE HIGH NEED AND BROADER SERVICE AREAS, HAVE A LOWER PERCENTAGE OF HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN THAN WASHINGTON STATE. WALLA WALLA COUNTY HAS THE HIGHEST % OF HOUSEHOLDS EXPERIENCING SEVERE HOUSING COST BURDEN (12.8%), WHICH IS EVEN HIGHER THAN THE HIGH NEED SERVICE AREA (12.6%). HEALTH PROFESSIONS SHORTAGE AREA WALLA WALLA AND COLUMBIA COUNTIES ARE DESIGNATED HEALTH PROFESSIONS SHORTAGE AREAS (HPSA) FOR LOW-INCOME POPULATIONS FOR PRIMARY AND DENTAL HEALTH CARE. THEY ARE DESIGNATED HPSAS GEOGRAPHICALLY FOR MENTAL HEALTH. UMATILLA COUNTY IS A DESIGNATED HPSA FOR LOW-INCOME POPULATIONS FOR PRIMARY CARE AND DENTAL HEALTH AND IS DESIGNATED A HPSA FOR THE HIGH NEEDS GEOGRAPHIC AREA. OTHER HOSPITALS IN SERVICE AREA KADLEC REGIONAL MEDICAL CENTER IN RICHLAND, WA, ALSO SERVES RESIDENTS OF WALLA WALLA WASHINGTON MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: VITAL BOARD, BLUE ZONES STEERING COMMITTEE, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE. THE DIRECTOR OF EMERGENCY SERVICES PARTICIPATED IN THE WALLA WALLA BEHAVIOURAL CRISIS MAPPING ASSESSMENT AS A MEMBER OF THE COMMUNITY HEALTH ADVISORY BOARD. ADDITIONALLY, THE DIRECTOR OF EMERGENCY SERVICES AND MEMBERS OF THE COMMUNITY HEALTH INVESTMENT TEAM ATTENDED THE WALLA WALLA COUNTY'S PERMANENT SUPPORTIVE HOUSING LEARNING COLLABORATIVE EVENT IN JUNE 2024. PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)THE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE.TOTAL ANCHORAGE POPULATION IS 290,604 - AGE UNDER 5 6.7% (19,434) - AGE UNDER 18 23.9% (69,388) - AGE 18 TO 34 26.7% (77,738) - AGE 35 TO 54 25.6% (74,494) - AGE 55 TO 64 11.8% (34,286) - AGE 65 AND OVER 12.0% (34,768) RACE AND ETHNICITY - 7.4% - ALASKA NATIVE/AMERICAN INDIAN - 9.8% - ASIAN - 5.3% - BLACK - 2.9% - OTHER RACE - 2.7% - PACIFIC ISLANDER POPULATION - 12.7% - TWO OR MORE RACES - 59.2% - WHITE - 9.7% - HISPANIC INCOME AND HOUSING - $95,731 MEDIAN HOUSEHOLD INCOME- 12.5% HOUSEHOLDS EXPERIENCING SEVERE HOUSING COST BURDEN - 8.9% HOUSEHOLDS RECEIVING SNAP BENEFITS - 22.3% POPULATION BELOW 200% FEDERAL POVERTY LEVEL (FPL) - 5.2% UNEMPLOYED POPULATION OTHER HOSPITALS IN SERVICE AREA IN ADDITION TO ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL ST. ELIAS, THE OTHER HOSPITALS IN ANCHORAGE INCLUDE ALASKA NATIVE MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA VETERANS ADMINISTRATION (VA) HEALTH CARE SYSTEM, AFMS-JOINT BASE ELMENDORF-RICHARDSON-673D MEDICAL GROUP AND ALASKA AREA NATIVE HEALTH SERVICES. PART VI, LINE 4 (CONTINUED): PROVIDENCE KODIAK IS. MEDICAL CENTERBEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, OUR SERVICE AREA IS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES, ENCOMPASSING THE ENTIRE POPULATION OF KODIAK ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISED OF 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM. THE POPULATION OF KODIAK ISLAND IS 13,621 PEOPLE.BEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, THE COMMUNITIES SERVED BY THE HOSPITAL ARE DEFINED AS THE ENTIRE ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES.- PORT LIONS- KARLUK- CITY OF KODIAK- LARSEN BAY- OLD HARBOR- OUSINKIECOMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. KEY DEMOGRAPHIC DATA ARE AS FOLLOWS:AGE- 27.9% YOUTH (0-19 YEARS)- 36.3% YOUNG ADULTS (20-44 YEARS)- 24.8% OLDER ADULTS (45-64 YEARS)- 11.1% SENIORS (65 YEARS AND OLDER)GENDER- 45.5% FEMALE- 54.5% MALEPOPULATION BY RACE- 49.6% WHITE- 23.8% ASIAN- 9.6% ALASKA NATIVE/AMERICAN INDIAN- 3.9% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER- 1.3% BLACK OR AFRICAN AMERICAN- 7.9% TWO OR MORE RACES- 1.0% OTHER RACEPOPULATION BY ETHNICITY- 9.1% HISPANICMEDIAN HOUSEHOLD INCOME- $79,173PERCENT LIVING IN POVERTY- 7.5%AVERAGE HOUSEHOLD SIZE- 3.08HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MUNICIPALITY OF ANCHORAGE SERVICE AREAS WITHIN IT THAT HAVE BEEN IDENTIFIED AS MENTAL HEALTH, PRIMARY CARE AND DENTAL HEALTH PROFESSIONS SHORTAGE AREAS.MEDICAL UNDERSERVED AREAMEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE."MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. THE MUNICIPALITY OF ANCHORAGE IS IDENTIFIED AS A MEDICALLY UNDERSERVED AREA.OTHER HOSPITALS IN SERVICE AREAKODIAK, AKPROVIDENCE KODIAK ISLAND MEDICAL CENTER IS THE ONLY HOSPITAL ON KODIAK ISLANDPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALPROVIDENCE MOUNT CARMEL AND PROVIDENCE ST. JOSEPH HOSPITALS ARE SITUATED IN STEVENS COUNTY, IN THE NORTHEAST CORNER OF WASHINGTON STATE. COUNTIES TO THE EAST AND EST OF STEVENS COUNTY (PEND OREILLE AND FERRY COUNTIES, RESPECTIVELY) MAKE UP THE TRI COUNTY AREA WITH STEVENS COUNTY, SHARING SIMILAR DEMOGRAPHICS AND RURAL CHARACTERISTICS.IN 2022, THE POPULATION TOTAL OF STEVENS COUNTY IS ESTIMATED TO BE 46,360, AN INCREASE OF 3.6% SINCE THE LAST CHNA WAS COMPLETED IN 2019. 79.2% OF THE POPULATION LIVES IN A RURAL AREA. PERCENTAGE POPULATION BY SEX IS SPLIT EVENLY. COMPARED TO WASHINGTON STATE, THE POPULATION OF STEVENS COUNTY IS MUCH OLDER, WITH 24.8% OF THE POPULATION BEING AGED 65+, COMPARED TO 16.2% FOR THE STATE (COUNTY HEALTH RANKINGS 2022).THE CITY OF COLVILLE IS THE STEVENS COUNTY'S SEAT AND MOST POPULOUS AREA OF STEVENS COUNTY, WITH AN ESTIMATED POPULATION OF 4,786 (US CENSUS BUREAU 2020).CHEWELAH AND KETTLE FALLS ARE THE NEXT MOST POPULOUS TOWNS, WITH POPULATIONS OF 2,645 AND 1,594 PEOPLE, RESPECTIVELY. THE SPOKANE INDIAN RESERVATION LIES ALMOST ENTIRELY WITHIN STEVENS COUNTY'S BOARDERS. THE SPOKANE TRIBE OF INDIANS GOVERNMENT OPERATIONS ARE BASED IN WELLPINIT, WITH AN ESTIMATED ENROLLED MEMBER POPULATION OF 2,900 PEOPLE.STEVENS COUNTY'S POPULATION IS GENERALLY MORE WHITE/NON-HISPANIC THAN WASHINGTON, WITH 89.1% OF STEVENS COUNTY IDENTIFIED AS WHITE, AND 96.3% AS NON-HISPANIC. 5% OF STEVENS COUNTY'S POPULATION IS AMERICAN INDIAN/ALASKA NATIVE, AND ANOTHER 3.8% OF THE COUNTY IDENTIFIES AS TOW OR MORE RACES.AT THE TIME OF THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE IN 2019, STEVENS COUNTY'S MEDIAN INCOME WAS $51,850, ALMOST 30% LOWER THAN THE MEDIAN INCOME FOR WASHINGTON STATE. IN THE HIGHEST NEED SERVICE AREA OF THE COUNTY, MEDIAN INCOME IS $44,218.DESPITE THE OVERALL MUCH LOWER MEDIAN HOUSEHOLD INCOME FOR HOUSEHOLDS IN STEVENS COUNTY, THERE ARE FEWER RENTER HOUSEHOLDS COMPARED TO WASHINGTON STATE THAT EXPERIENCE A SEVERE HOUSING COST BURDEN OF SPENDING 50% OR MORE OF INCOME ON HOUSING COSTS, AT 15.4% OF STEVENS COUNTY HOUSEHOLDS COMPARED TO 21.1% OF WASHINGTON STATE HOUSEHOLDS. PLEASE NOTE THAT THESE DATA REFLECT CIRCUMSTANCES PRIOR TO THE COVID-19 PANDEMIC, WHICH CONTINUES TO HAVE SIGNIFICANT IMPACT ON HOUSING ACROSS THE UNITED STATES.HEALTH PROFESSIONS SHORTAGE AREA - STEVENS COUNTYTHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MAPS BELOW DEPICT THESE SHORTAGE AREAS RELATIVE TO PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL LOCATIONS. CLICK ON THE LINK BELOW FOR FULL SIZED VERSIONS. OVERALL, STEVENS COUNTY HAS SHORTAGES IN EACH OF THESE AREAS WITH BOTH PRIMARY CARE AND MENTAL HEALTH PROVIDERS NEEDED FOR THE GENERAL POPULATION AND THE LOW-INCOME POPULATION AND DENTAL PROVIDERS ARE NEEDED FOR THE LOW-INCOME POPULATION.OTHER HOSPITALS IN SERVICE AREAPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE THE ONLY HOSPITALS IN STEVENS COUNTY. PART VI, LINE 6 (CONTINUED): INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS.THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/ 1 EVERETT TRANSITIONAL CARE SERVICES FOUNDATION 916 PACIFIC AVENUE 4TH FLOOR EVERETT WA 98201 943264605 501(C)(3) 3291000 0 SPONSORSHIP PROVIDENCE INLAND NORTHWEST FOUNDATION 101 W 8TH AVE SPOKANE WA 99204 320014330 501(C)(3) 2566997 0 SPONSORSHIP PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 501(C)(3) 2518225 0 SPONSORSHIP PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 501(C)(3) 2249944 0 SPONSORSHIP CATHOLIC SOCIAL SERVICES INC 3710 E 20TH AVE ANCHORAGE AK 99508 460418272 501(C)(3) 1516500 0 SPONSORSHIP PROVIDENCE GENERAL FOUNDATION 916 PACIFIC AVENUE EVERETT WA 98201 911041617 501(C)(3) 1200772 0 SPONSORSHIP BRIGHTSIDE BENEFIT INC 55 N ARIZONA PL SUITE 200 CHANDLER AZ 85225 042182395 501(C)(3) 750000 0 SPONSORSHIP PROVIDENCE HOSPICE & HOME CARE 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SPOKANE WA 992024150 910912823 501(C)(3) 17468 0 SPONSORSHIP WALLA WALLA COMMUNITY COLLEGE 500 TAUSICK WAY WALLA WALLA WA 99362 911207033 501(C)(3) 17400 0 SPONSORSHIP THE CHILD CARE ACTION COUNCIL OF THURSTON COUNTY 3729 GRIFFIN LN SE OLYMPIA WA 985012192 911373181 501(C)(3) 16000 0 SPONSORSHIP AMER FOUND FOR SUICIDE PREVENTION 199 WATER ST 11TH FLOOR NEW YORK NY 10038 133393329 501(C)(3) 15000 0 SPONSORSHIP FAILSAFE FOR LIFE PO BOX 28955 SPOKANE WA 99228 813525568 501(C)(3) 15000 0 SPONSORSHIP GREATER SEATTLE PARTNERS 999 3RD AVE STE 3300 SEATTLE WA 981044002 825212762 501(C)(3) 15000 0 SPONSORSHIP HOSPICE AND PALLIATIVE CARE OF KODIAK INC PO BOX 8682 KODIAK AK 99615 452208200 501(C)(3) 15000 0 SPONSORSHIP JUNIOR ACHIEVEMENT USA 639 W INTERNATIONAL AIRPORT RD SUIT ANCHORAGE AK 995181183 920045091 501(C)(3) 15000 0 SPONSORSHIP KODIAK ISLAND HEALTH CARE FOUNDATION 1911 E REZANOF DR KODIAK AK 996156602 920146203 501(C)(3) 15000 0 SPONSORSHIP KODIAK KINDNESS PROJECT PO BOX 8704 KODIAK AK 99615 834102985 501(C)(3) 15000 0 SPONSORSHIP THE UCLA FOUNDATION 10889 WILSHIRE BLVD 1100 LOS ANGELES CA 90024 952250801 501(C)(3) 15000 0 SPONSORSHIP VANESSA BEHAN CRISIS NURSERY 2230 EAST SPRAGUE SPOKANE WA 99202 911196575 501(C)(3) 15000 0 SPONSORSHIP WASHINGTON STATE OPPORTUNITY SCHOLARSHIP FOUNDATION 1414 31ST AVE S STE 302 SEATTLE WA 981443955 933293868 501(C)(3) 15000 0 SPONSORSHIP PROVIDENCE GENERAL FOUNDATION 916 PACIFIC AVE EVERETT WA 98201 911041617 501(C)(3) 13000 0 SPONSORSHIP AMER CANCER SOC CANCER ACT NET 3380 CHASTAIN MEADOWS PKY NW 200 KENNESAW GA 30144 131788491 501(C)(3) 11500 0 SPONSORSHIP ACCESS ALASKA INC 1217 E 10TH AVE ANCHORAGE AK 995014003 920089550 501(C)(3) 10000 0 SPONSORSHIP CHILDRENS HOME SOCIETY OF WASHINGTON 12360 LAKE CITY WAY NE 100 SEATTLE WA 981255447 910575955 501(C)(3) 10000 0 SPONSORSHIP MARCH OF DIMES INC PO BOX 5141 BOONE IA 50950 131846366 501(C)(3) 10000 0 SPONSORSHIP THE CITY GATE 170 S MADISON STREET SPOKANE WA 99201 522272180 501(C)(3) 10000 0 SPONSORSHIP THE SAFE CROSSINGS FOUNDATION 4210 SW OREGON ST UNIT H SEATTLE WA 981164236 752992774 501(C)(3) 10000 0 SPONSORSHIP UNITED WAY OF SPOKANE COUNTY 920 NORTH WASHINGTON STREET SUITE 100 SPOKANE WA 99201 910606058 501(C)(3) 10000 0 SPONSORSHIP WALLA WALLA COUNTY TREASURER 500 W MAIN ST WALLA WALLA WA 99362 GOVT 10000 0 SPONSORSHIP SUNSET EMPIRE PARK & RECREATION DISTRICT FOUNDATION 1140 BROADWAY ST SEASIDE OR 971387853 931251337 501(C)(3) 9000 0 SPONSORSHIP LITTLE SPARROW PREGNANCY CARE CENTER 106 CHENEGA AVENUE VALDEZ AK 996860000 352691661 501(C)(3) 8528 0 SPONSORSHIP LIGHT A LAMP 18203 N ASTOR CT COLBERT WA 990059815 833927580 501(C)(3) 8000 0 SPONSORSHIP GREATER ISSAQUAH CHAMBER OF COMMERCE 155 NW GILMAN BLVD ISSAQUAH WA 980272408 916056410 501(C)(6) 7500 0 SPONSORSHIP HOPE STREET PO BOX 2001 WALLA WALLA WA 99362 833052347 501(C)(3) 6000 0 SPONSORSHIP SOS HEALTH SERVICES OF WALLA WALLA 1200 SE 12TH ST COLLEGE PLACE WA 993241827 731626280 501(C)(3) 6000 0 SPONSORSHIP THE STAR PROJECT 321 WELLINGTON AVENUE WALLA WALLA WA 99362 823137281 501(C)(3) 6000 0 SPONSORSHIP TRILOGY RECOVERY COMMUNITY 120 E BIRCH ST STE 14 WALLA WALLA WA 993623054 320303794 501(C)(3) 6000 0 SPONSORSHIP WALLA WALLA SENIOR CITIZENS CENTER INC 720 SPRAGUE AVE WALLA WALLA WA 993623953 910874461 501(C)(3) 6000 0 SPONSORSHIP ST PAUL RODEO ASSOCIATION PO BOX 175 ST PAUL OR 971370175 930480174 501(C)(4) 6000 0 SPONSORSHIP SPOKANE TRIBAL NETWORK PO BOX 390 WELLPINIT WA 990400390 455319560 501(C)(3) 5949 0 SPONSORSHIP DOWNTOWN SEATTLE ASSOCIATION 1809 7TH AVE STE 900 SEATTLE WA 981011330 910681761 501(C)(4) 5500 0 SPONSORSHIP CHAMBER OF MEDFORD JACKSON COUNTY 101 E 8TH ST MEDFORD OR 975017201 930197580 501(C)(6) 5050 0 SPONSORSHIP 105 4 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT/CEO 1968391 0 6173417 0 448548 0 519036 0 15992 0 9125384 0 409440 0 GREG HOFFMAN EVP & CFO/TREASURER 1402471 0 2154592 0 323161 0 377326 0 13379 0 4270929 0 239249 0 DINELLI MONSON CHIEF MEDICAL OFF. CLINICAL NETWORK 327784 0 71029 0 3015336 0 5175 0 8955 0 3428279 0 0 0 GREG TILL CHIEF PEOPLE OFFICER 952307 0 1746490 0 228826 0 369067 0 13936 0 3310626 0 185054 0 WASIF RASHEED CHIEF REV & GROWTH OFF. - THRU 4/24 238066 0 1556981 0 1369447 0 7763 0 5811 0 3178068 0 728040 0 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 1053930 0 1511654 0 44947 0 284757 0 387 0 2895675 0 0 0 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 1034912 0 1223256 0 253811 0 302494 0 15342 0 2829815 0 210040 0 ELIZABETH WAKO PRESIDENT AND CEO - SWEDISH 1023582 0 1290002 0 197438 0 285246 0 24569 0 2820837 0 135015 0 HODA ASMAR MD EVP SYSTEM CHIEF CLINICAL OFFICER 948833 0 1243643 0 482788 0 15525 0 7080 0 2697869 0 452265 0 ALI SANTORE CHIEF ADMIN OFFICER 873865 0 1415886 0 130518 0 247193 0 28896 0 2696358 0 129378 0 KEVIN BROOKS DIVISION CHIEF EXEC - NORTH 984701 0 1048494 0 190276 0 273584 0 15271 0 2512326 0 165565 0 MICHAEL MARSHALL PCN CHIEF EXECUTIVE - NORTH 255813 0 434948 0 1791258 0 15525 0 573 0 2498117 0 227396 0 LAUREEN DRISCOLL RN DIVISION CHIEF EXECUTIVE - SOUTH 1069196 0 973551 0 43773 0 300285 0 9435 0 2396240 0 0 0 JEFF STOLTE SENIOR PARTNER PROVIDENCE VENTURES 512600 0 1709310 0 105124 0 10350 0 9766 0 2347150 0 79502 0 SARA VAEZY EVP CHIEF STRATEGY AND DIGITAL OFF. 772967 0 1074642 0 85340 0 212822 0 8800 0 2154571 0 66111 0 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 680665 0 589341 0 174868 0 248928 0 15211 0 1709013 0 169967 0 PK KHURANA CHIEF STRATEGY OFF. - CARE DELIVERY 748708 0 550368 0 122449 0 227148 0 16328 0 1665001 0 98309 0 SCOTT O'BRIEN CHIEF EXEC EASTERN WA/MT 643260 0 593276 0 204480 0 198155 0 3461 0 1642632 0 162130 0 SUSAN HUANG CHIEF EXECUTIVE - PCN 791843 0 431716 0 91626 0 219236 0 14044 0 1548465 0 67485 0 GUY HUDSON MD FORMER DIVISION CE - NORTH 0 0 0 0 1311149 0 0 0 0 0 1311149 0 0 0 ELLA GOSS REGIONAL CHIEF EXEC - AK 590441 0 444922 0 140539 0 31050 0 27210 0 1234162 0 112637 0 MARYBETH FORMBY DIVISION CFO - NORTH 538948 0 339158 0 93673 0 98125 0 30616 0 1100520 0 79938 0 JIM WATSON ESQ ASSISTANT SECRETARY 494455 0 358832 0 102636 0 110879 0 17651 0 1084453 0 77014 0 RAFA MARTINEZ-CHAPMAN SVP TREASURER 578999 0 282927 0 2622 0 163699 0 15679 0 1043926 0 0 0 DARIN GOSS CHIEF EXEC SOUTH PUGET SOUND 441065 0 289322 0 142092 0 137063 0 15969 0 1025511 0 116599 0 KRISTY CARRINGTON CHIEF EXEC NORTH PUGET SOUND 495896 0 280471 0 53436 0 153098 0 14876 0 997777 0 52216 0 MELISSA DAMM DIVISION CFO - CENTRAL 490816 0 308232 0 64662 0 106358 0 3569 0 973637 0 54308 0 JIM MARTIN ASSISTANT TREASURER 463263 0 290109 0 66993 0 88541 0 8347 0 917253 0 64532 0 SUSAN STACEY CHIEF EXEC SACRED HEART MEDICAL CTR 402105 0 196678 0 153238 0 147516 0 13734 0 913271 0 106040 0 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 MIKE DENNEY CHIEF REAL ESTATE OFFICER 408733 0 212050 0 63835 0 93225 0 8629 0 786472 0 57630 0 RYAN THOMPSON SVP CHIEF REV CYCLE OFFICER 478125 0 150808 0 25622 0 93054 0 17686 0 765295 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 287131 0 28005 0 1418 0 14332 0 4600 0 335486 0 0 0 MARY CRANSTOUN FRMR SVP TOTAL REWARDS - TALENT ACQ 0 0 0 0 333252 0 0 0 0 0 333252 0 0 0 PRESTON SIMMONS FRMR SVP CHIEF EXEC AK REGION 0 0 0 0 197952 0 0 0 0 0 197952 0 0 0 MIKE WATERS FRMR EVP AMBULATORY CARE NETWORK 0 0 0 0 180020 0 0 0 0 0 180020 0 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO, ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W- 2. KRISTY CARRINGTON - $3,186 MELISSA DAMM - $1,385 P.K. KHURANA - $1,516 SCOTT O'BRIEN - $1,698 THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE.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, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: GUY HUDSON, M.D. - $ 1,311,149 JO ANN ESCASA-HAIGH - $879,466 MARY CRANSTOUN - $333,252 MIKE WATERS - $180,020 PRESTON SIMMONS - $197,952 DINELLI MONSON - $3,000,000 WASIF RASHEED - $585,635 MICHAEL MARSHALL - $1,500,000 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 JOEL GILBERTSON - $210,040 WASIF RASHEED - $728,040 GREG TILL - $185,054 KEVIN BROOKS - $165,565 ALI SANTORE - $129,378 SCOTT O'BRIEN - $162,130 P.K. KHURANA - $98,309 SARA VAEZY - $66,111 SYLVAIN TREPANIER - $169,967 ELLA GOSS - $112,637 MARYBETH FORMBY - $79,938 JIM WATSON, ESQ - $77,014 DARIN GOSS - $116,599 KRISTY CARRINGTON - $52,216 MELISSA DAMM - $54,308 JIM MARTIN - $64,532 ELIZABETH WAKO - $135,015 HODA ASMAR, MD - $452,265 MICHAEL MARSHALL - $227,396 JEFF STOLTE - $79,502 SUSAN STACEY - $106,040 IVETTE DE RUBENS LARRONDOBUNO - $49,990 MIKE DENNEY - $57,630 SUSAN HUANG - $67,485 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 5321455 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 1380625 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 700649 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 548500 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 358293 MED. SVCS 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS SERVING SOUTH PUGET SOUND, WASHINGTON GRADUATE MEDICAL AND PHARMACY EDUCATION PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS HOST GRADUATE MEDICAL EDUCATION (GME) AND PHARMACY RESIDENCY PROGRAMS TO HELP EXPAND AND STRENGTHEN THE CLINICAL WORKFORCE, CREATING GREATER ACCESS TO CARE. IN 2024, MORE THAN 30 PHYSICIAN AND PHARMACY RESIDENTS AT PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS CARED FOR MORE THAN 15,000 PATIENTS, THE VAST MAJORITY OF WHICH WERE UNINSURED OR UNDERINSURED WITH LIMITED OPTIONS FOR MEDICAL CARE, INCLUDING IN RURAL, MEDICALLY UNDERSERVED AREAS. EXAMPLES OF THESE PROGRAMS INCLUDE: - IN THURSTON COUNTY, 21 PROVIDENCE ST. PETER FAMILY MEDICINE RESIDENTS PROVIDED CARE TO UNHOUSED INDIVIDUALS IN ENCAMPMENTS THROUGH ROTATIONS IN THE PROVIDENCE MOBILE OUTREACH PROGRAM AND AN ASSOCIATED PARNERSHIP WITH OLYMPIC HEALTH & RECOVERY SERVICES' HOMELESS OUTREACH AND STABILIZATION TEAM. - IN OLYMPIA, WASH., RESIDENTS PROVIDED CARE IN THE PROVIDENCE ST. PETER FAMILY MEDICINE ADOLESCENT OBSTETRICS TEEN PREGANCY CLINIC. THEY FACILITATED 25 SESSIONS OF A PRENATAL CARE PROGRAM THAT INCORPORATED GROUP-BASED, RESIDENT-LED EDUCATION IN PREGNANCY AND NEWBORN CARE AND FACILITATION OF PEER SUPPORT, SERVING ADOLESCENT PARENTS, FAMILY MEMBERS, SUPPORT PERSONS AND CAREGIVERS. - AFFILIATED WITH PROVIDENCE CENTRALIA HOSPITAL, THE PROVIDENCE CHEHALIS FAMILY MEDICINE RURAL CARE TRAINING PROGRAM EDUCATES AND GIVES PRACTICAL EXPERIENCE TO PROVIDERS WHO ARE COMMITTED TO PRACTICING FULL-SPECTRUM FAMILY MEDICINE IN RURAL COMMUNITIES. * IN 2024, 10 RURAL CARE TRAINING PROGRAM RESIDENTS PROVIDED CARE FOR AN UNDERSERVED POPULATION BY ROTATING AT A MED FIRST CLINIC, IDENTIFYING PATIENTS FOR PROVIDENCE CHEHALIS FAMILY MEDICINE'S MEDICATION ASSISTED TREATMENT PROGRAM. PATIENTS THEN RECEIVED TREATMENT AT CHEHALIS FAMILY MEDICINE FOR SUBSTANCE USE/MISUSE AND WERE LINKED WITH A PRIMARY CARE PROVIDER AT THE PRACTICE. * THESE 10 RESIDENTS ALSO WORKED DIRECTLY WITH PARTICIPANTS OF THE LEWIS COUNTY THERAPEUTIC DRUG COURT PROGRAM, WHICH WORKS WITH ADULTS WITH SIGNIFICANT NEEDS FOR SUBSTANCE USE DISORDER AND/OR CO-OCCURRING TREATMENT SERVICES. RESIDENTS HELPED PATIENTS IMPROVE THEIR BEHAVIORAL HEALTH AND ACHIEVE THE GOALS OF THEIR TREATMENT PLANS. THROUGH RESIDENCY PROGRAMS HOSTED AT PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS, CLINICAL TRAINEES ARE ADDING CRITICAL CAPACITY TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES WE SERVE. NURSE NAVIGATOR PROGRAM: NURSE NAVIGATORS HELP IMPROVE THE OVERALL PATIENT EXPERIENCE AND SERVE AS GUIDES THROUGHOUT ONE'S CARE JOURNEY. AT PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS, THE NURSE NAVIGATOR PROGRAM ALLOWS PATIENTS DIAGNOSED WITH CANCER AND THEIR CAREGIVERS TO FOCUS ON GETTING WELL. NAVIGATORS ACT AS ADVOCATES, WORKING DIRECTLY WITH PATIENTS' CARE TEAMS AND HELPING PATIENTS NAVIGATE THEIR TREATMENT. THE HOSPITALS' FOUR DEDICATED NAVIGATORS SUPPORT THOSE DIAGNOSED WITH THORACIC, BREAST, HEAD AND NECK, GASTROINTESTINAL AND GENITOURINARY (OR UROGENITAL) CANCERS. IN 2024, THE NURSE NAVIGATOR PROGRAM BENEFITED MORE THAN 800 PATIENTS, INCLUDING INDIVIDUALS WHO WERE UNINSURED, UNDERINSURED, OR OTHERWISE UNABLE TO PAY FOR CARE. SOME OF THE SERVICES NAVIGATORS PROVIDE INCLUDE: - CONSULTING WITH PATIENTS AND THEIR FAMILIES TO ASSESS MEDICAL AND EMOTIONAL NEEDS - COORDINATING CANCER SUPPORT GROUPS - COORDINATING SUPPORTIVE CARE APPOINTMENTS THROUGHOUT THE CARE JOURNEY SPECIAL CARE NURSERY PROVIDENCE ST. PETER HOSPITAL OPERATES A 13-BED SPECIAL CARE NURSERY DEDICATED TO THE HEALTH AND TREATMENT OF BABIES BORN PREMATURELY AND/OR WITH COMPLEX MEDICAL CONDITIONS. IT IS ONE OF THE ONLY LEVEL 2 NEONATAL CARE NURSERIES IN THE REGION AND SERVES BABIES FROM MULTIPLE COUNTIES THROUGHOUT THE SOUTH PUGET SOUND AREA AND SOUTHWEST WASHINGTON. THE SPECIAL CARE NURSERY HELPS ENSURE BABIES RECEIVE AROUND-THE-CLOCK ATTENTION AND TREATMENT TAILORED TO THEIR SPECIFIC MEDICAL NEEDS, PROVIDED BY A TEAM OF DEDICATED CAREGIVERS, INCLUDING SPECIALIZED NURSES, HOSPITALISTS, PEDIATRICIAN AND A RESPIRATORY THERAPY TEAM. IN 2024, THE SPECIAL CARE NURSERY HELPED CARE FOR 262 BABIES AND EXPANDED ACCESS TO HIGHLY SPECIALIZED CARE FOR THOSE FROM ACROSS THE REGION, INCLUDING FAMILIES WHO WERE UNINSURED, UNDERINSURED OR OTHERWISE UNABLE TO PAY FOR THEIR CHILD'S OR DEPENDENTS' CARE. PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, SERVING NORTH PUGET SOUND: AT PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. OUR VISION OF HEALTH FOR A BETTER WORLD STARTS WITH A CLEAR UNDERSTANDING OF AND RESPONSE TO THE NEEDS OF OUR NEIGHBORS -- ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. ALONG WITH OUR PARTNERS, WE ARE BUILDING COMMUNITIES THAT PROMOTE AND TRANSFORM HEALTH AND WELLBEING. GRADUATE MEDICAL EDUCATION: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT HOSTS GRADUATE MEDICAL EDUCATION (GME) PROGRAMS THAT HELP EXPAND AND STRENGTHEN THE CLINICAL WORKFORCE AND CREATE GREATER ACCESS TO CARE, ESPECIALLY FOR THOSE WHO ARE VULNERABLE AND UNDERSERVED. THROUGH GME PROGRAMS HOSTED AT PRMCE, CLINICAL TRAINEES ARE ADDING CRITICAL CAPACITY TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES PRMCE SERVES. IN 2024, WITH THE HELP OF OVER 600 LEARNERS (INCLUDING 76 PHYSICIAN RESIDENTS, 341 MEDICAL AND ALLIED HEALTH STUDENTS, 165 PARAMEDIC/EMT STUDENTS, 4 PHARMACY RESIDENTS AND 5 RESIDENT NURSE ANESTHETISTS) PROVIDENCE REGIONAL MEDICAL CENTER EVERETT MEDICAL RESIDENTS CARED FOR 7,986 PATIENTS, REACHING SOME OF THE COMMUNITY'S MOST VULNERABLE AND UNDERSERVED POPULATIONS. THROUGH A PARTNERSHIP WITH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, WASHINGTON STATE UNIVERSITY INTERNAL MEDICINE RESIDENCY PROGRAM, AND LAHAI HEALTH CLINIC, THE LARGEST AND ONLY FREE COMPREHENSIVE PRIMARY CARE CLINIC SERVING PEOPLE WHO ARE UNINSURED AND LIVING ON LOW INCOMES IN THE PUGET SOUND, MEDICAL RESIDENTS DONATE THEIR TIME AND TALENTS TO CARE FOR OUR COMMUNITY AND ENSURE THAT EVERYONE HAS ACCESS TO QUALITY CARE. THESE RESIDENTS WORK ALONGSIDE OTHERS WHO SHARE A DESIRE TO FIND SOLUTIONS FOR THOSE WHO ARE MOST VULNERABLE AND UNDERSERVED. PROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE FOR MORE THAN 40 YEARS, PROVIDENCE SWEDISH HAS SUPPORTED NORTH PUGET SOUND VICTIMS OF ASSAULT, ABUSE AND NEGLECT THROUGH THEPROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE (PICAA). IN 2024, PICCA SERVED MORE THAN 1,000 PATIENTS. IN 2024, PICAA PROVIDED 1,059 EXAMS, CARING FOR THOSE IMPACTED BY DOMESTIC VIOLENCE, SEXUAL ASSAULT OR WERE VICTIMS OF A CRIME. IN ADDITION, THEY PROVIDED HEALING SPACES THROUGH 43 SUPPORT GROUPS AND COMMUNITY EDUCATION/OUTREACH EVENTS THAT REACHED OVER 1,053 PARTICIPANTS. PICAA IS CO-LOCATED IN EVERETT, WASH., WITHDAWSON PLACE, A NONPROFIT CHILD ADVOCACY CENTER IN EVERETT, WASHINGTON. TOGETHER, TEAMS CONDUCT SIMULTANEOUS INVESTIGATIONS AND CARE TO REDUCE TRAUMA FOR CHILDREN AND ADULTS WHO HAVE EXPERIENCED PHYSICAL, EMOTIONAL OR SEXUAL VIOLENCE. PICAA'S STRONG COMMUNITY PARTNERSHIPS ALLOW IT TO SERVE PATIENTS, INCLUDING MILITARY AND TRIBAL POPULATIONS, AT MULTIPLE HOSPITALS THROUGHOUT THE REGION. RECENTLY, PICAA WAS DESIGNATED AS A FORENSIC NURSING CENTER OF EXCELLENCE-ONE OF ONLY FOUR SITES IN THE UNITED STATES RECEIVING THE HONOR, AND THE ONLY NOT-FOR-PROFIT, HOSPITAL-BASED LOCATION SELECTED. THE DESIGNATION RECOGNIZES PICAA'S EXEMPLARY REPUTATION FOR SUPPORTING VICTIMS OF ABUSE AND ALLOWS THE CENTER TO BECOME A TRAINING HUB, DEVELOPING MORE FORENSIC NURSES TO SUPPORT ABUSE VICTIMS IN THEIR OWN COMMUNITIES. REHABILITATION THERAPY: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT'S REHABILITATION THERAPY CLINIC PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES IN ONE LOCATION. PATIENTS WITH COMPLEX NEUROLOGICAL IMPAIRMENTS RECEIVE COORDINATED SERVICES BETWEEN OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH LANGUAGE PATHOLOGY. IN 2024, PRMCE'S REHABILITATION THERAPY CLINIC SERVED 1,594 PATIENTS, WITH 25 PERCENT OF THESE PATIENTS RECEIVING CARE FROM MULTIPLE DISCIPLINES. PRMCE'S REHABILITATION THERAPY PROGRAM CARES FOR A HIGH PERCENTAGE OF PERSONS WHO ARE VULNERABLE, DISADVANTAGED AND FACE BARRIERS TO ACCESSING SERVICES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): ACCESS TO FRESH NUTRIENT DENSE FRUITS/VEGETABLES: IN 2024, PROVIDENCE MOUNT CARMEL IN COLVILLE AND PROVIDENCE ST. JOSEPH'S IN CHEWELAH, BOTH LOCATED IN RURAL STEVENS COUNTY IN WASHINGTON, CONTINUED THEIR PARTNERSHIP WITH PROVIDENCE NORTHEAST WASHINGTON HUNGER COALITION (NEWHC). THIS PARTNERSHIP SUPPORTS NEWHC'S WORK TO REDUCE FOOD INSECURITY AND INCREASE ACCESS TO HEALTHY FRESH PRODUCE FOR VULNERABLE POPULATIONS IN RURAL NORTHEAST COUNTY REGION. IN 2024 NEWHC'S FARM TO FOOD PANTRY PROGRAM DELIVERED OVER 60,000 POUNDS OF LOCALLY GROWN PRODUCE TO FOOD PANTRIES. NEWHC ALSO USED STAFF AND VOLUNTEERS TO TEACH AND EQUIP FOOD PANTRY CLIENTS TO VEGETABLE GARDEN AT NO CHARGE IN A PROGRAM CALLED 'GROW YOUR OWN ROW. THE PROGRAM EQUIPPED 392 PEOPLE IN 2024. THIS PROGRAM INVESTS IN INDEPENDENCE, IMPROVES LIFESTYLE AND CONTRIBUTES TO OVERALL HUMAN HEALTH. THEORGANIZATION SERVED 8,880 UNDUPLICATED INDIVIDUALS IN 2024. REMOVING BARRIERS OF CARE: PROVIDENCE INLAND NORTHWEST WASHINGTON SUPPORTED SHADES OF MOTHERHOOD NETWORK, A SPOKANE-BASED NON-PROFIT DEDICATED TO ENHANCING THE BIRTHING EXPERIENCES OF BLACK BIRTHING INDIVIDUALS AND THEIR FAMILIES. THIS SUPPORT WENT TO THE ORGANIZATION'S COMMUNITY-BASED DOULA PROGRAM. THE SPOKANE-BASED DOULA PROGRAM IS CENTRAL TO SHADES OF MOTHERHOOD NETWORK'S MISSION OF CREATING A MORE DIVERSE HEALTH CARE WORKFORCE AND ENSURING CULTURALLY COMPETENT CARE FOR FAMILIES. THE PROGRAM FOCUSES ON RECRUITING, HIRING, TRAINING AND MENTORING DOULAS FROM UNDERREPRESENTED COMMUNITIES. WITH SUPPORT FROM PROVIDENCE, THE ORGANIZATION WAS ABLE TO PROVIDE ESSENTIAL RESOURCES SUCH AS EQUIPMENT, CERTIFICATION TRAINING AND COMPENSATION FOR DOULAS, ENSURING THEY CAN CONTINUE TO OFFER INVALUABLE SUPPORT TO BIRTHING INDIVIDUALS. IN 2024, THE COMMUNITY-BASED DOULA PROGRAM PROVIDED CARE TO 145 FAMILIES, SIGNIFICANTLY IMPROVING BIRTH OUTCOMES AND OFFERING EMOTIONAL AND PHYSICAL SUPPORT DURING THIS CRITICAL TIME. FOUNDATIONS OF HEALTH, COMMUNITY RESILIENCE: PROVIDENCE INLAND NORTHWEST WASHINGTON PROUDLY PARTNERED WITH SLEEP IN HEAVENLY PEACE, A DEDICATED SPOKANE-BASED NON-PROFIT WITH A POWERFUL MISSION: TO ENSURE THAT NO CHILD IN OUR COMMUNITY SLEEPS ON THE FLOOR. THE 2024 FUNDING SUPPORT MADE IT POSSIBLE THAT A TEAM OF VOLUNTEERS COULD BUILD AND DELIVER FULLY FURNISHED TWIN-SIZED BEDS TO LOCAL FAMILIES IN NEED. THE IMPORTANCE OF HAVING A COMFORTABLE AND SAFE PLACE TO SLEEP FOR A CHILD'S WELL-BEING CANNOT BE OVERSTATED. MANY FAMILIES FACING POVERTY OR OTHER CRISES ARE UNABLE TO PROVIDE THIS NECESSITY. AT SLEEP IN HEAVENLY PEACE, THE BELIEF IS CLEAREVERY CHILD DESERVES A GOOD NIGHT'S SLEEP AND THE OPPORTUNITY TO SUCCEED. THIS ORGANIZATION IS STEADFAST IN ITS COMMITMENT TO MAKING THIS A REALITY FOR AS MANY CHILDREN AS POSSIBLE, BUILDING BEDS FOR ANY CHILD BETWEEN THE AGES OF 3-17 YEARS OLD WITHOUT A BED OF THEIR OWN. THIS PROGRAM SERVED 181 INDIVIDUALS IN 2024. FOR MORE INFORMATION GO TO: HTTPS://SHPBEDS.ORG/CHAPTER/WA-SPOKANE/ HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/WA/INHS FREE AND DISCOUNTED HEALTH CARE - PROVIDENCE COMMUNITY CLINIC SERVES THE MOST VULNERABLE COMMUNITY MEMBERS: PROVIDENCE COMMUNITY CLINIC LOCATED IN DOWNTOWN SPOKANE, WASHINGTON CONTINUED TO SERVE THE MOST VULNERABLE COMMUNITY MEMBERS IN 2024. THE CLINIC EMBODIES THE PROVIDENCE MISSION BY PROVIDING COMPASSIONATE SERVICE TO PEOPLE WITH UNMET HEALTH CARE NEEDS. THE PROVIDENCE COMMUNITY CLINIC OPERATES AT A FINANCIAL LOSS TO THE HOSPITAL TO ENSURE THAT CARE IS AVAILABLE TO PEOPLE WHO ARE UNINSURED/UNDER-INSURED OR EXPERIENCING CHRONIC HOMELESSNESS. THIS CLINIC CARES FOR MORE THAN 1,400 PEOPLE EVERY YEAR. TRANSITIONAL RESPITE CARE: IN 2024, PROVIDENCE CONTINUED OUR PARTNERSHIP WITH CATHOLIC CHARITIES HOUSE OF CHARITY AND VOLUNTEERS OF AMERICA- HOPE HOUSE (VOA) IN SPOKANE, WASHINGTON TO CREATE A TRANSITIONAL RESPITE CARE PROGRAM. THIS PROGRAM PROVIDES TRANSITIONAL RESPITE TO HELP PEOPLE EXPERIENCING HOMELESSNESS RECOVER FROM ACUTE MEDICAL ISSUES VIA 24/7 SHELTER, MEALS, TRANSPORTATION, AND MEDICAL SERVICES. CATHOLIC CHARITIES HOUSE OF CHARITY IMPLEMENTED AN EFFECTIVE WORKFLOW IN STAGES WITH PROVIDENCE COMMUNITY CLINIC, MEETING THE NEEDS OF THE CLINIC, HOSPITAL SOCIAL WORKERS, AND THE CLIENTS THEMSELVES. AT VOLUNTEERS OF AMERICA HOPE HOUSE PROVIDED RESPITE TO WOMEN WHO WOULD OTHERWISE EXIT HOSPITAL TO THE STREET OR SHELTER. DESIGNATED CASE MANAGEMENT OFFERS EVIDENCE BASED PRACTICES LIKE HARM REDUCTION AND MOTIVATIONAL INTERVIEWING. CASE MANAGEMENT'S MAIN FUNCTION IS TO ASSIST WOMEN IN FINDING HOUSING AFTER THEY EXIT THE PROGRAM. SINCE THE BEGINNING OF THE FUNDING PROVIDED FROM PROVIDENCE, VOA'S RESPITE PROGRAM PROVIDED CARE AND SERVICES TO 38 UNDUPLICATED INDIVIDUALS. IN ADDITION TO ADDRESSING HOUSING NEEDS, WE MADE SUBSTANTIAL PROGRESS IN CONNECTING PARTICIPANTS TO CRITICAL HEALTHCARE RESOURCES. SPECIFICALLY, 90% OF INDIVIDUALS SERVED THROUGH THE RESPITE PROGRAM WERE SUCCESSFULLY ENROLLED IN HEALTH INSURANCE, AND 68% WERE CONNECTED TO A PRIMARY CARE PROVIDER, ENSURING THEY HAVE ACCESS TO ONGOING MEDICAL CARE. THESE ACCOMPLISHMENTS REFLECT THE PROGRAM'S ABILITY TO SUPPORT PARTICIPANTS IN ADDRESSING BOTH IMMEDIATE AND LONG-TERM NEEDS, DESPITE EXTERNAL CHALLENGES. HEALTH JUSTICE INITIATIVE A MEDICAL LEGAL PARTNERSHIP: WITH A $150,000 GRANT FROM PROVIDENCE SACRED HEART MEDICAL CENTER, THE HEALTH JUSTICE INITIATIVE-MEDICAL LEGAL PARTNERSHIP ALLOWED NORTHWEST JUSTICE PROJECT (NJP) TO CONTINUE THE HEALTH JUSTICE INITIATIVE (HJI) IN SPOKANE. AS OF 2024, THE INITIATIVE WAS STILL THE FIRST AND ONLY MEDICAL-LEGAL-PARTNERSHIP SERVING EASTERN WASHINGTON. THE MEDICAL-LEGAL PARTNERSHIP MODEL SERVES TO ADDRESS HEALTH-HARMING CIVIL-LEGAL NEEDS. NJP PROVIDED DIRECT LEGAL SERVICES, TRAINED PARTNERS, MADE APPROPRIATE REFERRALS TO PRIVATE ATTORNEYS AND SPECIFIC TEAMS WITHIN NJP. 340 PEOPLE WERE REFERRED TO THE HJI IN 2024, WITH 50 OF THESE REFERRALS BEING RELATED TO TRIBAL LAW. HJI PARTICIPATED IN FOUR COMMUNITY CLINICS. THREE OF THESE CLINICS WERE DESIGNED TO PROVIDE CLIENTS WITH AN HOUR OF LEGAL ADVICE, PERHAPS LIMITED DRAFTING OR THIRD PARTY CONACT, SELF-ADVOCACY METEIRALS, AND THEN THEN THE CASE IS CLOSED. HJI NEGOTIATED FAVORABLE RESOLUTIONS FOR CLIENTS WITH PENDING COURT ACTIONS IN DOUBLE THE NUMBER FROM THE PRIOR GRANT PERIOD. HJI IS AND WILL CONTINUE TO BE AVAILABLE AND ACCESSIBLE FOR CLINICS IN THE MARGINALIZED NATIVE AMERICAN COMMUNITIES, INCLUDING THE NEWLY ESTABLISHED CLINIC AT THE AMERICAN INDIAN COMMUNITY CENTER. IN-PERSON CONTACT CONTINUES TO RESUME IN VIRTUALLY ALL SPACES, INCLUDING NJP'S SPOKANE, COLVILLE AND PULLMAN OFFICES. COURT APPEARANCES AND CLINICS ARE ALL IN-PERSON WITH MORE AND MORE CLIENT APPOINTMENTS BEING HELD IN-PERSON. HOWEVER, MANY ORGANIZATIONS OFFER VIRTUAL MEETINGS, AS DOES HJI, TO ENSURE EASY ACCESSIBILITY AND TO ACCOMMODATE CLIENT NEEDS. EMERGENCY DEPARTMENT DIVERSION SERVICES: KEY FUNDING WAS PROVIDED TO SPOKANE TREATMENT AND RECOVERY SERVICES (STARS) TO PROVIDE PROVIDENCE WITH A DEDICATED EMERGENCY DEPARTMENT (ED) DIVERSION TEAM MADE UP OF CARE COORDINATORS AND BEHAVIORAL HEALTH TECHNICIANS. THIS TEAM RESPONDED WHEN INDIVIDUALS PRESENTED AT THE ED WITH NON-EMERGENT BIOMEDICAL ISSUES AND SCREENED FOR BEHAVIORAL HEALTH CONCERNS THAT WOULD BE BETTER TREATED AT A LOWER LEVEL OF CARE SPECIFIC TO MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT OR TRIAGE SERVICES. SECURE TRANSPORTATION WAS ALSO PROVIDED. IN 2024, DIVERSION SERVICES WERE PROVIDED TO 1,300 PATIENTS, WITH 60% OF THOSE SERVED DIVERTED TO WITHDRAWAL MANAGEMENT AND/OR TREATMENT SERVICES. DIVERSION SERVICES ALSO INCLUDED WRAP-AROUND SERVICES WITH SCREENING, EXTENSIVE CASE MANAGEMENT, NAVIGATING BARRIERS, ADVOCACY, AND RESERVED BEDS FOR PATIENTS. STREET MEDICINE PROGRAM: IN 2024, PROVIDENCE SUPPORTED COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) IN IMPLEMENTING A STREET MEDICINE PROGRAM TO PROVIDE CARE TO PEOPLE WHO ARE UNSHELTERED OR UNSTABLY HOUSED IN SPOKANE. THE STREET MEDICINE PROVIDERS HAVE A WEEKLY ROTATION TO COVER DOWNTOWN SHELTERS, SOCIAL SERVICE ORGANIZATIONS INCLUDING CATHOLIC CHARITIES, ADDICTION RECOVERY SERVICES, AND HUD HOUSING SITES. IN 2024, 2,429 UNDUPLICATED PEOPLE WERE SERVED BY A TEAM OF PHYSICIANS, PHYSICIAN ASSISTANTS, RN, NURSE PRACTITIONER AND MEDICAL ASSISTANTS. OF THE 2,429 PEOPLE SERVED IN 2024, 40% OR 720 OF THOSE HAD NOT RECEIVED CARE FROM THE STREET MEDICINE TEAM IN THE PRIOR TWO YEARS. FOR MORE INFORMATION ABOUT PROVIDENCE WASHINGTON GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON FOR MORE INFORMATION ABOUT PROVIDENCE ALASKA GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/ALASKA FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - WASHINGTON'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE DEPARTMENT OF LEGAL AFFAIRS. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR 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 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 IX, LINE 11G AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 88,148,312. MANAGEMENT AND GENERAL EXPENSES 63,759,751. FUNDRAISING EXPENSES 45,586. TOTAL EXPENSES 151,953,649. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 22,709,157. MANAGEMENT AND GENERAL EXPENSES 16,426,068. FUNDRAISING EXPENSES 11,744. TOTAL EXPENSES 39,146,969. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 117,920,930. MANAGEMENT AND GENERAL EXPENSES 85,294,987. FUNDRAISING EXPENSES 60,983. TOTAL EXPENSES 203,276,900. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 142,689,084. MANAGEMENT AND GENERAL EXPENSES 103,210,377. FUNDRAISING EXPENSES 73,792. TOTAL EXPENSES 245,973,253. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 536,084,228. MANAGEMENT AND GENERAL EXPENSES 387,762,355. FUNDRAISING EXPENSES 277,237. TOTAL EXPENSES 924,123,820. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 56,644,860. MANAGEMENT AND GENERAL EXPENSES 40,972,562. FUNDRAISING EXPENSES 29,294. TOTAL EXPENSES 97,646,716. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS 124,955,710. INVESTMENT IN CORPORATE SUBSIDIARIES 102,850,883. CHANGE IN INVESTMENT IN JOINT VENTURE 57,344,550. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -3,872,715. NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -124,197,177. ALASKA HEALTH ALLIANCE WITH PROVIDENCE 3760 PIPER ST ANCHORAGE AK 99508 871348127 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON COMMUNITY CARE ALLIANCE WITH PROVIDENCE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 882688182 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON EXPRESS CARE LLC 800 FIFTH AVE STE 1200 SEATTLE WA 98104 831518217 HEALTHCARE WA 25119977 35617081 PROVIDENCE HEALTH & SERVICES - WASHINGTON HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 271698016 REVENUE CYCLE WA 0 -3174507 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY 2 LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 923751469 REAL ESTATE AK 118565 18863387 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY LLC PO BOX 196606 ANCHORAGE AK 99519 320252199 REAL ESTATE AK 3001112 33240824 PROVIDENCE HEALTH & SERVICES - WASHINGTON LIND HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 INVESTMENTS WA 0 0 PROVIDENCE HEALTH & SERVICES - 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