2025-11-04T08:54:39-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2024-01-01 272305304 SWEDISH EDMONDS SWED 4255253895 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2025-10-30 1 1 ANDREW JAMESON P01894820 7209314000 2025-10-27 2024 2025-03-06 01:10:19Z ELIZABETH WAKO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 320986551 0 X WWW.SWEDISH.ORG X 2010 WA TO IMPROVE THE HEALTH AND WELL-BEING OF EACH PERSON WE SERVE IN SNOHOMISH COUNTY. 12 12 1803 123 0 0 556654 481344 266182992 315674286 5442 10658 3559195 4819084 270304283 320985372 18000 11057 0 0 143772289 189198769 0 0 0 203059976 201389349 346850265 390599175 -76545982 -69613803 267791484 280079454 202408499 197263222 65382985 82816232 X SWEDISH EDMONDS IS PART OF SWEDISH HEALTH SERVICES, A HEALTHCARE SYSTEM COMMITTED TO MEETING THE HEALTH-CARE NEEDS OF SNOHOMISH COUNTY. 0 0 347373615 11057 320301959 SEE SCHEDULE OPROVIDENCEAT 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-REPORTTHROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS. 2024 PROGRAM SERVICE ACCOMPLISHMENTSSWEDISH EDMONDS IS A COMMUNITY HOSPITAL FOUNDED IN 1964 AND LOCATED IN EDMONDS, WASH. THE HOSPITAL HAS 217 LICENSED BEDS, MORE THAN 1,400 CAREGIVERS, AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 450 LOCAL PHYSICIANS. MAJOR PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY INCLUDE THE FOLLOWING: A FULL SCOPE OF MEDICAL AND SURGICAL SERVICES, LEVEL IV TRAUMA EMERGENCY MEDICINE, DIAGNOSTIC, TREATMENT, AND SUPPORT SERVICES. FINANCIAL ASSISTANCE AND MEDICAID:SWEDISH EDMONDS'S FINANCIAL ASSISTANCE PROGRAM AIMS TO IMPROVE THE HEALTH AND WELL-BEING OF EACH PERSON WE SERVE, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. IN 2024, SWEDISH EDMONDS PROVIDED $9M IN FREE AND DISCOUNTED CARE TO THE COMMUNITY. PROVIDENCE BELIEVES THAT HEALTH IS A HUMAN RIGHT. MEDICAID IS A JOINT FEDERAL AND STATE PROGRAM THAT, TOGETHER WITH THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), IS AN ESSENTIAL PART OF THE SAFETY NET WHICH SERVES THE MOST VULNERABLE IN OUR COMMUNITY. IN CY24, THE UNPAID COST OF MEDICAID AND OTHER MEANS TESTED PROGRAMS WAS $14M. IN 2024, SWEDISH EDMONDS CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY WORKING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE A FEW EXAMPLES: MENTAL AND BEHAVIORAL HEALTH: IN SNOHOMISH COUNTY, THERE ARE FEW OPTIONS AVAILABLE FOR ACUTE PSYCHIATRIC CARE, ESPECIALLY FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. AT SWEDISH EDMONDS' INPATIENT PSYCHIATRIC UNIT, PATIENTS WITH SERIOUS MENTAL ILLNESS RECEIVE CRISIS STABILIZATION, MEDICATION MANAGEMENT, SOCIAL WORK AND CARE MANAGEMENT, REGARDLESS OF THEIR ABILITY TO PAY. THE 25-BED UNIT IS EMBEDDED WITHIN THE HOSPITAL, GIVING PATIENTS IN NEED ACCESS TO BOTH MENTAL AND BEHAVIORAL HEALTH CARE AND ACUTE CARE. THE UNIT SERVES ADULT PATIENTS, MANY OF WHOM ARE COVERED BY MEDICAID AND LOW INCOME. IN 2024, THE UNIT SERVED OVER 560 PATIENTS WITH MORE THAN 7,600 DAYS OF CARE PROVIDED. THE UNIT RESPONDS TO IDENTIFIED COMMUNITY HEALTH NEEDS AROUND INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE, SERVES ALL WITHOUT REGARD TO INSURANCE COVERAGE OR ABILITY TO PAY, AND HELPS REDUCE MEDICAL BOARDING BY GETTING PATIENTS IN THE RIGHT SETTING FOR THEIR CARE NEEDS. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON/PUGET-SOUND 347373615 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 62 0 1 1803 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3880224 390705 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0.50 64.50 X 0 2610531 285144 ELIZABETH WAKO PRESIDENT/CEO 1.00 54.00 X 0 2511022 309815 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0.00 55.00 X 0 955923 128530 KRISTY CARRINGTON CE NORTH PUGET SOUND 27.00 28.00 X 0 829803 167974 JIM MARTIN ASSISTANT TREASURER 0.50 54.50 X 0 820365 96888 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 HILARY DOMEIKA ASSISTANT SECRETARY 1.00 54.00 X 0 654816 96626 VITALIY MKRTYCHYAN ULTRASOUND TECHNOLOGIST 50.00 0.00 X 341391 264053 36031 PETER RO PHYSICIAN 50.00 0.00 X 398007 0 37883 DAVID BUNTING ACUTE CARE RN 50.00 0.00 X 363578 0 25660 JASMINE GILL ACUTE CARE RN 50.00 0.00 X 355781 0 26579 FRANCELL VIM ADAN ACUTE CARE RN 50.00 0.00 X 323504 0 22762 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 ALVIN STURDIVANT DIRECTOR 0.50 0.50 X 0 0 0 DIANKHA LINEAR BOARD CHAIR 1.00 1.00 X 0 0 0 KATHLEEN WRIGHT DIRECTOR 0.50 1.50 X 0 0 0 KIMBERLY MORRISSETTE DO DIRECTOR 0.50 0.50 X 0 0 0 KRISTEN SWANSON RN PHD DIRECTOR 0.50 0.50 X 0 0 0 MEREDITH BATY DIRECTOR 0.50 0.50 X 0 0 0 MICHAEL KATZ DIRECTOR 0.50 0.50 X 0 0 0 MONICA POOL KNOX DIRECTOR 0.50 0.50 X 0 0 0 OMAR RIOJAS DIRECTOR 0.50 0.50 X 0 0 0 RAYBURN LEWIS MD DIRECTOR 0.50 0.50 X 0 0 0 RICK CANTU BOARD VICE CHAIR 1.00 1.00 X 0 0 0 ROB ANDREWS DIRECTOR 0.50 0.50 X 0 0 0 1782261 13722757 1643529 619 1 1 0 PACIFIC ANESTHESIA PC 11808 NORTHUP WAY STE W105 BELLEVUE WA 98005 MEDICAL SERVICES 5012804 MACDONALD-MILLER FACILITY SOLUTIONS 17930 INTERNATIONAL BLVD SEATAC WA 98188 REPAIR AND MAINTENANCE SERVICES 2180400 SEIU HEALTHCARE 1199 NW 19823 58TH PL S STE 200 KENT WA 98032 MEDICAL SERVICES 1995459 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 ST LOUIS MO 63131 PAYMENT SERVICES 1790036 WESTERN WA MEDICAL GROUP INC 4225 HOYT AVE STE A EVERETT WA 98203 MEDICAL SERVICES 1143675 38 271474 209870 481344 NET PATIENT REVENUE 622110 315576064 315576064 JV INCOME 900099 67024 67024 OTHER PATIENT SERVICE 900099 31198 31198 315674286 5312 5312 191411 0 191411 191411 191411 6525 1179 5346 5346 5346 INTERAFFILIATE REVENUE 900099 4071610 4071610 CAFETERIA REVENUE 722514 354822 354822 OTHER ADMIN REVENUE 900099 175027 175027 26214 26214 4627673 320985372 320301959 0 202069 11057 11057 149013458 130346121 18667337 10703731 9362844 1340887 18301054 16008429 2292625 11180526 9779910 1400616 372306 325666 46640 37661753 32943759 4717994 6338 5544 794 3860422 3376816 483606 73235 64061 9174 11854190 10369182 1485008 28849 25235 3614 115835 101324 14511 2172373 1900234 272139 5348182 4678200 669982 193582 169331 24251 SYSTEM COST ALLOCATION 87120487 76206657 10913830 MEDICAL SUPPLIES 31954622 31954622 HOSPITAL FEE 13582128 13582128 LICENCES AND TAXES 2637135 2306774 330361 4407912 3855721 552191 390599175 347373615 43225560 0 3601 3600 46959657 60340739 38390892 47288488 2539255 3105333 18403 12700 160054805 96234996 65041339 63819809 3097696 3091284 111740641 102417501 267791484 280079454 22410794 14860979 135867 179997705 182266376 202408499 197263222 X 64836750 82343433 546235 472799 65382985 82816232 267791484 280079454 X -69613803 87047050 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9209 9209 0 SCHEDULE C, PART II-B, LINE 1I THE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE - 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. 62435902 27016634 35419268 20753094 8851264 11901830 71451552 60367098 11084454 5414257 5414257 63819809 RIGHT OF USE OPERATING LEASES 101851808 DUE FROM THIRD PARTY 540512 HOSPITAL FEE/PROVIDER TAX RECEIVEABLE 25181 102417501 CAPITAL LEASE OBLIGATIONS 124412674 I/C - TAX-EXEMPT BOND LIABILITIES 34010518 LONG-TERM MASTER TRUST DEBT 13456870 DUE TO THIRD PARTY 6405586 HOSPITAL FEE/PROVIDER TAX LIABILITY 3361932 OTHER LIABILITIES 618796 182266376 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 9076910 0 9076910 0.02320 74600339 59992410 14607929 0.03740 23761 17318 6443 0.00000 83701010 60009728 23691282 0.06060 214626 0 214626 0.00050 42455 0 42455 0.00010 21819420 14921950 6897470 0.01770 401591 0 401591 0.00100 22478092 14921950 7556142 0.01930 106179102 74931678 31247424 0.07990 1 108288845 159659973 -51371128 X 1 0 1 1 SWEDISH EDMONDS 21601 76TH AVENUE W EDMONDS WA 98026 WWW.SWEDISH.ORG HAC.FS.60183546 X X X SWEDISH EDMONDS 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, PAGE 8 X 1 24 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 SWEDISH EDMONDS 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. SWEDISH EDMONDS PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, PROVIDENCE SWEDISH NORTH PUGET SOUND 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. SWEDISH EDMONDS 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 SWEDISH NORTH PUGET SOUND 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.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-BENEFITS (REFER TO WASHINGTON, EDMONDS SECTION) SWEDISH EDMONDS PART V, SECTION B, LINE 6A: HOSPITAL FACILITIES INCLUDED:- PROVIDENCE REGIONAL MEDICAL CENTER EVERETT SWEDISH EDMONDS PART V, SECTION B, LINE 11: PROVIDENCE SWEDISH NORTH PUGET SOUND IS PROUD TO BE SNOHOMISH COUNTY'S HEALTH PARTNER. TOGETHER, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AND SWEDISH EDMONDS EMBRACE A SHARED RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES WE SERVE. THE LATEST CHNA FOR SWEDISH EDMONDS 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, PROVIDENCE SWEDISH NORTH PUGET SOUND 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: - 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.- 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. 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, SWEDISH EDMONDS 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.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST (REFER TO WASHINGTON, EDMONDS SECTION) SWEDISH EDMONDS PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. SWEDISH EDMONDS PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B, LINE 7A CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS (REFER TO: WASHINGTON, SEATTLE AREA SECTION) HTTPS://WWW.SWEDISH.ORG/ABOUT/COMMUNITY-HEALTH-INVESTMENT PART V, SECTION B, LINE 9 THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT ON MARCH 18, 2025, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST PART V, LINE 16A, FAP WEBSITE: WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE 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: SWEDISH HEALTH SERVICES PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-BENEFITS 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 III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENT:IN ADDITION TO THE CHNA, SWEDISH EDMONDS USES SEVERAL TOOLS TO ASSESS THE HEALTH NEEDS OF COMMUNITIES THEY SERVE. FOR EXAMPLE:SWEDISH 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.SWEDISH 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, SWEDISH EDMONDS USES 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. PART VI, LINE 3: COMMUNICATION TO THE PUBLICSWEDISH 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.SWEDISH HOSPITALS ENSURE 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, SWEDISH 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.SWEDISH 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 INFORMATIONSWEDISH EDMONDS' SERVICE AREA IS DEFINED AS SNOHOMISH COUNTY, 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 AREATHERE ARE NO OTHER HOSPITAL IN THE PRIMARY SERVICE AREA, HOWEVER THERE ARE OTHER HOSPITALS IN SNOHOMISH COUNTY INCLUDING PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, BHC FAIRFAX HOSPITAL NORTH, CASCADE VALLEY HOSPITAL, EVERGREENHEALTH MONROE, AND SMOKEY POINT BEHAVIORAL HOSPITAL. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSWEDISH EDMONDS PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. SWEDISH EDMONDS IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE 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.2) OPEN MEDICAL STAFF, HEALTH PROFESSIONS EDUCATION PROGRAM THAT RESPONDS TO COMMUNITY NEED, SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE, AND,3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH. 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-FUNDINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION: FOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT 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 1 1 0 0 0 0 0 1 0 GREG HOFFMAN EVP & CFO/TREASURER 0 1402471 0 2154592 0 323161 0 377326 0 13379 0 4270929 0 239249 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 1053930 0 1511654 0 44947 0 284757 0 387 0 2895675 0 0 ELIZABETH WAKO PRESIDENT/CEO 0 1023582 0 1290002 0 197438 0 285246 0 24569 0 2820837 0 135015 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0 494455 0 358832 0 102636 0 110879 0 17651 0 1084453 0 77014 KRISTY CARRINGTON CE NORTH PUGET SOUND 0 495896 0 280471 0 53436 0 153098 0 14876 0 997777 0 52216 JIM MARTIN ASSISTANT TREASURER 0 463263 0 290109 0 66993 0 88541 0 8347 0 917253 0 64532 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 HILARY DOMEIKA ASSISTANT SECRETARY 0 352842 0 221209 0 80765 0 87518 0 9108 0 751442 0 52052 VITALIY MKRTYCHYAN ULTRASOUND TECHNOLOGIST 341016 259574 375 0 0 4479 14284 11049 6032 4666 361707 279768 0 0 PETER RO PHYSICIAN 362849 0 0 0 35158 0 26825 0 11058 0 435890 0 3916 0 DAVID BUNTING ACUTE CARE RN 345827 0 11763 0 5988 0 24701 0 959 0 389238 0 0 0 JASMINE GILL ACUTE CARE RN 345670 0 1500 0 8611 0 24672 0 1907 0 382360 0 0 0 FRANCELL VIM ADAN ACUTE CARE RN 322519 0 375 0 610 0 22645 0 117 0 346266 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $879,466 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: GREG HOFFMAN - $239,249 ELIZABETH WAKO - $135,015 JIM WATSON, ESQ - $77,014 KRISTY CARRINGTON - $52,216 JIM MARTIN - $64,532 HILARY DOMEIKA - $52,052 PETER RO - $3,916 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTH CONNECT IS THE SOLE CORPORATE MEMBER OF SWEDISH EDMONDS. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SWEDISH EDMONDS HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE SWEDISH EDMONDS GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE SWEDISH EDMONDS BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTH CONNECT, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 87,120,487. OTHER CHANGES IN NET ASSETS -73,437. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 LHH LLC 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 SJHS 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & 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SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG 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