2022-11-15T05:54:37-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2021-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 GREG HOFFMAN PRESIDENT/CEO & TREASURER 4255253985 2022-11-15 1 GREG HOFFMAN 999009999 EVA NITTA P01286320 4158948000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 9944812366 0 X WASHINGTON.PROVIDENCE.ORG X 1859 WA AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 10 10 44016 3710 4835162 1989537 202302367 267445611 7352649727 8734213683 214399031 235415579 187365189 235843198 7956716314 9472918071 9806952 21558631 0 0 4487928256 5186424054 0 0 2931481 3508981934 4169338553 8006717142 9377321238 -50000828 95596833 11692053785 11792986725 8592798656 8893985905 3099255129 2899000820 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 5051253037 21558631 8922531425 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: - PROVIDENCE ACROSS SEVEN WESTERN STATES - COVENANT HEALTH IN WEST TEXAS - PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA. - SWEDISH HEALTH SERVICES IN SEATTLE, WA. 2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. 2021 PROGRAM SERVICE ACCOMPLISHMENTSIN 2021, PROVIDENCE WASHINGTON AND PROVIDENCE ALASKA CONTINUED THE TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE HIGHLIGHTED ACCOMPLISHMENTS IN 2021.PARTNERSHIPS AND INVESTMENTS DRIVE PROGRESS TOWARD HOUSING AND BEHAVIORAL HEALTH SOLUTIONS, ACCESS TO CARE, AND HEALTH EQUITY:IN SOUTHWEST WASHINGTON (THURSTON AND LEWIS COUNTIES), CRITICAL PARTNERSHIPS, PROJECTS, AND PROGRAMS ARE SUPPORTED BY RESOURCES FROM PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, AS WELL AS A VARIETY OF OTHER PROVIDENCE FUNDING SOURCES, SUCH AS PROVIDENCE SYSTEM COMMUNITY HEALTH INVESTMENT AND THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND (SJCPF).THE REST PROGRAM (RESTORATIVE EXPERIENCE FOR A SAFER TRANSITION) IS A FLAGSHIP PARTNERSHIP BETWEEM PROVIDENCE AND INTERFAITH WORKS IN OLYMPIA, OFFERING A SAFE, HEALING ENVIRONMENT FOR UNHOUSED INDIVIDUALS WHO ARE DISCHARGING FROM PROVIDENCE ST. PETER HOSPITAL. IT PROVIDES A STREAMLINED, COST-EFFECTIVE SOLUTION TO THE NEED FOR COMPREHENSIVE SUPPORTIVE RECOVERY SPACE, AS WELL AS ON-SITE COORDINATION OF SUPPORT SERVICES TO SET UP THESE PATIENTS FOR SUCCESS. IN ADDITION TO LOCAL HOSPITAL FUNDING, INTERFAITH HAS RECEIVED A SJCPF CAPACITY-BUILDING GRANT FOR THIS PROGRAM.THE PROVIDENCE COMMUNITY CARE CENTER (PCCC) PROVIDES INTEGRATED CARE TO VULNERABLE PEOPLE THROUGH COMPASSIONATE SERVICE IN A SAFE ENVIRONMENT. THE PCCC RESPONDS TO THE NEEDS OF MARGINALIZED AND UNDERSERVED INDIVIDUALS AND WORKS TO ENSURE THOSE NEEDS ARE MET. ON-SITE IN DOWNTOWN OLYMPIA, PROVIDENCE PROVIDES BEHAVIORAL HEALTH SERVICES, INCLUDING SHORT-TERM CASE MANAGEMENT AND THERAPY AND PSYCHIATRIC BRIDGE-MEDICATION MANAGEMENT. COMMUNITY PARTNERS, INCLUDING THE OLYMPIA FREE CLINIC AND THE CITY OF OLYMPIA'S CRISIS RESPONSE UNIT (CRU), PROVIDE CARE AND SERVICES AT THE PCCC AS WELL. A PROVIDENCE NURSE IS ALSO EMBEDDED WITHIN THE CRU TO HELP THE PROGRAM PROVIDE A HOLISTIC, COMPREHENSIVE RESPONSE TO VULNERABLE INDIVIDUALS EXPERIENCING CRISES IN OLYMPIA.THE OLYMPIA FREE CLINIC (TOFC) PROVIDES LOW-BARRIER HEALTH CARE SERVICES TO ADULTS WHO EXPERIENCE DIFFICULTIES ACCESSING MAINSTREAM HEALTH CARE SERVICES. THESE BARRIERS INCLUDE HOMELESSNESS, LANGUAGE, FINANCIAL, INSURANCE STATUS, CITIZENSHIP AND IMMIGRATION STATUS, SOCIOECONOMIC FACTORS, TRANSPORTATION, MOBILITY, AND SOCIAL STIGMA, AMONG OTHERS. IN ADDITION TO PROVIDING SERVICES AT THE PROVIDENCE COMMUNITY CARE CENTER, TOFC INSTITUTED A WEEKLY MOBILE CLINIC THAT UTILIZES A POP-UP TENT TO PROVIDE ON-SITE MEDICAL AND COVID-19 VACCINATION SERVICES AT VARIOUS HOMELESS ENCAMPMENTS THROUGHOUT THURSTON COUNTY. PROVIDENCE FUNDING SUPPORTS ONGOING EFFORTS TO PROVIDE ACCESS TO HEALTH CARE SERVICES FOR UNDERSERVED COMMUNITY MEMBERS, PARTICULARLY THOSE WHO ARE UNINSURED, AS WELL AS EFFORTS TO ADD MENTAL HEALTH CARE TO THE SUITE OF SERVICES AVAILABLE IN TOFC'S ENCAMPMENT CLINICS.A PARTNERSHIP BETWEEN CATHOLIC COMMUNITY SERVICES AND THE CITY OF OLYMPIA, THE MITIGATION SITE (NOW KNOWN AS QUINCE STREET VILLAGE) IS A TEMPORARY, LEGAL CAMPING SITE THAT PROVIDES A LEVEL OF ORDER, SAFETY, DIGNITY, AND CLEANLINESS. PROVIDENCE FUNDING HAS SUPPORTED THE BUILDING AND FURNISHING OF MICRO-HOMES, INCLUDING SHELTERS, BEDS, AND MATTRESSES.IN THURSTON AND LEWIS COUNTIES, WASHINGTON, COMMUNITY YOUTH SERVICES EMPOWERS YOUTH AT-RISK AND THEIR FAMILIES TO MEET THEIR GOALS FOR SAFETY, STABILITY, BELONGING AND SUCCESS BY PROVIDING A CONTINUUM OF INDIVIDUALIZED SERVICES AND ADVOCACY. IT SERVES AS THURSTON COUNTY'S COORDINATED ENTRY AGENCY FOR UNACCOMPANIED HOMELESS YOUTH AGED 12-24. PROVIDENCE INVESTMENTS SUPPORT A VARIETY OF SERVICES AND, IN PARTICULAR, ROSIE'S PLACE YOUTH RESOURCE CENTER AND YOUNG ADULT SHELTER. FUNDING HELPS MEET BASIC NEEDS AMONG YOUTH SERVED AT ROSIE'S BY PROVIDING NUTRITIOUS MEALS AND PROVIDING VITAL SURVIVAL GEAR (SUCH AS FIRST AID SUPPLIES, HAND WARMERS, EMERGENCY BLANKETS). THESE FOOD AND EMERGENCY SUPPLIES HELP ENSURE YOUTH ARE NOT JUST RECEIVING TEMPORARY SHELTER BUT TOOLS THAT SUPPORT THEIR ABILITY TO REMAIN STABLE AND SELF-SUFFICIENT ONCE THEY RETURN TO THE COMMUNITY.THE FAMILY SUPPORT CENTER OF SOUTH SOUND (FSC) IN LEWIS AND THURSTON COUNTIES, WASHINGTON, SERVES AS THURSTON COUNTY'S COORDINATED ENTRY POINT FOR ALL HOMELESS FAMILIES WITH CHILDREN AND SURVIVORS OF DOMESTIC VIOLENCE WHO ARE IN NEED OF HOUSING ASSISTANCE. FAMILIES AND SURVIVORS GAIN ACCESS TO MENTAL HEALTH SERVICES, CIVIL LEGAL ASSISTANCE, HEALTH CARE ENROLLMENT, EARLY LEARNING AND INTERVENTION PROGRAMS, HUMAN TRAFFICKING SERVICES, AND MORE. STAFF COMPLETE TARGETED OUTREACH, PROVIDING HOMELESS PREVENTION SERVICES TO THE HISPANIC AND TRIBAL COMMUNITIES, WHICH LOCAL DATA DEMONSTRATES ARE THE MOST DISPROPORTIONATELY REPRESENTED IN THURSTON COUNTY'S HOMELESS HOUSING SYSTEM. PROVIDENCE FUNDING SUPPORTS A VARIETY OF SERVICES AND PROGRAMS, INCLUDING PEAR BLOSSOM PLACE, THE REGION'S LARGEST 24/7 FAMILY SHELTER. IN ADDITION TO 36 YEAR-ROUND SHELTER BEDS, WITH AN OPEN-ENDED STAY, THERE ARE SEVEN PERMANENT SUPPORTIVE APARTMENTS ON SITE. THERE ARE ONSITE CHILDREN'S PLAY AREAS, A COMMUNITY LIVING ROOM, LAUNDRY FACILITIES, AND 24/HOUR ONSITE SUPPORT FROM STAFF AND VOLUNTEERS.PROVIDENCE FUNDS THE LEWIS COUNTY GOSPEL MISSION, WHICH HELPS MEET THE MENTAL AND PHYSICAL NEEDS OF THOSE EXPERIENCING HOMELESSNESS AND THOSE WITH MENTAL HEALTH OR SUBSTANCE ABUSE DISORDERS. THEY PROVIDE FOR THE BASIC NEEDS OF AND RELIEVE HUNGER FOR THE HOMELESS AND UNDER-RESOURCED COMMUNITY MEMBERS OF LEWIS COUNTY. THEIR MEAL PROGRAM SERVES A BRIDGE THAT ALLOWS THEM TO CONNECT HOMELESS AND UNDER-RESOURCED/MARGINALIZED RESIDENTS WITH COMMUNITY RESOURCE PARTNERS TO PROVIDE HOUSING & EMPLOYMENT SERVICES, MENTAL HEALTH SERVICES, AND MEDICAL SERVICES. 5051253037 1 1 0 1 0 0 0 1 0 1 1 0 0 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 2471 0 1 44016 1 1 1 1 IN 0 0 0 1 1 0 0 0 0 1 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ROD F HOCHMAN MD FORMER OFFICER - PSJH PRESIDENT/CEO 0.00 65.00 X 0 8639819 840345 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0.00 65.00 X 0 3078475 427939 ERIK WEXLER PRESIDENT STRAT & OPS (SOUTH) 62.50 2.50 X 2620498 0 606559 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0.00 65.00 X 0 2607205 314009 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 0.50 64.50 X 0 2303141 608229 ELAINE COUTURE EVP CHIEF EXEC WA & MT - THRU 5/21 27.50 27.50 X 2718645 0 31846 GUY HUDSON MD CHIEF EXEC SWEDISH HEALTH SVCS 63.00 2.00 X 2042666 0 522155 MIKE BUTLER FORMER PRESIDENT 0.00 2.00 X 0 2359254 7651 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0.00 65.00 X 0 1886882 303676 JOEL GILBERTSON EVP CHIEF EXECUTIVE WA AND MT 53.00 2.00 X 1775625 0 396085 KEVIN MANEMANN CHIEF EXECUTIVE PSJH SO CA 52.50 2.50 X 1608470 0 481510 CINDY STRAUSS FORMER SECRETARY 0.00 0.00 X 0 1927096 17855 MIKE WATERS EVP AMBULATORY CARE NETWORK 53.00 2.00 X 1528914 0 396516 GREG TILL CHIEF PEOPLE OFFICER 55.00 0.00 X 1575980 0 217892 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0.50 64.50 X 0 1456676 262400 BRYAN MITCHELL PHYSICIAN ORTHOPEDIC SURGEON 50.00 0.00 X 1576565 0 124764 GREG HOFFMAN PRESIDENT/CEO & TREASURER 50.00 15.00 X 1407278 0 273342 AARON MARTIN FORMER KE - PSJH EVP CHF MKT/DIG INN. 0.00 55.00 X 0 1436105 235997 STEVEN NISCO PHYSICIAN 50.00 0.00 X 1487809 0 138639 JATIN MOTIWAL CE CLINICAL INSTITUTES - THRU 10/21 50.00 0.00 X 1532935 0 30277 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 50.00 0.00 X 1177071 0 200368 PRESTON SIMMONS SVP CHIEF EXEC AK REGION 54.50 0.50 X 1130100 0 244953 OREST HOLUBEC FMR KE - PSJH SVP/CHF COM/EXT AFF OFF 0.00 55.00 X 0 1049938 191597 JOHN WHIPPLE SECRETARY 46.50 8.50 X 1038537 0 185449 DEBBIE BURTON SVP CHIEF NURSING OFFCR - THRU 1/21 55.00 0.00 X 1111821 0 7762 SCOTT O'BRIEN COO WA AND MT REGION 27.50 27.50 X 918205 0 186117 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 54.50 0.50 X 861647 0 176670 PEG CURRIE CHIEF EXEC SACRED HEART MEDICAL CTR 54.00 1.00 X 736074 0 161800 JIM WATSON ESQ ASSISTANT SECRETARY 46.00 9.00 X 760088 0 126854 DAVID BROWN SVP CAO AMBULATORY CARE 55.00 0.00 X 706384 0 170700 ALI SANTORE SVP GOVT AFFAIRS & SOCIAL RESP 63.00 2.00 X 774487 0 102302 ELLA GOSS CHIEF EXEC ALASKA MEDICAL CENTER 55.00 0.00 X 633382 0 156997 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0.00 0.00 X 0 750000 0 DARIN GOSS CHIEF EXEC ST. PETER HOSPITAL 54.50 0.50 X 571680 0 147248 HELEN ANDRUS REGIONAL CFO WA AND MT 27.50 27.50 X 596951 0 98136 DARREN REDICK CHIEF EXEC PRMCE 54.50 0.50 X 402042 0 128266 KIM WILLIAMS CHIEF EXEC PRMCE - THRU 3/21 54.50 0.50 X 459029 0 27039 AMY MILLER REGIONAL CFO - AK PSJH 55.00 0.00 X 295360 0 52903 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 45.50 9.50 X 242551 0 24080 RICHARD BLAIR DIRECTOR 0.50 13.50 X 90000 0 0 DAVE OLSEN DIRECTOR 0.50 12.50 X 50000 0 0 MARY LYONS PHD BOARD CHAIR 1.00 25.00 X 48750 0 0 CHARLES SORENSON MD DIRECTOR 0.50 12.50 X 40000 0 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.00 X 30000 0 0 MICHAEL MURPHY DIRECTOR 0.50 12.50 X 30000 0 0 KATHARIN DYER DIRECTOR - THRU 8/21 0.50 12.50 X 20000 0 0 SISTER CAROL PACINI LCM DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 12.50 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 0.50 12.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 12.50 X 0 0 0 32599544 27494591 8626927 10164 1 1 0 MICROSOFT CORPORATION PO BOX 844510 DALLAS TX 752844510 TECHNOLOGY SERVICES 105460220 IBM CORP PO BOX 676673 DALLAS TX 752676673 TECHNOLOGY SERVICES 51048662 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECHNOLOGY SERVICES 42794325 INSIGHT DIRECT USA INC 6820 SOUTH HARL AVENUE TEMPE AZ 85283 TECHNOLOGY SERVICES 38746730 HUNTINGTON TECHNOLOGY FINANCE 2285 FRANKLIN ROAD BLOOMFIELD HILLS MI 48302 TECHNOLOGY SERVICES 25843506 1349 873247 12068230 254504134 267445611 NET PATIENT REVENUE 621110 5000597444 4999804632 792812 CORP SVCS-AFFILIATE 900099 3656918502 3656918502 JV INCOME 900099 52195650 52195650 HOSPITAL FEE 621110 24502087 24502087 8734213683 48102035 769733 47332302 42195618 0 42195618 42195618 42195618 652847284 454425751 11107989 198421533 -11107989 187313544 187313544 187194 873247 469579 -282385 -282385 8230582 5890976 2339606 2339606 COST RECOVERY 900099 40078126 40078126 PHARMACY REVENUE 446110 38766217 37358443 1407774 CAFETERIA REVENUE 722514 9365862 9364008 1854 103380154 101517165 1862989 191590359 9472918071 8921738613 4835162 278898685 X 20462538 20462538 1096093 1096093 28470985 13943260 14517859 9866 3322513838 1627153925 1694208578 1151335 380123340 186160003 193831615 131722 1229652437 602204802 627021529 426106 225663454 110515469 115069787 78198 64030 31358 32650 22 32342213 15839139 16491867 11207 10736232 5257917 5474595 3720 1222755 1222755 8190185 8190185 1646431505 806316427 839544549 570529 42513889 20820573 21678584 14732 136049364 66628242 69373977 47145 59332349 29057175 30254614 20560 186799395 91482348 95252316 64731 11900143 5827926 6068093 4124 10361333 5074316 5283427 3590 187496948 91823965 95608010 64973 408373819 199995273 208237034 141512 30714853 15042163 15662047 10643 MEDICAL SUPPLIES 818555146 818555146 HOSPITAL FEE 68147263 68147263 LICENSES AND TAXES 51726343 25332241 26376177 17925 RECRUITING & RELOCATION 24373342 11936498 12428398 8446 434007446 212548977 221308074 150395 9377321238 5051253037 4323136720 2931481 510507793 670463745 1023433319 407158235 7523687 10766473 557150022 656239247 7200335 7569736 117113303 135851577 132250696 105129444 7255788762 4559857884 2557171860 2695930878 2954641737 3183011683 317246610 403138094 118832468 83967079 3388981955 3433760534 11692053785 11792986725 2038439889 1654761967 80118369 29626102 -7096594 24730122 6481336992 7184867714 8592798656 8893985905 X 3020792608 2812467680 78462521 86533140 3099255129 2899000820 11692053785 11792986725 X 95596833 143825744 -439676886 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 240000 1 520000 0 1 704981 1464981 0 PART II-B, LINE 1: OUR 2021 ADVOCACY AGENDA AT PROVIDENCE, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION 20000 X 0 4771547 183436 339178 72214 40835 5181112 4409252 115730 343663 64109 32989 4771547 4273843 111328 135488 81956 29451 4409252 4202915 113806 204390 193582 53686 4273843 3758083 110125 480178 145471 4202915 0.00000 0.00470 0.99530 0 0 512489909 512489909 2322115186 1317800434 1004314752 330125803 218267061 111858742 3116193427 2707126971 409066456 974864437 316663418 658201019 2695930878 DUE FROM AFFILIATES 2274181264 OTHER ASSETS 841045315 RIGHT OF USE OPERATING LEASES 197226154 DUE FROM THIRD-PARTY 17286867 HOSPITAL FEE RECEIVABLE 14878325 ARTWORK 20000 INVESTMENT IN CORP SUBSIDIARIES 89122609 3433760534 139418 DUE TO AFFILIATES 4316046879 ACCRUED RETIREMENT COMPENSATION 1030807099 I/C - TAX-EXEMPT BOND LIABILITIES 425300669 OTHER LIABILITIES 944458045 DUE TO THIRD-PARTY 308126763 CAPITAL LEASE OBLIGATIONS 159988841 7184867714 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 803295 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING 20000 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 203798 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 69000 SOUTH ASIA 0 0 INVESTMENTS 18520551 NORTH AMERICA 0 0 INVESTMENTS 11707554 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICE FOREIGN TRAVEL 1933 EUROPE 0 0 PROGRAM SERVICE FOREIGN TRAVEL 16933 NORTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 1001 SOUTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 2883 SOUTH ASIA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 186973 0 0 0 0 0 0 31343064 190857 31533921 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 803295 CHECK 0 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 20000 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 203798 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 69000 CHECK 0 4 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 III ACCOUNTING METHOD: PART I, LINE 3, COLUMN (F) THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING. PROVIDENCE O'CHRISTMAS TREES 1060441 873247 187194 469579 1060441 873247 187194 469579 469579 -282385 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 0 0 56271661 0 56271661 0.00600 0 0 1007808787 747884868 259923919 0.02770 0 0 309882 204736 105146 0.00000 1064390330 748089604 316300726 0.03370 0 0 7312159 680836 6631323 0.00070 0 0 50149516 13235416 36914100 0.00390 0 0 70409672 41773973 28635699 0.00310 0 0 149761 0 149761 0.00000 0 0 9463799 132271 9331528 0.00100 137484907 55822496 81662411 0.00870 1201875237 803912100 397963137 0.04240 989 0 989 0.00000 453 0 453 0.00000 1442 1442 0.00000 0 1670667460 2021041286 -350373826 X 1 0 1 SURGERY CENTER OF OLYMPIA LLC DBA SOUTH SOUND SURGERY CENTER AMBULATORY SURGERY CENTER 0.33000 0.00000 0.67000 13 1 PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DRIVE ANCHORAGE AK 99508 ALASKA.PROVIDENCE.ORG/ GACH-007 X X X X X D 2 PROVIDENCE SHMC & CHILDREN'S HOSPITAL 101 WEST 8TH AVENUE SPOKANE WA 99204 WASHINGTON.PROVIDENCE.ORG/ 00000162 X X X X C 3 PROVIDENCE ST PETER HOSPITAL 413 LILLY ROAD NE OLYMPIA WA 98506 WASHINGTON.PROVIDENCE.ORG/ 00000159 X X X A 4 PROVIDENCE REGIONAL MED CTRCOLBY 1700 13TH STREET EVERETT WA 98201 WASHINGTON.PROVIDENCE.ORG/ 00000084 X X X B 5 PROVIDENCE REGIONAL MED CTRPACIFIC 916 PACIFIC AVENUE EVERETT WA 98208 WASHINGTON.PROVIDENCE.ORG/ 00000084 X X X B 6 PROVIDENCE HOLY FAMILY HOSPITAL 5633 NORTH LIDGERWOOD STREET SPOKANE WA 99208 WASHINGTON.PROVIDENCE.ORG/ 00000139 X X X C 7 PROVIDENCE CENTRALIA HOSPITAL 914 S SCHEUBER ROAD CENTRALIA WA 98531 WASHINGTON.PROVIDENCE.ORG/ 00000191 X X A 8 PROVIDENCE ST MARY MEDICAL CENTER 401 W POPLAR STREET WALLA WALLA WA 99362 WASHINGTON.PROVIDENCE.ORG/ 00000050 X X X 9 PROVIDENCE MT CARMEL HOSPITAL 982 EAST COLUMBIA COLVILLE WA 99114 WASHINGTON.PROVIDENCE.ORG/ 00000030 X X X X E 10 PROVIDENCE ST JOSEPH'S HOSPITAL 500 EAST WEBSTER STREET CHEWELAH WA 99109 WASHINGTON.PROVIDENCE.ORG/ 00000194 X X X E 11 PROVIDENCE KODIAK IS MED CTR 1915 REZANOF DRIVE KODIAK ISLAND AK 99615 ALASKA.PROVIDENCE.ORG/ GACH-008 X X 12 ALASKA SPECIALTY HOSPITAL 4800 CORDOVA STREET ANCHORAGE AK 99503 ALASKA.PROVIDENCE.ORG/ LTACH-001 X LONG TERM ACUTE HOSPITAL D 13 ST LUKE'S REHABILITATION INSTITUTE 711 S COWLEY STREET SPOKANE WA 99202 WWW.ST-LUKES.ORG 157 X C PROVIDENCE ST MARY MEDICAL CENTER (8) 8 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE LINE 10A URL BELOW X 1 21 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE KODIAK IS MED CTR (11) 11 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE LINE 10A URL BELOW X 1 20 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP A - 3 & 7) 0 0 1 X X X X X X X X X 20 1 0 0 1 X SEE LINE 10A URL BELOW X 1 21 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP B - 4 & 5) 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE LINE 10A URL BELOW X 1 20 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP C - 2 6 & 13) 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE LINE 10A URL BELOW X 1 21 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP D - 1 & 12) 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE LINE 10A URL BELOW X 1 21 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP E - 9 & 10) 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A URL BELOW X 1 20 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS TO HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS/LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY. 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 15 STAKEHOLDER INTERVIEWS, INCLUDING 21 PARTICIPANTS, AND THREE LISTENING SESSIONS WITH 15 COMMUNITY MEMBERS BETWEEN MAY AND JUNE OF 2021. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND THEIR ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WITH LOW INCOMES, AND UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. STAKEHOLDERS WERE FROM THE FOLLOWING ORGANIZATIONS AND MUNICIPALITIES: BLUE MOUNTAIN ACTION COUNCIL, BLUE MOUNTAIN HEART TO HEART, CATHOLIC CHARITIES WALLA WALLA, CENTER FOR HUMANITARIAN ENGAGEMENT-WALLA WALLA UNIVERSITY, CITY OF COLLEGE PLACE, CITY OF WALLA WALLA, COMPREHENSIVE HEALTHCARE, DAYTON CHRONICLE, FAMILY MEDICAL CENTER/YAKIMA VALLEY FARM WORKERS CLINIC, MILTON-FREEWATER DOWNTOWN ALLIANCE AND BROADWAY DENTAL CARE, PROVIDENCE MEDICAL GROUP POPULATION HEALTH, WALLA WALLA PUBLIC SCHOOLS, YMCA, YOUTH WOMEN AND CHILDREN'S CENTER, AS WELL AS THE PUBLIC HEALTH OFFICER/MEDICAL DIRECTOR AND THE ADMINISTRATIVE DIRECTOR FROM THE WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH, THE LOCAL HEALTH DEPARTMENT. LISTENING SESSION PARTICIPANTS WERE THOSE RECEIVING SERVICES THROUGH AGING & LONG TERM CARE, RESIDENTS OF THE SLEEP CENTER WHICH IS A SHELTER COMMUNITY FOR THE UNSHELTERED HOMELESS POPULATION, AND MOTHERS OF THOSE LIVING WITH DISABILITIES WHO UTILIZE THE SERVICES AND RESOURCES OF THE DISABILITY NETWORK. PSMMC FIELDED A COMMUNITY SURVEY FROM JULY 6 TO AUGUST 16, 2021 IN ENGLISH AND SPANISH. ABOUT 50 COMMUNITY MEMBERS TOOK THE SURVEY IN ENGLISH. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERS FORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. COMMITTEE MEMBERS WERE: -CINDY BALDWIN, CLINIC OPERATIONS DIRECTOR, KODIAK AREA NATIVE ASSOCIATION-BARBARA BIGELOW, CEO PKIMC, PROVIDENCE KODIAK ISLAND MEDICAL CENTER -PAT BRANSON, EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK; MAYOR, CITY OF KODIAK -ELSA DEHART, RN, DIRECTOR, KODIAK PUBLIC HEALTH CENTER, STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES -MARY GUILAS HAWVER, PRESIDENT, FILIPINO AMERICAN ASSOCIATION; DIRECTOR, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER -CAROL JUERGENS, M.D., CO-OWNER KODIAK ISLAND MEDICAL ASSOCIATES -MERISSA KOLLER, COMMUNITY WELLNESS PROGRAM COORDINATOR, HEALTHY TOMORROWS KODIAK-JUDY CHRISTINE (JC) RATHJE, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER -DAN ROHRER, ASSEMBLYMAN, KODIAK ISLAND BOROUGH; BUSINESS OWNER, SUBWAY -RHONDA WALLACE, CHIEF OF POLICE, CITY OF KODIAK COMMUNITY HEALTH SURVEYTHE 36 QUESTION SURVEY WAS FIELDED FROM MAY 18 - JUNE 1, 2019 WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE. 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 COMMUNITYCOMMUNITY FORUMPROVIDENCE KODIAK ISLAND MEDICAL CENTER HOSTED A COMMUNITY FORUM (MAY 28, 2019) WITH THE GOAL OF LEARNING MORE ABOUT COMMUNITY MEMBERS' VISION FOR A HEALTHY COMMUNITY AND THE HEALTH-RELATED NEEDS THEY WOULD LIKE TO SEE PRIORITIZED (SEE APPENDIX 2B). COMMUNITY MEMBERS AND STAKEHOLDERS WERE DIVIDED INTO SIX GROUPS WHICH INCLUDED STAFF AND BOARD MEMBERS FROM PROVIDENCE ST. JOSEPH HEALTH - ALASKA REGION. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 6B: BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP: (BMRCHP) IS AN ACTION ORIENTED, CROSS-SECTOR COALITION CONSISTING OF PUBLIC HEALTH, EDUCATION, CLINICAL, PUBLIC SAFETY, SOCIAL SERVICES, LONG-TERM CARE, HOUSING, MANAGED CARE, LAW ENFORCEMENT, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, PHILANTHROPY, LONG-TERM CARE, EARLY LEARNING AND OTHER COMMUNITY BASED ORGANIZATIONS. THESE PARTNERS COORDINATE TO ASSESS THE NEEDS OF THE BLUE MOUNTAIN REGION AND DEVELOP A UNIFIED RESPONSE TO MEET THESE NEEDS.MEMBER ORGANIZATIONS LISTED ON PAGE 31 OF CHNA. AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: WALLA WALLA PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PSMMC WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS OUTLINED IN THE PSMMC CHIP: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE INCLUDE BEHAVIORAL HEALTH NAVIGATION SERVICES IN THE EMERGENCY DEPARTMENT (ED), COMMUNITY PARAMEDIC PROGRAM, INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE, ENHANCING TELEHEALTH FOR BEHAVIORAL HEALTH SERVICES VIA ED AND ON MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN, AND BY CONNECTING WITH PEOPLE IN NEED OF CULTURALLY RESPONSIVE BEHAVIORAL HEALTH SERVICES WHO PRIMARY LANGUAGE IS SPANISH THROUGH PROMOTORES DE SALUD. STRATEGIES TO ADDRESS ACCESS TO HEALTH CARE SERVICES INCLUDE UTILIZING COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD AND THE MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN TO OUTREACH TO PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES, THE SOUTHEAST WASHINGTON (SEWA) FALLS PREVENTION COMMUNITY PARTNERSHIP PROGRAM TO DECREASE EMERGENCY MEDICAL SERVICE CALLS FOR LIFT ASSISTS, AND THE HEALTH EQUITY NURSE SERVING EARLY HEAD START FAMILIES. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING INCLUDE SUPPORTING THE WORK OF THE ANCHOR COMMUNITY INITIATIVE, IMPLEMENTING COMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ), HAVING A PSMMC REPRESENTATIVE FILL THE OPEN HEALTH CARE POSITION ON THE WALLA WALLA COUNCIL ON HOUSING, THROUGH COMMUNITY COLLABORATIONS, EXPLORE OPPORTUNITIES TO INCREASE PERMANENT SUPPORTIVE HOUSING, EXPLORE COLLABORATIONS AND INVEST IN MEDICAL RESPITE SERVICES TO CLOSE THE GAP IN CARE IN THE HEALTH AND HOMELESS SERVICES CONTINUUM, COLLABORATE WITH COMMUNITY PARTNERS TO CREATE PERMANENTLY AFFORDABLE HOME OWNERSHIP OPPORTUNITIES FOR LOW-AND MODERATE-INCOME HOUSEHOLDS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGEMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 11: IN THE FALL OF 2019, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PKIMC COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES AND ACCOMPLISHMENTS.WITH THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PKIMC/PKICC'S IMPLEMENTATION OF SERVICES AND DID NOT HAVE A PERMANENT HOSPITAL ADMINISTRATOR FOR A SIGNIFICANT PERIOD OF 2020 AND 2021. BEHAVIORAL HEALTH(INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH) POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE. PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) PROVIDED SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICESPKICC ADDRESSED THE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT NEEDS OF KODIAK YOUTH THROUGH THE YOUTH OUTPATIENT SUBSTANCE ABUSE PROGRAM, MENTAL HEALTH CLINICIANS IN THE SCHOOLS PROGRAM, ALCOHOL SAFETY ACTION PROGRAM (ASAP), KODIAK SCHOOLS SUBSTANCE ABUSE TASK FORCE AND ONGOING COLLABORATIONS WITH THE TEEN COURT AND OTHER COMMUNITY PARTNERS.PKICC ADDRESSED THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY HILL THROUGH THE COMMUNITY SUPPORT PROGRAM AND THROUGH CONTINUING EFFORTS TO FURTHER INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING CURRENTLY BEING DONE IN COLLABORATION WITH THE KODIAK COMMUNITY HEALTH CENTER.PKICC ADDRESSES THE SUBSTANCE ABUSE TREATMENT NEEDS OF THE COMMUNITY THROUGH ITS OUTPATIENT CHEMICAL DEPENDENCY TREATMENT PROGRAM SAFE HARBOR, THROUGH ITS CASE-MANAGEMENT PROGRAM ASAP AND THROUGH A RESIDENTIAL TREATMENT COLLABORATION WITH SALVATION ARMY. PKICC CONTINUED TO BE PROACTIVE IN ITS OUTREACH SERVICES IN COLLABORATION WITH MANY COMMUNITY PARTNERS SUCH AS THE BROTHER FRANCIS SHELTER, KODIAK WOMEN'S RESOURCE AND CRISIS CENTER AND MANY OTHER ORGANIZATIONS AND GOVERNMENT AGENCIES IN THE KODIAK COMMUNITY. PKICC CONTINUED TO BE A LEADER IN COMMUNITY EDUCATION, GRANT-SEEKING, ADVOCACY, COLLABORATION, PLANNING AND ACTION TO HELP IMPROVE THE HEALTH OF THE KODIAK COMMUNITY AND THE LIVES OF THOSE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE. PRIMARY CARE UTILIZATION AND ACCESSTHE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS SIGNIFICANT ISSUES. AT PRESENT, KODIAK HAS ADEQUATE PRIMARY CARE CAPACITY WITH KODIAK AREA NATIVE ASSOCIATION CLINIC (KANA) AND MILL BAY HEALTH CENTER, KODIAK COMMUNITY HEALTH CENTER, THE U.S. COAST GUARD ROCKMORE-KING MEDICAL CLINIC, AND THE KODIAK ISLAND AMBULATORY CLINIC PROVIDING PRIMARY CARE SERVICES TO THE RESIDENTS OF KODIAK. BECAUSE OF THIS, PKIMC DOES NOT OFFER TRADITIONAL, NON-SPECIALIZED PRIMARY CARE SERVICES, BUT WILL CONTINUE TO WORK WITH KODIAK PRIMARY CARE PROVIDERS TO EXPLORE OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN THE EFFORT TO IMPROVE PRIMARY CARE UTILIZATION. IN ADDITION TO CONTINUED COLLABORATION WITH COMMUNITY PARTNERS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S INCLUDED SPECIFIC STEPS INCLUDING HIRING A PEDIATRICIAN TO SUPPORT ACCESS TO PRIMARY CARE IN ADDITION TO A RECENTLY HIRED OB/GYN TO SUPPORT WOMEN'S HEALTH. HEALTHY LIFESTYLE/CHRONIC CONDITIONSSURVEY RESPONSES AND HEALTH DATA INDICATE DIFFICULTY WITH MAINTAINING A HEALTHY LIFESTYLE, ENGAGING IN PREVENTATIVE HEALTH, AND MANAGING CHRONIC DISEASE IN THE COMMUNITY.PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S IS IMPLEMENTING SPECIFIC STEPS TO ADDRESS HEALTHY LIFESTYLE AND CHRONIC CONDITIONS. THE PLAN INCLUDES A PAIN MANAGEMENT CLINIC OPERATED THROUGH THE SPECIALTY CLINIC. 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 9: PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 22, 2022, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 9: PHS - WASHINGTON (GROUP D - 1 & 12) THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 19, 2022, 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: BETWEEN MAY 27 AND JULY 14, 2020 REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON CONDUCTED INTERVIEWS WITH REPRESENTATIVES FROM 5 COMMUNITY-BASED ORGANIZATIONS, INCLUDING 24 STAKEHOLDERS, PEOPLE WHO ARE INVESTED IN THE WELL-BEING OF THE COMMUNITY AND HAVE FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. A TOTAL OF 5 STAKEHOLDER INTERVIEWS, WHICH INCLUDED 24 PARTICIPANTS, WERE COMPLETED BY REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. PROVIDENCE SOUTHWEST WASHINGTON AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEVERAL ATTEMPTS WERE MADE TO CONNECT WITH REPRESENTATIVES FROM LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES AND THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, BUT DUE TO COMPETING PRIORITIES RELATED TO COVID-19, THEY WERE NOT ABLE TO PARTICIPATE IN STAKEHOLDER INTERVIEWS. DR. RACHEL WOOD, LEWIS COUNTY'S HEALTH OFFICER, IS A PROVIDENCE BOARD MEMBER AND SERVED ON THE CHNA OVERSIGHT COMMITTEE, PROVIDING INSIGHT DURING THE DATA REVIEW AND PRIORITIZATION PROCESSES.FOR DETAILED LIST OF STAKEHOLDERS GO TO PG. 58 OF CHNA REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/PCHANDPSPH_SWWA_2020CHNA.PDF?LA=EN&REV=DF96D25CB1DB463296534BFE53AE1FED&HASH=2C244717D79B80EEA2BC3EA0D6FE65E4. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2020 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SOUTHWEST WASHINGTON WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2021-2023 COMMUNITY BENEFIT EFFORTS: PRIORITY 1: HOMELESSNESS/LACK OF SAFE AND AFFORDABLE HOUSINGHOMELESSNESS AND A LACK OF SAFE, AFFORDABLE HOUSING WAS PRIORITIZED BY ALL STAKEHOLDERS AND CONSISTENTLY RANKED AS THE MOST IMPORTANT ISSUE THAT NEEDS TO BE ADDRESSED IN THE SERVICE AREA. DESPITE EFFORTS TO ADDRESS HOUSING CHALLENGES, THERE IS A LACK OF HOUSING AVAILABLE IN THURSTON AND LEWIS COUNTIES, PARTICULARLY AFFORDABLE RENTAL UNITS AND PERMANENT SUPPORTIVE HOUSING. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE AND AFFORDABLE HOUSING INCLUDE: SUPPORT OF COMMUNITY BASED RESPITE CARE SERVICES; IMPLEMENTATION OF A CRISIS RESPONSE UNIT MODEL WITH COMMUNITY PARTNERS; COLLABORATION WITH PROVIDENCE REGIONAL EFFORTS TO IMPLEMENT COMMUNITY SOLUTIONS' BUILT FOR ZERO MODEL PRIORITY 2: BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE)THERE IS A LACK OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES IN THE COMMUNITY. GAPS INCLUDE A LACK OF BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE, SCHOOL-BASED MENTAL HEALTH SERVICES, A LOCAL INPATIENT DETOX FACILITY, AND CASE MANAGEMENT SERVICES. PEOPLE HAVE DIFFICULTY ACCESSING MENTAL HEALTH SERVICES DUE TO LONG WAIT TIMES, A LACK OF PROVIDERS WHO TAKE MEDICAID AND MEDICARE, AND TRANSPORTATION BARRIERS. THESE POPULATIONS INCLUDE SCHOOL-AGED CHILDREN, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE LIVING IN RURAL COMMUNITIES, VETERANS, PEOPLE WHO ARE UNDOCUMENTED, AND MONOLINGUAL SPANISH SPEAKERS. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE) INCLUDE: INTEGRATING HEALTH SERVICES IN PRIMARY AND BEHAVIORAL HEALTH CARE; INTEGRATED MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER; MENTAL HEALTH CRISIS RESPONSE FOR PEOPLE EXPERIENCING HOMELESSNESS. PRIORITY 3: ACCESS TO HEALTH CARE THERE ARE A NUMBER OF BARRIERS TO ACCESSING HEALTH CARE. A COMMON CONCERN WAS TRANSPORTATION, PARTICULARLY FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE LIVING IN RURAL COMMUNITIES. LANGUAGE BARRIERS PREVENT PEOPLE FROM RECEIVING APPROPRIATE AND RESPONSIVE CARE AND DOCUMENTATION STATUS IS A BARRIER TO ACCESSING HEALTH INSURANCE.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE: IMPLEMENTATION OF CRISIS RESPONSE UNIT MOBILE OUTREACH CLINICS WITH COMMUNITY PARTNERS; SUPPORT OF PATIENTS IN NEED OF RESOURCES TO SAFELY DISCHARGE OR IN NEED OF ACCESS TO CARE.EQUITY FRAMEWORK STAKEHOLDERS CHOSE TO PRIORITIZE A FOURTH HEALTH-RELATED NEED, HEALTH AND RACIAL EQUITY, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL THREE NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING HOUSING, MENTAL HEALTH AND SUBSTANCE USE, AND ACCESS TO CARE, PROVIDENCE SOUTHWEST WASHINGTON WILL USE AN EQUITY FRAMEWORK FOR APPROACHING PLANNING AND IMPLEMENTATION.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS, PROVIDENCE SOUTHWEST IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: UNEMPLOYMENT AND LACK OF LIVING WAGE JOBS; FOOD INSECURITY; ACCESS TO ORAL HEALTH CARE. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2021-2023 CHIP, PROVIDENCE SOUTHWEST RECOGNIZES THESE NEEDS AS IMPORTANT TO THE OVERALL HEALTH OF OUR COMMUNITIES. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS PRIORITIZED IN THIS CHIP, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5: PRMCE FORMED THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) AS A PARTNERSHIP BETWEEN BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS, AND NON-PROFITS WITH THE GOAL OF ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE SMALL BUT IMPORTANT BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. RECOGNIZING THAT HEALTH IS MORE THAN HEALTHCARE, PIHC STARTS WITH A SHARED UNDERSTANDING OF HEALTH AS DEFINED BY OUR COMMUNITY AND WORKS TOGETHER TO CREATE A HEALTHIER FUTURE. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS TO SUPPORT HEALTH AND WELL-BEING. TO BETTER UNDERSTAND THE COMMUNITY'S PERSPECTIVE, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PIHC REACHES OUT AND LISTENS TO THE COMMUNITY, LETTING THEM DEFINE WHAT HEALTH AND HAPPINESS MEAN TO THEM. PIHC COLLECTS THIS FEEDBACK THROUGH VARIOUS METHODS INCLUDING THE HEALTH & WELL-BEING MONITOR, THE EDGE OF AMAZING COMMUNITY HEALTH SUMMIT, PIHC STRATEGIC OVERSIGHT TEAM, PIHC STRATEGIC PLANNING COUNCIL, AND THE PIHC SUSTAINABILITY, INCLUSION AND CO-CREATION TASK FORCE. IN ADDITION, FEEDBACK WAS OBTAINED FROM THE PRMCE MISSION AND HEALTHIER COMMUNITIES COMMITTEE AND THE SNOHOMISH HEALTH DISTRICT COMMUNITY HEALTH ASSESSMENT TEAM. THROUGH THESE FORUMS, COMMUNITY MEMBERS, NONPROFIT ORGANIZATIONS, AND GOVERNMENT STAKEHOLDERS PROVIDE INPUT ON THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF SNOHOMISH COUNTY. COMMUNITY INPUT WAS OBTAINED AT VARIOUS TIMES, WITH THE MAJORITY BETWEEN JUNE AND OCTOBER 2019. APPENDIX 3 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, PG. 71 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 11: THERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL NEEDS IDENTIFIED IN A CHNA. BASED ON THE OUTCOME OF THE EVALUATION, PRMCE MADE A COMMITMENT TO FOCUS ON FOUR AREAS OF NEED (MENTAL HEALTH, OPIOID USE DISORDER, HOMELESSNESS, AND ACCESS TO PRIMARY CARE) BECAUSE WE BELIEVE THAT WE CAN HAVE THE GREATEST IMPACT AND POSITIVE INFLUENCE ON OUTCOMES. AT THE SAME TIME, PRMCE IS ALSO ACTIVELY INVOLVED IN SUPPORTING OUR COMMUNITY THROUGH MANY OTHER COMMUNITY BENEFIT PROGRAMS. PRMCE ANTICIPATES THAT IMPLEMENTATION STRATEGIES AND TACTICS MAY CHANGE AND THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE CHNA. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED IN THE CHIP. THE FOLLOWING INFORMATION OUTLINES PRMCE'S PLAN TO ADDRESS THE FOUR PRIORITY AREAS OVER A THREE-YEAR PERIOD. THE TARGET POPULATION FOR THE IMPROVEMENT PLAN IS THE SNOHOMISH COUNTY COMMUNITY, WITH EMPHASIS ON VULNERABLE POPULATIONS. MENTAL HEALTH CARE IS FOUNDATIONAL TO AN INDIVIDUAL'S QUALITY OF LIFE AND PHYSICAL HEALTH. ACCESS TO MENTAL HEALTH CARE INCLUDES THE AVAILABILITY OF QUALITY, INTEGRATED CARE FOR INDIVIDUALS WITH A RANGE OF MENTAL DISORDERS. DUE TO THE LACK OF ACCESS TO MENTAL HEALTH CARE, PATIENTS ARE EITHER GOING WITHOUT CARE, HAVE LONG WAIT TIMES TO SEE A PROVIDER, OR ARE CARED FOR IN FACILITIES THAT ARE NOT EQUIPPED TO CARE FOR THEM. THE GOAL IS TO IMPROVE ACCESS TO QUALITY, TIMELY MENTAL HEALTH SERVICES IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IMPROVE WHOLE PERSON CARE BY EMBEDDING MENTAL HEALTH PROGRAMS INTO PRIMARY CARE.ACCOMPLISHMENTS: 1) ADDED PEDIATRIC PSYCHIATRIST, THERAPIST AND SOCIAL WORKERS INTO PRIMARY CARE, 2) EXPANDED INTEGRATED BEHAVIORAL HEALTH IN WOMEN'S SERVICES CLINIC, 3) ADDING CLINICAL SOCIAL WORKER AND PSYCHIATRICS IN INTERNAL MEDICINE RESIDENCY CLINICB. STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES.ACCOMPLISHMENTS: 1) OPENED A 24-BED INPATIENT PSYCHIATRIC UNIT, 2) MENTAL HEALTH URGENT CARE CLINIC EXPANDING HOURS.C. STRATEGY: EDUCATE CAREGIVERS, PROVIDERS, AND THE COMMUNITY IN ORDER TO DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS.ACCOMPLISHMENTS: 1) INCREASED STAFF AND PROVIDER EDUCATION ON TRAUMA INFORMED CARE, 2) IMPROVED BEHAVIORAL HEALTH COMPETENCIES OF STAFF, 3) COORDINATED CONFERENCE FOR COMMUNITY PRIMARY CARE PROVIDERS FOCUSING ON ADULT ADHD AND BIPOLAR DISORDERS AND FUTURE OF MENTAL HEALTH SERVICES.A. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS MENTAL HEALTH CARE.ACCOMPLISHMENTS 1) PROVIDING FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING MENTAL HEALTH SUCH AS UNITED WAY, DOMESTIC VIOLENCE SERVICES, AND COMPASS HEALTH, 2) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO BEHAVIORAL HEALTH. OPIOID USE DISORDER HAS A SIGNIFICANT HEALTH AND SOCIAL IMPACT ON INDIVIDUALS AND THE COMMUNITY. MISUSE OF PRESCRIPTION OPIOIDS FOR PAIN SUCH AS MORPHINE, OXYCODONE, HYDROCODONE/FENTANYL, AND USE OF ILLEGAL DRUGS SUCH AS HEROIN ARE SERIOUS PROBLEMS IN SNOHOMISH COUNTY. THE GOAL IS TO IMPLEMENT PREVENTION AND INTERVENTION STRATEGIES TO REDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE MISUSE OF OPIOID MEDICATIONS AND USE OF ILLEGAL OPIOIDS IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH SUBSTANCE USE DISORDERS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: INCREASE ACCESS TO TREATMENT OPTIONS.ACCOMPLISHMENTS: 1) THE CONTINUATION OF PRMCE SUBSTANCE USE DISORDER TREATMENT SERVICES AS A SUBSIDIZED SERVICE AND EXPANDED ACCESS, 2) EXPANSION OF MEDICATION ASSISTED TREATMENT IN THE EMERGENCY DEPARTMENT AND INPATIENT MEDICAL AND SURGICAL HOSPITALIST TEAMS, 3) IMPLEMENTED CLINICAL RESEARCH STUDY FOR THOSE WANTING TO CEASE OPIOID USE AND GO INTO MEDICATION ASSISTED TREATMENT.B. STRATEGY: PREVENT INAPPROPRIATE OPIOID PRESCRIBING TO REDUCE OPIOID MISUSE.ACCOMPLISHMENTS: 1) EDUCATION ON PAIN CONTROL ALTERNATIVES TO PROVIDERS IN PERIOPERATIVE AND OBSTETRICS, 2) HARDWIRE ORDER SETS TO MINIMIZE NARCOTIC PRESCRIBING. 3) COORDINATED CONFERENCE FOR COMMUNITY MEDICAL PROVIDERS ON PAIN RELIEF BEYOND OPIOIDS. C. STRATEGY: PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON DRUG USE.ACCOMPLISHMENTS: 1) EXPANSION OF TOTAL HEALTH TO COMMUNITY PARTNERS IN ORDER TO SCREEN COMMUNITY MEMBERS FOR SOCIAL NEEDS, 2) TRAIN FAMILY MATERNITY CENTER NURSES TO SCREEN PREGNANT MOTHERS FOR SUBSTANCE USE DISORDERS AND OFFER TREATMENT, 3) IMPLEMENT SUBSTANCE USE DISORDER SCREENING FOR INPATIENTSD. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS OPIOID USE DISORDER.ACCOMPLISHMENTS: 1) FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING OPIOID USE DISORDER SUCH AS POISON CONTROL, COMPASS HEALTH, MARCH OF DIMES, UNITED WAY, COCOON HOUSE, 2) PROVIDED "INSIDE OUT ORGAN SHOW" EDUCATION TO SCHOOLS WHERE REAL HUMAN ORGANS ARE SHOWN TO CHILDREN TO EDUCATE THEM ON THE IMPACT SUBSTANCE USE HAS ON INTERNAL ORGANS, 3) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO OPIOID USE DISORDER, 4) IN COORDINATION WITH MED-PROJECT AND SNOHOMISH HEALTH DISTRICT, OFFER MEDICATION TACK BACK OPTIONS IN THE PROVIDENCE PHARMACIES IN EVERETT AND MONROE.HOMELESSNESS HAS A HIGH NEGATIVE IMPACT ON AN INDIVIDUAL'S HEALTH STATUS AND PERSONS EXPERIENCING HOMELESSNESS HAVE INCREASED NEED OF MEDICAL SYSTEMS. THE TERM "HOMELESS" IS A PROGRAMMATIC DEFINITION APPLIES TO A PERSONS' EXPERIENCE WITHOUT PERMANENT HOUSING AS THEY WHO MAY LIVE ON THE STREETS, STAY IN A SHELTER, MISSION, SINGLE ROOM OCCUPANCY FACILITY, ABANDONED BUILDING OR VEHICLE, OR IN ANY OTHER UNSTABLE OR NON-PERMANENT SITUATION. THE GOAL IS TO REDUCE THE NUMBER OF INDIVIDUALS AND FAMILIES IN SNOHOMISH COUNTY EXPERIENCING HOMELESSNESS, CONNECT PRMCE PATIENTS TO STABLE HOUSING, AND DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH PERSONS EXPERIENCING HOMELESSNESS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE PERSONS WITHOUT HOUSING POST DISCHARGE. ACCOMPLISHMENTS: 1) COLLABORATION WITH EVERETT GOSPEL MISSION FOR A MEN'S MEDICAL RESPITE PROGRAM, 2) COLLABORATING WITH AND PROVIDE FINANCIAL ASSISTANCE TO THE NORTHWEST JUSTICE PROJECT TO ASSIST PATIENTS WITH REMOVING BARRIERS TO DISCHARGE TO A HOME SETTING, 3) LEADER PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES TO ADDRESS CONDITIONS AND DYNAMICS THAT CHALLENGE COMMUNITY MEMBERS IN MEETING THEIR HOUSING NEEDS (PARTNERSHIP TO END HOMELESSNESS AS AN EXAMPLE), 4) PROVIDE INFLUENZA VACCINE TO VULNERABLE HOMELESS INDIVIDUALS THAT ARE SEEN IN THE EMERGENCY DEPARTMENT.B. STRATEGY: PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON HOUSING/HOMELESSNESS. ACCOMPLISHMENTS: 1) EXPANSION OF TOTAL HEALTH TO SCREEN INDIVIDUALS FOR SOCIAL DETERMINANTS OF HEALTH TO FIRST GENERATION LATINO IMMIGRANTS AND UNDOCUMENTED RESIDENTS.C. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO ALLEVIATE BARRIERS TO HOUSING. ACCOMPLISHMENTS: 1) FINANCIAL SUPPORT TO CLARE'S PLACE TO SUPPORT A LOW-BARRIER HOUSING PROJECT, 2) PROVIDE FINANCIAL SUPPORT TO OTHER ORGANIZATIONS DIRECTLY ADDRESSING HOUSING NEEDS SUCH AS HOUSING HOPE, PEORIA HOME, VOLUNTEERS OF AMERICA, AMERICAN RED CROSS, 3) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO THE HOUSING CRISIS. 4) PARTICIPATE IN PILOT TO REDUCE BARRIERS TO HOMEOWNERSHIP FOR BIPOC COMMUNITY MEMBERS, 5) PARTICIPATE IN COMMUNITY COLLABORATIVE ON IMPROVING SCHOOL ATTENDANCE FOR FAMILIES EXPERIENCE HOMELESSNESS. 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 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 13: ST. LUKE'S REHABILITATION INSTITUTE 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 ST. LUKE'S REHABILITATION HOSPITAL PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 528,652 PEOPLE.APPROXIMATELY 60 INDICATORS WERE CHOSEN THAT HELP ILLUSTRATE THE HEALTH OF THE COMMUNITY. DEMOGRAPHIC DATA AND DATA ON KEY SOCIOECONOMIC DRIVERS OF HEALTH STATUS - INCLUDING POVERTY, HOUSING AND EDUCATIONAL ATTAINMENT - ARE PRESENTED FIRST. THIS IS FOLLOWED BY THE DATA AND ANALYSIS OF EACH HEALTH INDICATOR AND IDENTIFIED DISPARITIES AND TRENDS IN THE DATA. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THEIR COMMUNITIES. PARTICIPANTS WERE PRIORITIZED TO INCLUDE GROUPS EXPERIENCING INEQUITIES IN THE DETERMINANTS OF HEALTH OR WHO HAVE HISTORICALLY BEEN EXCLUDED FROM COMMUNITY CONVERSATIONS. A LIST OF PARTICIPATING COMMUNITY PARTNERS CAN BE FOUND IN THE 2021 CHNA. THE 2021 CHNA WAS APPROVED BY THE PROVIDENCE HEALTH CARE COMMUNITY MINISTRY BOARD ON NOVEMBER 4, 2021 AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2021. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6A: SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, ST. LUKE'S REHABILITATION CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6B: SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, ST. LUKE'S REHABILITATION CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.CHNA WAS CONDUCTED IN PARTNERSHIP WITH PRIORITY SPOKANE, SPOKANE, WA SPOKANE REGIONAL HEALTH DISTRICT, SPOKANE, WA MULTICARE HEALTH SYSTEM, SPOKANE, WA PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND ST. LUKE'S REHABILITATION CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS:HIGH HOUSING COST BURDEN/HOMELESSNESS: THIS NEED INCLUDES THE LACK OF AVAILABLE HOUSING (LOW VACANCY RATE) AND THE LACK OF AFFORDABLE HOUSING, ALONG WITH SPECIFIC BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HOUSING. HOUSING INSTABILITY AND A LACK OF AFFORDABLE HOUSING IS A THREAT TO HEALTH AND WELL-BEING. FOOD INSECURITY IS RELATED TO HOUSING INSTABILITY, AND ALSO AN IMPORTANT COMPONENT OF HEALTH. DOMESTIC VIOLENCE AND CHILD ABUSE: DOMESTIC VIOLENCE AND CHILD ABUSE WERE IDENTIFIED THROUGHOUT ALL AREAS OF NEED, FROM HOUSING AND ECONOMIC PRESSURES TO MENTAL HEALTH AND DISCRIMINATION. PROVIDENCE IS INCLUDING CHILD ABUSE DUE TO OUR CHILDREN'S HOSPITAL AND THE EXTREME CASES OF CHILD ABUSE WE SEE THROUGH THAT SPECIALTY. POOR MENTAL HEALTH: THERE IS A LACK OF MENTAL HEALTH SERVICES AVAILABLE IN LANGUAGES OTHER THAN ENGLISH, AND THE BARRIERS TO ACCESSING MENTAL HEALTH SERVICES ARE EVEN GREATER FOR PEOPLE THAT ARE UNDOCUMENTED. STIGMA AND SHAME AROUND MENTAL HEALTH IS PREVALENT IN SOME COMMUNITIES AND THEREFORE MENTAL HEALTH ISSUES ARE UNDERREPORTED OR HIDDEN. STAKEHOLDERS SHARED STRESSORS, TRAUMA, CULTURE SHOCK, THE FEAR OF DEPORTATION, BASIC NEEDS NOT BEING MET, FAMILY VIOLENCE, RACISM, AND DISCRIMINATION AS SOME OF THE CAUSES FOR MENTAL HEALTH ISSUES. ACCESS TO HEALTH SERVICES: THROUGHOUT THE PANDEMIC THERE HAS BEEN A NEED TO FOCUS ON ACCESS TO HEALTH CARE, INCLUDING HEALTH EDUCATION AND PREVENTIVE SERVICES. THIS HAS BEEN A CONTINUED NEED OF PEOPLE WITH LOW INCOMES AND THOSE EXPERIENCING VULNERABILITIES, AS EVIDENT IN THE DATA RELATED TO HOMELESSNESS AND FEEDBACK FROM FOCUS GROUPS AND INTERVIEWS.NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH OUR COMMUNITY BENEFIT GRANTS FUNDING PROGRAM AS WELL AS PARTNERSHIP OPPORTUNITIES. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:RACISM/DISCRIMINATION: PROVIDENCE IS NOT THE LEADER IN THIS EFFORT. WE SEE A FIFTH HEALTH-RELATED NEED, RACISM AND DISCRIMINATION, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL FOUR NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING THE OTHER COMMUNITY NEEDS WE WILL USE AN EQUITY AND ANTI-RACIST FRAMEWORK. WE ARE ALSO COMMITTED TO SUPPORTING ORGANIZATIONS THAT ARE PROMOTING HEALTH EQUITY IN OUR COMMUNITY AND ARE CONTINUALLY LOOKING TO IMPROVE OUR KNOWLEDGE AND INTERNAL PROCESSES, AS WELL AS ADDRESS HEALTH DISPARITIES AND SOCIAL INEQUITIES IN OUR COMMUNITIES. WE WILL LOOK TO THOSE WITH LIVED EXPERIENCE TO GUIDE US IN IDENTIFYING HOW TO ADDRESS THE NEEDS OUR COMMUNITIES ARE EXPERIENCING. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: PROVIDENCE ALASKA MEDICAL CENTER, - FACILITY 12: ALASKA SPECIALTY HOSPITAL PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5: PAMC WITH ALASKA SPECIALTY HOSPITAL CONDUCTED THE 2021 CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE. THE PERSONS CONSULTED IN CONDUCTING THE CHNA TO ENSURE BROAD COMMUNITY REPRESENTATION AND PROCESS INTEGRITY WERE: CATHOLIC SOCIAL SERVICES:- LISA AQUINO, CEO UNITED WAY:- SUE BROGAN- CLARK HALVERSON, CEO ANCHORAGE NEIGHBORHOOD HEALTH CENTER:- SHANNON SAVAGE, CHIEF COMS/DEV OFFICER- TAMMY GREEN, CEO ANCHORAGE COMMUNITY LAND TRUST:- RADHIKA KRISHNA DIRECTOR OF OPERATIONS- KIRK ROSE, CEO ANCHORAGE HEALTH DEPARTMENT:- NICOLE LEBO, DIVISION MANAGERANCHORAGE LITERACY PROGRAM:- LORI PICKETT, CEO ALASKA NATIVE HERITAGE CENTER:- EMILY EDENSHAW, CEO PROVIDENCE ALASKA:- NATHAN JOHNSON, REGIONAL DIRECTOR COMMUNITY HEALTH INVESTMENT THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6A: PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH CATHOLIC SOCIAL SERVICES, UNITED WAY, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, ANCHORAGE COMMUNITY LAND TRUST, ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE LITERACY PROGRAM, AND ALASKA NATIVE HERITAGE CENTER. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11: PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD. GREAT ATTENTION HAS BEEN PAID TO STABLISHING MEANINGFUL MEASURES BY WHICH WE INTEND TO EVALUATE THE IMPACT OF OUR ACTIVITIES AND THE ACTIVITIES OF OUR PARTNERS. IN SOME CASES, OUR EFFORTS HAVE BEEN CONFOUNDED BY THE LACK OF OR LIMITED AVAILABILITY OF DATA. THE EFFORT TO MEASURE OUR IMPACT WILL BE AN ONGOING CHALLENGE AND JOURNEY AS WE SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITY. NOTE: THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PAMC IMPLEMENTATION OF SERVICES. PRIORITIZED COMMUNITY HEALTH NEEDS: 1. POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) HAS MADE THE FIGHT AGAINST HOMELESSNESS A PRIORITY SINCE 2015, PROVIDING ABOUT $2.5 MILLION PER YEAR IN FUNDING. THAT WORK HAS PRIMARILY LED TO ADVANCES IN INFRASTRUCTURE AND THE COLLECTING OF DATA SO THAT HOMELESS SERVICE PROVIDERS CAN GET A TRUE SENSE OF THE SCALE OF THE PROBLEM. THEN IN 2019, PROVIDENCE PARTNERED WITH RASMUSON FOUNDATION, PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, AND WEIDNER APARTMENT HOMES TO PLEDGE A COMBINED $40 MILLION TO CREATING SOLUTIONS FOR HOMELESSNESS IN THE STATE - A JOINT EFFORT THAT WAS SUCCESSFUL ENOUGH TO ATTRACT PARTNERS LIKE THE BEZOS FOUNDATION. WHEN THE PANDEMIC LANDED IN ALASKA, AND CROWDED HOMELESS SHELTERS AND FACILITIES HAD TO RETHINK THEIR SPACES TO ACCOMMODATE FOR ADEQUATE SOCIAL DISTANCING TO PREVENT THE SPREAD OF COVID-19, PROVIDENCE JOINED WITH THE CITY OF ANCHORAGE AND OTHER LOCAL AGENCIES TO CONVERT THE CITY'S 8,600-SEAT SULLIVAN ARENA INTO AN EMERGENCY SHELTER. IT'S SUCCESS IN PROVIDING SHELTER TO MORE THAN 400 PEOPLE AT A TIME AND KEEPING INFECTION RATES LOW AMONG ONE OF THE HIGHEST-RISK POPULATIONS GARNERED NATIONAL ATTENTION. 2. MENTAL HEALTH: PHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY. MENTAL HEALTH IS ANOTHER ISSUE THAT PERENNIALLY APPEARS ON PROVIDENCE'S COMMUNITY NEEDS ASSESSMENTS. BUT THE PANDEMIC - THE HEALTH CRISIS, ITSELF, THE ADVERSE ECONOMIC IMPACT, AND THE EFFECTS OF THE SOCIAL ISOLATION - HAS ONLY HEIGHTENED THE IMPORTANCE OF ACCESS TO BEHAVIORAL HEALTHCARE, PARTICULARLY FOR ADOLESCENTS. THAT'S WHY PROVIDENCE HAS PARTNERED WITH VOLUNTEERS OF AMERICAN ALASKA TO EMBED BEHAVIORAL HEALTH COUNSELORS IN ANCHORAGE SCHOOL DISTRICT (ASD) SCHOOLS. THIS WILL BOOST DELIVERY, RAISE AWARENESS OF THE NEED FOR SERVICES, AND BOLSTER THE COMMUNITY'S OVERALL ABILITY TO COORDINATE CARE AMONG YOUTH. IN 2020 PROVIDENCE PARTNERED WITH ANCHORAGE NEIGHBORHOOD HEALTH CENTER AND SOUTHCENTRAL FOUNDATION TO SET UP A FULL-SERVICE CLINIC IN THE BOX OFFICE OF THE SULLIVAN SPORTS ARENA THAT HAD BEEN CONVERTED INTO AN EMERGENCY HOMELESS SHELTER. PROVIDENCE DIVERTED STAFF, RESOURCES, AND EQUIPMENT TO PROVIDE MEDICAL CARE, BEHAVIORAL HEALTH CARE, AND EVEN AN ONSITE PHARMACY. THERE WAS ALSO HELP FOR SUBSTANCE USE, ADDICTION, AND WITHDRAWAL FROM PSYCHIATRISTS, BOTH IN PERSON AND VIA MAKESHIFT TELEHEALTH TERMINALS. 3. HEALTHY BEHAVIORS: PHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURY PREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE. THE COMMUNITY HEALTH WORKER PROGRAM WAS DEVELOPED IN 2020 AND FOUR COMMUNITY HEALTH WORKERS WERE HIRED, WHO CAME OUT OF PRIOR COHORTS OF OUR PEER NAVIGATOR PROGRAM. THEY SERVE AS COMMUNITY EDUCATORS AND LIAISON AROUND HEALTH ISSUES AND HEALTHY BEHAVIORS. PROVIDENCE ALASKA OVER $100,000 FUNDED THE ANCHORAGE LITERACY PEER LEADER PROGRAM WHICH WAS THE LEAD AGENCY IN THE COMMUNITY REACHING OUT TO MARGINALIZED COMMUNITIES TO ADDRESS VACCINE HESITANCY. 4. SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY PSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELP ADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES. CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD. 5. ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY. CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST-TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE. PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER. THE ALASKA MEDICAL CENTER HAS THE ONLY PRIMARY CARE RESIDENCY CLINIC THAT SERVES THE MEDICAID POPULATION OF ALASKA, AND ONE OF VERY FEW CLINICS THAT ACCEPT MEDICAID AND MEDICARE. IN ADDITION, IT IS TRAINING HEALTH CARE PROVIDERS TO SERVE MARGINALIZED COMMUNITIES. 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 2019. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 38 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-REPORTS UNDER 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 FOLLOWING NEEDS WERE PRIORITIZED IN THE DISCUSSION GROUP. BASED ON ALL OF THE INPUT RECEIVED THROUGH THIS ASSESSMENT PROCESS, THE FOLLOWING IS THE RANK ORDERED LIST OF SIGNIFICANT HEALTH NEEDS. SUPPORT FOR YOUTH AND FAMILIES 1. ADDRESS THE CYCLE OF POVERTY FOR FAMILIES WITH SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT ACCESS2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS3. PROPER NUTRITION FOR CHILDREN AND FAMILIESACCOMPLISHMENTS: PARTNERSHIP WITH COLVILLE PUBLIC LIBRARY: WELCOME BABY COMMITTEE OFFERS LIBRARY SERVICES AND OTHER HELPFUL RESOURCES FOR PARENTS OF BABIES BORN AT PROVIDENCE MOUNT CARMEL HOSPITAL; LIBRARY BOOKS ARE DELIVERED TO AND FROM THE PINEWOOD TERRACE, PARKVIEW, AND BUENA VISTA NURSING HOMES, PROVIDING BOOKS AND AUDIOBOOKS FOR MANY OF COLVILLE'S SENIOR CITIZENS.PARTNERSHIP WITH COLVILLE SCHOOL DISTRICT: YOUTH RECEIVE SUPPORT TO REMAIN IN SCHOOL UNTIL GRADUATION; 5-YEAR GRADUATION RATE IS 85% PARTNERSHIP WITH N.E.W. HUNGER COALITION: PROGRAMMING INCLUDING TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES; HOME GARDEN SUPPORT CONTINUING CARE OF THE AGING POPULATION1. GAP IN RURAL HOME HEALTH CARE NEEDS AND ISOLATION2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS3. PROPER NUTRITION FOR THE AGING POPULATION TO HELP WITH CHRONIC DISEASES. ACCOMPLISHMENTS: PARTNERSHIP WITH COLVILLE SENIOR AND COMMUNITY CENTER: ONGOING ACCESS TO COMMUNITY ACTIVITIES AND MEALS PARTNERSHIP WITH N.E.W. HUNGER COALITION: PROGRAMMING INCLUDING TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES; HOME GARDEN SUPPORTACCESS TO CARE1. IMMUNIZATIONS2. TRANSPORTATION3. HEALTH EDUCATION-MEDICAID -DIABETES -NUTRITION -SUBSTANCE ABUSE - TECHNOLOGY - PALLIATIVE CARE - MENTAL HEALTHACCOMPLISHMENTS: ACCESS TO SPECIALTY CARE PROVIDED THROUGH SEVERAL PROVIDENCE CLINICS TO PROVIDE RANGE OF SERVICES AVAILABLE TO SUPPORT INDIVIDUAL AND COMMUNITY HEALTH: OUTPATIENT PHYSICAL THERAPY (PROVIDENCE ST. JOSEPH HOSPITAL IN CHEWELAH); OUTPATIENT WOUND CARE (PROVIDENCE MOUNT CARMEL IN COLVILLE); FAMILY MATERNITY CENTER (PROVIDENCE MOUNT CARMEL IN COLVILLE).SUPPORT OF STEVENS COUNTY AMBULANCE: BEGINNING IN 2021, THE ORGANIZATION MOVED FROM RELYING ON ALL-VOLUNTEER SERVICE TO EMPLOYING EMTS AND PARAMEDICS TO SERVE STEVENS COUNTYOUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS. 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 CONTINUE OUR MISSION THROUGH THE COMMUNITY BENEFITS GRANTING PROGRAM. SOME OF THESE AREAS MAY BE OUT OF OUR SCOPE. HOWEVER, WE SEE THE INTERCONNECTEDNESS OF HEALTH, HOUSING, EDUCATION, AND INCOME AND THIS NEEDS ASSESSMENT PROCESS IDENTIFIED NEEDS THAT WE WILL BE ADDRESSING. IF WE CAN IMPROVE THE HEALTH OF OUR WORKFORCE, THEY WILL BE BETTER EMPLOYEES. IF WE CAN ADDRESS MEDICAL NEEDS IN HOUSING SITUATIONS, THEY MAY BE ABLE TO LIVE IN THEIR HOMES LONGER. IN ADDITION, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHEWELAH WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B, LINE 11 (CONTINUED): PHS - WASHINGTON (GROUP B - 4 & 5)ACCESS TO PRIMARY CARE HAS ALWAYS BEEN A GREAT CHALLENGE FOR THE COMMUNITY. LACK OF ACCESS DISPROPORTIONATELY EFFECTS THOSE LIVING IN POVERTY AND PRESENTS BARRIERS TO GOOD HEALTH. ADDRESSING THESE BARRIERS WILL IMPROVE HEALTH AND HELP PEOPLE GET THE RIGHT CARE, AT THE RIGHT TIME, AND IN THE RIGHT CARE SETTING. INDIVIDUALS WHO HAVE A PRIMARY CARE PROVIDER ARE MORE LIKELY TO RECEIVE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND MEDICATION MANAGEMENT, ALL OF WHICH LEAD TO BETTER HEALTH OUTCOMES. THOSE WITHOUT ACCESS TO A PRIMARY CARE PROVIDER MAY CHOOSE TO RECEIVE CARE IN AN EMERGENCY DEPARTMENT FOR NON-EMERGENT CONDITIONS BECAUSE THEY FEEL THEY HAVE NOWHERE ELSE TO GO, OR THEY DEFER CARE UNTIL AN ILLNESS PROGRESSES. THE GOAL IS TO ASSIST SNOHOMISH COUNTY RESIDENTS WITH ACCESSING PRIMARY CARE AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS.ACCOMPLISHMENTS: 1) INCREASE IN THE NUMBER OF AVAILABLE APPOINTMENTS, 2) UTILIZING A VALUE STREAM MANAGEMENT APPROACH TO IDENTIFY BARRIERS, 3) OFFERED ELECTRONIC SCHEDULING AND APPOINTMENT REMINDER APPS, 4) CREATED A CENTRALIZED HUB FOR PEDIATRIC SERVICESB. STRATEGY: COLLABORATE WITH COMMUNITY PARTNERS TO INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE SECTOR.ACCOMPLISHMENTS: 1) PARTICIPATION IN THE SEAMAR FAMILY MEDICINE RESIDENCY PROGRAM AND THE WSU MEDICAL SCHOOL RESIDENCY PROGRAM, 2) COLLABORATION WITH AREA COMMUNITY COLLEGES AND HIGH SCHOOLS TO INCREASE INTERESTS IN HEALTHCARE CAREER PATHS.C. STRATEGY: RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY WHERE IT IS CONVENIENT FOR THE PATIENT.ACCOMPLISHMENTS: 1) ADDED ADDITIONAL PRIMARY CARE PROVIDERS TO PMG NORTHWEST LOCATIONS 2) OPENED AN INTERNAL MEDICINE CLINIC AS A PLACE THAT WSU RESIDENCY PROVIDERS CAN PRACTICE AND PROVIDE CARE TO THE COMMUNITY WITH A SPECIFIC FOCUS ON THOSE THAT DO NOT HAVE A PRIMARY CARE PROVIDER.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMDUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE WILL NOT ADDRESS OBESITY/DIET/EXERCISE OR ACCESS TO YOUTH DENTAL CARE. GIVEN THE SCOPE OF CARE WE PROVIDE TO OUR COMMUNITY, WE WILL HAVE AN INDIRECT IMPACT ON THESE COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH OTHER COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, SUICIDE WILL NOT BE DIRECTLY ADDRESS BY PRMCE. HOWEVER, WE ANTICIPATE THAT THE FOCUS ON ACCESS TO MENTAL HEALTH WILL ALSO HAVE A POSITIVE IMPACT ON SUICIDE.PHS - WASHINGTON (GROUP D - 1 & 12)IN 2021 PROVIDENCE PARTNERED WITH ANCHORAGE NEIGHBORHOOD HEALTH CENTER AND SOUTHCENTRAL FOUNDATION TO SET UP A FULL-SERVICE CLINIC IN THE BOX OFFICE OF THE SULLIVAN SPORTS ARENA THAT HAD BEEN CONVERTED INTO AN EMERGENCY HOMELESS SHELTER. PROVIDENCE DIVERTED STAFF, RESOURCES, AND EQUIPMENT TO PROVIDE MEDICAL CARE, BEHAVIORAL HEALTH CARE, AND EVEN AN ONSITE PHARMACY. THERE WAS ALSO HELP FOR SUBSTANCE USE, ADDICTION, AND WITHDRAWAL FROM PSYCHIATRISTS, BOTH IN PERSON AND VIA MAKESHIFT TELEHEALTH TERMINALS. 409 1 - PROVIDENCE ANESTHESIA SERVICES AT PSHMC 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 2 - PROVIDENCE ANESTHESIA SERVICES AT ASC SPOK 16528 E DESMET CT SPOKANE WA 992163522 SPECIALTY CLINIC 3 - PROVIDENCE ANESTHESIA SERVICES AT PSMMC 401 W POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 4 - PROVIDENCE ANESTHESIA SERVICES AT WALLA WA 55 W TIETAN ST WALLA WALLA WA 993624445 SPECIALTY CLINIC 5 - PROVIDENCE ANESTHESIA SERVICES AT PHFH 5633 N LIDGERWOOD ST SPOKANE WA 992081224 SPECIALTY CLINIC 6 - PROVIDENCE ANESTHESIA SERVICES AT PCH 914 S SCHEUBER RD CENTRALIA WA 985319027 SPECIALTY CLINIC 7 - PMG NW WA - ASSAULT AND ABUSE INTERVENTION 1509 CALIFORNIA ST EVERETT WA 982013540 SPECIALTY CLINIC 8 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 3020 WILLAMETTE DR NE LACEY WA 985166266 SPECIALTY CLINIC 9 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 1216 W ROBERT BUSH DRIVE WESTPACIFI COUNT SOUTH BEND WA 98586 SPECIALTY CLINIC 10 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 220 WASHINGTON WAYBLDG A CENTRALIA WA 98531 SPECIALTY CLINIC 11 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 7013 SANDRIDGE ROAD SPACIFIC COUNTY HHSD A LONG BEACH WA 985864703 SPECIALTY CLINIC 12 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 413 LILLY RD OLYMPIA WA 98506 SPECIALTY CLINIC 13 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 914 S SCHEUBER RD CENTRALIA WA 985319029 SPECIALTY CLINIC 14 - PMG NW WA - BEHAVIORAL HEALTH & CARE MANAG 12800 BOTHELL EVERETT HWY EVERETT WA 982086642 SPECIALTY CLINIC 15 - PMG NW WA - MILL CREEK WALK-IN 12800 BOTHELL EVERETT HWY STE 120 EVERETT WA 98208 SPECIALTY CLINIC 16 - PMG NW WA - PLASTIC AND RECONSTRUCTIVE SUR 12800 BOTHELL EVERETT HWY STE 260B EVERETT WA 982086642 SPECIALTY CLINIC 17 - PMG NW WA - BEHAVIORAL HEALTH WALK-IN CLIN 1330 ROCKEFELLER AVE STE 140 EVERETT WA 982011682 SPECIALTY CLINIC 18 - PMG EASTERN WA - PSYCHIATRIC CENTER 105 W 8TH AVE STE 450E SPOKANE WA 992042302 SPECIALTY CLINIC 19 - PMG EASTERN WA - PSYCHIATRY RESIDENCY SPOK 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 20 - PROVIDENCE BEHAVIORAL MEDICINE - PALMER 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 21 - PROVIDENCE BEHAVIORAL MEDICINE - ANCHORAGE 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 995084661 SPECIALTY CLINIC 22 - PROVIDENCE BEHAVIORAL MEDICINE - ANCHORAGE 3760 PIPER ST STE 1108 ANCHORAGE AK 995084683 SPECIALTY CLINIC 23 - PROVIDENCE CRISIS RECOVERY CENTER 3760 PIPER STLL 139 ANCHORAGE AK 995084665 SPECIALTY CLINIC 24 - PROVIDENCE ADOLESCENT RESIDENTIAL TREATMEN 3210 W 62ND AVE ANCHORAGE AK 995022103 SPECIALTY CLINIC 25 - PMG NW WA - REGIONAL MEDICAL CENTER EVERET 1717 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 26 - PMG SE WA - CARDIOLOGY 55 WEST TIETAN ST WALLA WALLA WA 993624445 SPECIALTY CLINIC 27 - PROVIDENCE SPOKANE HEART INSTITUTE - 1200 W FAIRVIEW ST COLFAX WA 991119552 SPECIALTY CLINIC 28 - PROVIDENCE SPOKANE HEART INSTITUTE - 143 GARDEN HOMES DR COLVILLE WA 991149229 SPECIALTY CLINIC 29 - PROVIDENCE SPOKANE HEART INSTITUTE - 1600 E JEFFERSON STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 30 - PROVIDENCE SPOKANE HEART INSTITUTE - 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 31 - PROVIDENCE SPOKANE HEART INSTITUTE - 212 E CENTRAL AVE STE 240 SPOKANE WA 992086597 SPECIALTY CLINIC 32 - PROVIDENCE SPOKANE HEART INSTITUTE - 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 33 - PROVIDENCE SPOKANE HEART INSTITUTE - 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA WA 98405 SPECIALTY CLINIC 34 - PROVIDENCE SPOKANE HEART INSTITUTE - 411 FORTUYN RD GRAND COULEE WA 991338718 SPECIALTY CLINIC 35 - PROVIDENCE SPOKANE HEART INSTITUTE - 62 W 7TH AVE STE 450 SPOKANE WA 992042321 SPECIALTY CLINIC 36 - PROVIDENCE SPOKANE HEART INSTITUTE - 714 W PINE ST NEWPORT WA 991569046 SPECIALTY CLINIC 37 - PROVIDENCE SPOKANE HEART INSTITUTE - CLARK 808 PORT DR CLARKSON WA 994036009 SPECIALTY CLINIC 38 - PROVIDENCE SPOKANE HEART INSTITUTE - 821 E BROADWAY AVE STE 5 MOSES LAKE WA 988375934 SPECIALTY CLINIC 39 - PROVIDENCE SPOKANE HEART INSTITUTE - 825 SE BISHOP BLVD STE 140 PULLMAN WA 991635517 SPECIALTY CLINIC 40 - PROVIDENCE SPOKANE HEART INSTITUTE - 905 E D ST DEER PARK WA 99006 SPECIALTY CLINIC 41 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 42 - PMG NW WA - EASTSIDE INTERNAL MEDICINE CAR 12333 NE 130TH LN STE 210 KIRKLAND WA 980347467 SPECIALTY CLINIC 43 - PMG NW WA - CARDIOVASCULAR & THORACIC 1330 ROCKEFELLER AVE STE 400 EVERETT WA 982011676 SPECIALTY CLINIC 44 - PMG NW WA - SKAGIT REGIONAL CLINICS -CARDI 307 S 13TH ST STE 300 MOUNT VERNON WA 98274 SPECIALTY CLINIC 45 - PMG NW WA - CARDIOLOGY 4225 HOYT AVE STE A EVERETT WA 982032351 SPECIALTY CLINIC 46 - PMG NW WA - PMG NW WA ARLINGTON CARDIOLOGY 875 WESLEY ST STE 110 ARLINGTON WA 982231668 SPECIALTY CLINIC 47 - PMG EASTERN WA - CENTER FOR CONGENITAL HEA 101 W 8TH AVE STE 4300 SPOKANE WA 992042307 SPECIALTY CLINIC 48 - PMG EASTERN WA - CENTER FOR CONGENITAL HEA 1025 S 2ND AVE WALLA WALLA WA 993624116 SPECIALTY CLINIC 49 - PMG SW WA - CARDIOLOGY ASSOCIATES - CENTRA 1800 COOKS HILL RD STE K CENTRALIA WA 985319162 SPECIALTY CLINIC 50 - PMG SW WA - CARDIOLOGY ASSOCIATES - ABERDE 1921 SUMNER AVE ABERDEEN WA 985203606 SPECIALTY CLINIC 51 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 201 TAHOMA BLVD STE 204 YELM WA 985977735 SPECIALTY CLINIC 52 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 500 LILLY RD NE STE 100 OLYMPIA WA 985065195 SPECIALTY CLINIC 53 - PMG SW WA - CARDIOLOGY ASSOCIATES - SHELTO 929 MT VIEW DR STE 120 SHELTON WA 985844411 SPECIALTY CLINIC 54 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 939 MT VIEW DR STE 120 SHELTON WA 985844411 SPECIALTY CLINIC 55 - PMG NW WA - DELTA REHABILITATION CENTER 1705 TERRACE AVE SNOHOMISH WA 982901914 SPECIALTY CLINIC 56 - PROVIDENCE REGIONAL MEDICAL CENTER EVERETT 2722 COLBY AVE STE 200 EVERETT WA 982013527 SPECIALTY CLINIC 57 - PMG SW WA - MDPP CENTRALIA INTERNAL MEDICI 1010 S SCHEUBER RD STE 3 CENTRALIA WA 985318892 SPECIALTY CLINIC 58 - PMG SW WA - MDPP WEST OLYMPIA FAMILY MEDIC 1620 COOPER POINT RD SW OLYMPIA WA 985025736 SPECIALTY CLINIC 59 - PMG SW WA - MDPP HAWKS PRARIE FAMILY MEDIC 2555 MARVIN RD NE LACEY WA 985163138 SPECIALTY CLINIC 60 - PMG SW WA - MDPP BOLDT DIABETES 4800 COLLEGE ST SE LACEY WA 985034389 SPECIALTY CLINIC 61 - PROVIDENCE IMAGING CENTER - EAGLE RIVER 17101 SNOWMOBILE LANE STE 101 EAGLE RIVER AK 995777043 SPECIALTY CLINIC 62 - PROVIDENCE IMAGING CENTER - ANCHORAGE 3340 PROVIDENCE DR STE 101 ANCHORAGE AK 995084691 SPECIALTY CLINIC 63 - PMG EASTERN WA - PROVIDENCE DIGESTIVE HEAL 105 W 8TH AVE STE 7050 SPOKANE WA 992042318 SPECIALTY CLINIC 64 - PMG EASTERN WA - ORTHOPEDICS DME 16528 DESMET CT SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 65 - PMG EASTERN WA - ORTHOPEDICS 212 E CENTRAL AVE STE 245 SPOKANE WA 992086289 SPECIALTY CLINIC 66 - PMG SE WA - EXPRESS CARE AT WALGREENS COLL 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 67 - PMG SE WA - EXPRESS CARE AT WALGREENS WALL 508 N WILBUR AVE WALLA WALLA WA 993621549 SPECIALTY CLINIC 68 - PMG NW WA - EXPRESS CARE AT WALGREENS MUKI 10200 MUKILTEO SPEEDWAY MUKILTEO WA 98275 SPECIALTY CLINIC 69 - PMG NW WA - EXPRESS CARE AT WALGREENS MURP 13110 BOTHELL EVERETT HWY EVERETT WA 982087202 SPECIALTY CLINIC 70 - PMG NW WA - EXPRESS CARE AT WALGREENS CLEA 17432 STATE ROUTE 9 SUITE 201 SNOHOMISH WA 982968451 SPECIALTY CLINIC 71 - PMG NW WA - EXPRESS CARE AT WALGREENS BROA 2205 BROADWAY EVERETT WA 982012321 SPECIALTY CLINIC 72 - PMG NW WA - EXPRESS CARE AT WALGREENS LAKE 718 91ST AVE NE LAKE STEVENS WA 98258 SPECIALTY CLINIC 73 - PROVIDENCE EXPRESS CARE - PEARL 1025 NW 14TH AVE PORTLAND OR 97209 SPECIALTY CLINIC 74 - PROVIDENCE EXPRESS CARE - MURRAYHILL 14600 SW MURRAY SCHOOLS DR BEAVERTON OR 97007 SPECIALTY CLINIC 75 - PROVIDENCE EXPRESS CARE - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 76 - PROVIDENCE EXPRESS CARE - GLISAN 17979 NE GLISAN ST GRESHAM OR 97030 SPECIALTY CLINIC 77 - PROVIDENCE EXPRESS CARE - FISHERS LANDING 1905 SE 164TN AVE VANCOUVER WA 98683 SPECIALTY CLINIC 78 - PROVIDENCE EXPRESS CARE - BETHANY 4816 NE BETHANY BLVD PORTLAND OR 97229 SPECIALTY CLINIC 79 - PROVIDENCE EXPRESS CARE - LOMBARD 5300 N LAMBARD ST STE 102 PORTLAND OR 97203 SPECIALTY CLINIC 80 - PROVIDENCE EXPRESS CARE - HILLSBORO 955 SE BASELINE ST HILLSBORO OR 97123 SPECIALTY CLINIC 81 - PMG EASTERN WA - EXPRESS CARE WALGREENS N 12312 E SPRAGUE AVE SPOKANE VALLEY WA 992160720 SPECIALTY CLINIC 82 - PMG EASTERN WA - EXPRESS CARE WALGREENS WA 12315 N DIVISION ST SPOKANE WA 992181951 SPECIALTY CLINIC 83 - PMG EASTERN WA - EXPRESS CARE AT WALGREENS 2923 E 29TH AVE SPOKANE WA 992234811 SPECIALTY CLINIC 84 - PMG EASTERN WA - EXPRESS CARE AT WALGREENS 9027 N INDIAN TRAIL RD SPOKANE WA 992089916 SPECIALTY CLINIC 85 - EXPRESS CARE WA PC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 86 - EXPRESS CARE WA PC - RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 87 - EXPRESS CARE WA PC - LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 88 - EXPRESS CARE WA PC - RICHLAND DOWNTOWN 1601 GRORGE WASH WAY RICHLAND WA 99354 SPECIALTY CLINIC 89 - EXPRESS CARE WA PC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 90 - EXPRESS CARE WA PC - EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 91 - EXPRESS CARE WA PC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 92 - EXPRESS CARE WA PC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 93 - EXPRESS CARE WA PC - MISSOULA SOUTHGATE 3624 BROOK ST STE 101 MISSOULA MT 598017338 SPECIALTY CLINIC 94 - EXPRESS CARE WA PC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 95 - EXPRESS CARE WA PC - EASTGATE 508 N WILBUR AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 96 - EXPRESS CARE WA PC - NORTH PASCO 5506 N ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 97 - EXPRESS CARE WA PC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 99258 SPECIALTY CLINIC 98 - EXPRESS CARE WA PC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 99 - PROVIDENCE EXPRESS CARE - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 100 - PROVIDENCE EXPRESS CARE - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 97125 SPECIALTY CLINIC 101 - PROVIDENCE EXPRESS CARE - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 102 - PROVIDENCE EXPRESS CARE - NEWBERG 1840 PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 103 - PROVIDENCE EXPRESS CARE - CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 104 - PROVIDENCE EXPRESS CARE - INTERSTATE 4340 N INTERSTATE AVE PORTLAND OR 97217 SPECIALTY CLINIC 105 - PROVIDENCE EXPRESS CARE - KRUSE WAY 4823 MEADOWS DRSTE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 106 - PMG EASTERN WA - EXPRESS CARE AIRWAY HEIGH 10258 W SUNSET HWY SUITE 6 SPOKANE WA 99001 SPECIALTY CLINIC 107 - PMG NW WA - EVERETT REHAB AND CARE CENTER 1919 112TH ST SW EVERETT WA 98204 SPECIALTY CLINIC 108 - PMG NW WA - FOREST VIEW TRANSITIONAL HEALT 5129 HILLTOP RD EVERETT WA 982033163 SPECIALTY CLINIC 109 - PMG NW WA - BETHANY AT PACIFIC 916 PACIFIC AVE EVERETT WA 982014147 SPECIALTY CLINIC 110 - PMG SW WA - OLYMPIA TRANSITIONAL CARE AND 430 LILLY RD NE OLYMPIA WA 985065132 SPECIALTY CLINIC 111 - PMG SW WA - RIVERSIDE NURSING AND REHABILI 1305 ALEXANDER ST CENTRALIA WA 98531 SPECIALTY CLINIC 112 - PMG SW WA - THE HAMPTON ALZHEIMER'S SPECIA 1400 TROSPER RD SW TUMWATER WA 985128136 SPECIALTY CLINIC 113 - PMG SW WA - ROO LAN HEALTH AND REHAB 1505 CARPENTER RD SE LACEY WA 985035906 SPECIALTY CLINIC 114 - PMG SW WA - SHARON CARE CENTER 1509 HARRISON AVE CENTRALIA WA 985314568 SPECIALTY CLINIC 115 - PMG SW WA - REGENCY OLYMPIA REHABILITATION 1811 22ND AVE SE OLYMPIA WA 98501 SPECIALTY CLINIC 116 - PMG SW WA - ORCHARD POINTE 300 S KITSAP BLVD PORT ORCHARD WA 983663778 SPECIALTY CLINIC 117 - PMG SW WA - PUGET SOUND HEALTHCARE CENTER 4001 CAPITAL MALL DR SW OLYMPIA WA 985028657 SPECIALTY CLINIC 118 - PMG SW WA - MONTESANO HEALTH AND REHABILIT 800 N MEDCALF LN MONTESANO WA 98563 SPECIALTY CLINIC 119 - PMG SW WA - MALLARD LANDING ASSISTED LIVIN 813 SE CLARK AVE BATTLE GROUND WA 986048957 SPECIALTY CLINIC 120 - PMG SW WA - THE SEQUOIA ASSISTED LIVING CO 825 LILLY RD NE OLYMPIA WA 985066936 SPECIALTY CLINIC 121 - PMG SW WA - PRESTIGE POST-ACUTE AND REHAB 917 S SCHEUBER RD CENTRALIA WA 985319027 SPECIALTY CLINIC 122 - PMG ALASKA - TRANSITIONAL CARE CENTER 910 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 123 - PMG SW WA - PROVIDENCE MOTHER JOSEPH CARE 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 124 - PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVE SPOKANE WA 992021201 SPECIALTY CLINIC 125 - PROVIDENCE MOTHER JOSEPH CARE CENTER 3333 ENSIGN RD NE OLYMPIA WA 985065012 SPECIALTY CLINIC 126 - PROVIDENCE MARIANWOOD 3725 PROVIDENCE POINT DR SE ISSAQUAH WA 980297219 SPECIALTY CLINIC 127 - PROVIDENCE TRANSITIONAL CARE CENTER 910 COMPASSION CIR ANCHORAGE AK 995041645 SPECIALTY CLINIC 128 - PROVIDENCE EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 995044665 SPECIALTY CLINIC 129 - PMG SE WA - GASTROENTEROLOGY 1017 S 2ND AVESTE 3 SPOKANE WA 992247013 SPECIALTY CLINIC 130 - PMG ALASKA - GASTROENTEROLOGY CLINIC 3340 PROVIDENCE DR STE A567 ANCHORAGE AK 995084691 SPECIALTY CLINIC 131 - PMG ALASKA - PMGA PEDIATRIC GASTROENTEROLO 4001 DALE STREETSUITE B201 ANCHORAGE AK 99508 SPECIALTY CLINIC 132 - PMG EASTERN WA - GASTROENTEROLOGY PMP 16528 E DESMET CT STE A2200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 133 - PMG EASTERN WA - GASTROENTEROLOGY 212 E CENTRAL AVE STE 245 SPOKANE WA 992086290 SPECIALTY CLINIC 134 - PMG EASTERN WA - GENETICS CLINIC 105 W 8TH AVE STE 454E SPOKANE WA 992042318 SPECIALTY CLINIC 135 - PMG NW WA - TRANSITIONAL CARE PACIFIC CAMP 916 PACIFIC AVE FLR 6 EVERETT WA 982014147 SPECIALTY CLINIC 136 - PMG NW WA - GYNECOLOGIC ONCOLOGY 1717 13TH ST STE 300 EVERETT WA 982011621 SPECIALTY CLINIC 137 - PMG EASTERN WA - PEDIATRIC HEMATOLOGY ONC 101 W 8TH AVE PSHMC FLR 3 SPOKANE WA 992042307 SPECIALTY CLINIC 138 - PMG SW WA - PROVIDENCE REGIONAL CANCER SYS 2015 COOKS HILL RD STE 200 CENTRALIA WA 985319074 SPECIALTY CLINIC 139 - PMG SW WA - PROVIDENCE REGIONAL CANCER CEN 2026 OLYMPIC HWY N STE 203 SHELTON WA 98584 SPECIALTY CLINIC 140 - PMG SW WA - PROVIDENCE REGIONAL CANCER SYS 954 ANDERSON RD ABERDEEN WA 98520 SPECIALTY CLINIC 141 - PROVIDENCE VISITING NURSES ASSOCIATION HOM 1000 N ARGONNE RD SPOKANE VALLEY WA 99212 HOME HEALTH 142 - PROVIDENCE IN HOME HEALTH AND HOSPICE - HO 4001 DALE ST STE 101 ANCHORAGE AK 995085444 HOME HEALTH 143 - PROVIDENCE HOSPICE OF SEATTLE 2811 S 102ND ST STE 220 TUKWILA WA 981681869 HOME HEALTH 144 - PROVIDENCE SOUNDHOMECARE AND HOSPICE - LEW 1010 S SCHEUBER ROAD CENTRALIA WA 98531 HOME HEALTH 145 - PROVIDENCE IN HOME HEALTH AND HOSPICE - HO 4001 DALE ST STE 101 ANCHORAGE AK 995085444 HOME HEALTH 146 - PROVIDENCE HOSPICE AND HOME CARE OF SNOHOM 1615 75TH STREET SW STE 210 EVERETT WA 982036293 HOME HEALTH 147 - PMG SW WA - PROVIDENCE CENTRALIA HOSPITAL 914 S SCHEUBER RD CENTRALIA WA 985319027 PRIMARY CARE 148 - PMG SW WA - HARBOR REGIONAL HEALTH COMMUNI 915 ANDERSON DR ABERDEEN WA 985201006 PRIMARY CARE 149 - PMG SW WA - PROVIDENCE HOSPITALISTS TEAM 413 LILLY RD NE OLYMPIA WA 985065133 PRIMARY CARE 150 - PMG SW WA - WEST OLYMPIA FAMILY MEDICINE A 1620 COOPER POINT RD SW OLYMPIA WA 985025736 URGENT CARE 151 - PMG NW WA - INFECTIOUS DISEASE 1330 ROCKEFELLER AVE STE 520 EVERETT WA 982011677 SPECIALTY CLINIC 152 - PMG EASTERN WA - INFECTIOUS DISEASE CLINIC 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 153 - PMG SW WA - OLYMPIA INFECTIOUS DISEASE CLI 3525 ENSIGN RD NE STE F OLYMPIA WA 985065065 SPECIALTY CLINIC 154 - PROVIDENCE INFUSION AND PHARMACY SERVICES 15918 E EUCLID AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 155 - PROVIDENCE INFUSION AND PHARMACY SERVICES 3333 SOUTH 120TH PL STE 100 TUKWILA WA 981685134 SPECIALTY CLINIC 156 - PMG EASTERN WA - INTERNAL MEDICINE HOSPITA 105 W 8TH AVE STE 450E SPOKANE WA 992042302 PRIMARY CARE 157 - PMG EASTERN WA - INTERNAL MEDICINE KENDALL 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 158 - PMG EASTERN WA - INTERNAL MEDICINE 820 S MCCLELLAN ST STE 200 SPOKANE WA 992042456 PRIMARY CARE 159 - PMG SW WA - CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3/4 CENTRALIA WA 985318892 PRIMARY CARE 160 - PMG NW WA - MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT WA 982080000 PRIMARY CARE 161 - PMG EASTERN WA - KIDNEY DIS AND HTN 105 W 8TH AVE STE 1000 SPOKANE WA 992042327 SPECIALTY CLINIC 162 - PMG EASTERN WA - SPECIALISTS KIDNEY CARE E 105 W 8TH AVE STE 7010 SPOKANE WA 992042327 SPECIALTY CLINIC 163 - PMG EASTERN WA - KIDNEY CARE AT PROVIDENCE 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 164 - PROVIDENCE IMAGING CENTER - MOBILE MAMMO U 3340 PROVIDENCE DR ANCHORAGE AK 995084691 SPECIALTY CLINIC 165 - PMG EASTERN WA - MULTIPLE SCLEROSIS CENTER 212 E CENTRAL AVE STE 440 SPOKANE WA 992086290 SPECIALTY CLINIC 166 - PMG SE WA - NEUROSCIENCE INSTITUTE 301 WEST POPLAR ST WALLA WALLA WA 993622800 SPECIALTY CLINIC 167 - PMG SE WA - NEUROLOGY AT KADLEC MEDICAL CE 888 SWIFT BLVD RICHLAND WA 993523514 SPECIALTY CLINIC 168 - PMG NW WA - NEUROSURGERY 1330 ROCKEFELLER AVE STE 220 EVERETT WA 982011678 SPECIALTY CLINIC 169 - PMG ALASKA - BRAIN INJURY SERVICES 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 170 - PMG ALASKA - BRAIN INJURY SERVICES 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 995084661 SPECIALTY CLINIC 171 - PMG ALASKA - PMGA PEDIATRIC NEURODEVELOPME 3340 PROVIDENCE DR STE A565 ANCHORAGE AK 99508 SPECIALTY CLINIC 172 - PMG EASTERN WA - CHILD NEUROLOGY AND DEVEL 101 W 8TH AVESTE 4200 SPOKANE WA 992042307 SPECIALTY CLINIC 173 - PMG EASTERN WA - NEUROLOGY NEUROSCIENCE 101 W 8TH AVESTE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 174 - PMG EASTERN WA - EPILEPSY CENTER 105 W 8TH AVESTE 318-C SPOKANE WA 992042318 SPECIALTY CLINIC 175 - PMG EASTERN WA - INSA DOWNTOWN 105 W 8TH AVESTE 200 SPOKANE WA 992042318 SPECIALTY CLINIC 176 - PMG EASTERN WA - NEUROLOGY HOSPITALISTS 105 W 8TH AVESTE 318-C SPOKANE WA 992042318 SPECIALTY CLINIC 177 - PMG EASTERN WA - STROKE CVB DISORDER CLINI 105 W 8TH AVESTE 122C SPOKANE WA 992042302 SPECIALTY CLINIC 178 - PMG EASTERN WA - INLAND NEUROSURGERY AND S 1200 FAIRVIEW ST W COLFAX WA 99111 SPECIALTY CLINIC 179 - PMG EASTERN WA - INLAND NEUROSURGERY AND S 825 BISHOP BLVD SE140 P PULLMAN WA 991635517 SPECIALTY CLINIC 180 - PMG SW WA - PROVIDENCE NURO SURGERY 615 LILLY RD NE STE 220 OLYMPIA WA 985065179 SPECIALTY CLINIC 181 - PMG SW WA - PROVIDENCE OLYMPIA NEUROLOGY 525 LILLY RD NE STE 210 OLYMPIA WA 985065101 SPECIALTY CLINIC 182 - PMG NW WA - PMG NW WA PHYSIATRY AND SPORTS 916 PACIFIC AVE FL 2 EVERETT WA 98201 SPECIALTY CLINIC 183 - PMG EASTERN WA - OCCUPATIONAL MEDICINE NOR 235 E ROWAN AVE STE 202 SPOKANE WA 99207 SPECIALTY CLINIC 184 - PMG EASTERN WA - ORTHOPEDICS 100 3RD ST DAVENPORT WA 99122 SPECIALTY CLINIC 185 - PMG EASTERN WA - ORTHOPEDICS PMP 16528 E DESMET CT STE A2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 186 - PMG EASTERN WA - FERRY COUNTY CLINICORTHO 36 KLONDIKE RD REPUBLIC WA 991669701 SPECIALTY CLINIC 187 - PMG EASTERN WA - ORTHOPEDICS 714 W PINES NEWPORT WA 991569046 SPECIALTY CLINIC 188 - PMG EASTERN WA - ORTHOPEDICS 820 S MCCLELLAN ST STE 300 SPOKANE WA 992042450 SPECIALTY CLINIC 189 - PMG NW WA - EVERETT YMCA PT 4730 COLBY AVE STE 220 EVERETT WA 98203 SPECIALTY CLINIC 190 - PMG EASTERN WA - ST LUKES PHYSIATRY 715 S COWLEY ST STE 228 SPOKANE WA 992021383 SPECIALTY CLINIC 191 - PMG EASTERN WA - ST LUKES PHYSIATRY 715 S COWLEY ST STE 228 SPOKANE WA 992021383 SPECIALTY CLINIC 192 - PMG SW WA - PROVIDENCE CENTRALIA PHYSICAL 1900 COOKS HILL RD CENTRALIA WA 985319073 SPECIALTY CLINIC 193 - PROVIDENCE PHYSICAL THERAPY - PHYSICAL AND 1809 COOKS HILL RD CENTRALIA WA 985319072 SPECIALTY CLINIC 194 - PROVIDENCE PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 985319073 SPECIALTY CLINIC 195 - PROVIDENCE PHYSICAL THERAPY 4833 TUMWATER VALLEY DR SE TUMWATER WA 985014583 SPECIALTY CLINIC 196 - PROVIDENCE PHYSICAL THERAPY 91 SW CHEHALIS AVE CHEHALIS WA 985321934 SPECIALTY CLINIC 197 - PMG EASTERN WA - SURGERY AND PROCEDURE CEN 16528 DESMET CT STE A2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 198 - PMG NW WA - MONROE CLINIC 19200 N KELSEY ST MONROE WA 982721431 SPECIALTY CLINIC 199 - PMG ALASKA - PEDIATRIC SUB-SPECIALTY - PUL 3200 PROVIDENCE DR STE D-338 ANCHORAGE AK 995084615 SPECIALTY CLINIC 200 - PMG ALASKA - PEDIATRIC SUB-SPECIALTY 3340 PROVIDENCE DR STE A351 ANCHORAGE AK 995084691 SPECIALTY CLINIC 201 - PMG EASTERN WA - PEDIATRIC ENDOCRINOLOGY D 101 W 8TH AVE STE L-1 100 SPOKANE WA 992042307 SPECIALTY CLINIC 202 - PMG EASTERN WA - PEDIATRIC HOSPITALISTS 101 W 8TH AVE PSHMC 3 NORTH SPOKANE WA 992042307 SPECIALTY CLINIC 203 - PMG EASTERN WA - PEDIATRIC DIGESTIVE HEALT 105 W 8TH AVE STE 7060 SPOKANE WA 992042302 SPECIALTY CLINIC 204 - PMG EASTERN WA - PEDIATRIC GASTROENTEROLOG 105 W 8TH AVE STE 7060 SPOKANE WA 992042327 SPECIALTY CLINIC 205 - PMG EASTERN WA - PEDIATRIC PULMONOLOGY AND 105 W 8TH AVE STE 660E SPOKANE WA 992042302 SPECIALTY CLINIC 206 - PMG EASTERN WA - PEDIATRICS NORTHPOINTE 1111 E WESTVIEW CT SUITE B SPOKANE WA 992181376 SPECIALTY CLINIC 207 - PMG EASTERN WA - GRAND RAPIDS 1402 S GRAND BLVD SPOKANE WA 992035001 SPECIALTY CLINIC 208 - PMG EASTERN WA - PROVIDENCE MEDICAL PARK P 16528 E DESMET CT STE B1000 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 209 - PMG EASTERN WA - PEDIATRICS MANITO 1919 S GRAND BLVD SPOKANE WA 992032347 SPECIALTY CLINIC 210 - PMG EASTERN WA - PEDIATRICS LIBERTY LAKE 23813 E APPLE WAY AVE LIBERTY LAKE WA 99019 SPECIALTY CLINIC 211 - PMG EASTERN WA - PEDIATRICS 7221 W DESCHUTES AVE STE D KENNEWICK WA 993367807 SPECIALTY CLINIC 212 - PMG EASTERN WA - PEDIATRIC ASSOCIATES 9911 N NEVADA ST SPOKANE WA 992181298 SPECIALTY CLINIC 213 - PMG NW WA - PROVIDENCE MILL CREEK PEDIATRI 12800 BOTHELL-EVERETT HWY STE 190 EVERETT WA 98208 SPECIALTY CLINIC 214 - PMG ALASKA - MATERNAL FETAL MEDICINE 3260 PROVIDENCE DR STE C522 ANCHORAGE AK 995084661 SPECIALTY CLINIC 215 - PMG ALASKA - FETAL MEDICINE CLINIC 3831 PIPER ST STE SLL020 ANCHORAGE AK 99508 SPECIALTY CLINIC 216 - PMG EASTERN WA - HIGH RISK PREGNANCY CLINI 101 W 8TH AVE STE 1100 SPOKANE WA 992042307 SPECIALTY CLINIC 217 - PMG EASTERN WA - HIGH RISK PREGNANCY CLINI 980 IRONWOOD DR STE 360 COEUR D ALENE ID 83814 SPECIALTY CLINIC 218 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 5633 N LIDGERWOOD ST SPOKANE WA 992081224 SPECIALTY CLINIC 219 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 800 W 5TH AVE SPOKANE WA 992042803 SPECIALTY CLINIC 220 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 221 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE SPOKANE WA 992042352 SPECIALTY CLINIC 222 - PMG NW WA - EVERGREEN MEDICAL CENTER 12040 NE 128TH ST STE 100 KIRKLAND WA 980343013 SPECIALTY CLINIC 223 - PMG NW WA - SWEDISH EDMONDS MEDICAL CENTER 21601 76TH AVE W EDMONDS WA 980267507 SPECIALTY CLINIC 224 - PMG NW WA - SWEDISH MEDICAL CENTER FIRST H 747 BROADWAY SEATTLE WA 981224379 SPECIALTY CLINIC 225 - PMG ALASKA - FAMILY MEDICINE CENTER 1201 E 26TH AVE ANCHORAGE AK 99508 PRIMARY CARE 226 - PMG EASTERN WA - FAMILY PRACTICE CLINIC 100 W SOUTH AVE CHEWELAH WA 991099684 PRIMARY CARE 227 - PMG EASTERN WA - FAMILY MEDICINE NORTH PIN 1212 N PINES RD SPOKANE VALLEY WA 992064939 PRIMARY CARE 228 - PMG EASTERN WA - FAMILY MEDICINE AT PROVID 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 992163522 PRIMARY CARE 229 - PMG EASTERN WA - FAMILY PHYSICIANS PROVIDE 16528 E DESMET CT STE B3100 SPOKANE VALLEY WA 99216 PRIMARY CARE 230 - PMG EASTERN WA - PRIMARY CARE SOUTH 2020 E 29TH AVELOWR LEVEL SPOKANE WA 992033917 PRIMARY CARE 231 - PMG EASTERN WA - INDIAN TRAIL FAMILY MEDIC 5011 W LOWELL AVE SPOKANE WA 992088587 PRIMARY CARE 232 - PMG EASTERN WA - RESIDENCY FAMILY MEDICINE 624 E FRONT AVE SPOKANE WA 992022139 PRIMARY CARE 233 - PMG EASTERN WA - FAMILY MEDICINE 9911 N NEVADA ST SUITE 200 SPOKANE WA 99218 PRIMARY CARE 234 - PMG SW WA - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 985163138 PRIMARY CARE 235 - PMG SW WA - PROVIDENCE MULTI SPECIALTY CLI 4800 COLLEGE ST SE LACEY WA 985034389 PRIMARY CARE 236 - PMG SW WA - EAST OLYMPIA PRIMARY CARE 525 LILLY RD NE STE 250 OLYMPIA WA 985065101 PRIMARY CARE 237 - PMG SW WA - CHEHALIS FAMILY MEDICINE AND R 931 S MARKET BLVD CHEHALIS WA 98532 PRIMARY CARE 238 - PMG SW WA - PROVIDENCE CARDIAC SURGERY 525 LILLY RD NE STE 200 OLYMPIA WA 985065101 PRIMARY CARE 239 - PMG SW WA - PROVIDENCE ST PETER FAMILY ME 525 LILLY RD NE OLYMPIA WA 985065101 PRIMARY CARE 240 - PROVIDENCE ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SWSTE A ROCHESTER WA 985799262 PRIMARY CARE 241 - PMG EASTERN WA - OUTPATIENT PSYCHOLOGY CLI 105 W 8TH AVE STE 418C SPOKANE WA 992042318 SPECIALTY CLINIC 242 - PROVIDENCE ST LUKES REHABILITATION MEDICAL 715 S COWLEY ST STE 306 SPOKANE WA 992021330 SPECIALTY CLINIC 243 - PMG SW WA - PROVIDENCE PULMONARY AND SLEEP 500 LILLY RD NE STE 204 OLYMPIA WA 985065197 SPECIALTY CLINIC 244 - PMG SE WA - IMAGING 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 245 - PMG SE WA - RADIATION 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 246 - PMG NORTH WEST WASHINGTON AT MILL CREEK CO 16708 BOTHELL-EVERETT HWY MILL CREEK WA 98012 SPECIALTY CLINIC 247 - PROVIDENCE DIAGNOSTIC IMAGING LACEY 4800 COLLEGE ST SE STE E LACEY WA 985034389 SPECIALTY CLINIC 248 - PROVIDENCE RADIANT CARE ABERDEEN 1200 BASICH BLVD ABERDEEN WA 985201035 SPECIALTY CLINIC 249 - PMG EASTERN WA - PROVIDENCE PULMONARY & SL 105 W 8TH AVE STE 512C SPOKANE WA 992042318 SPECIALTY CLINIC 250 - PMG EASTERN WA - PULMONARY AND SLEEP DISOR 9631 N NEVADA ST STE 300 SPOKANE WA 992181193 SPECIALTY CLINIC 251 - PMG NW WA - PROVIDENCE SURGERY CENTER PACI 916 PACIFIC AVE STE 110 EVERETT WA 982014147 SPECIALTY CLINIC 252 - PMG NW WA - SURGICAL CENTER 3025 RUCKER AVE EVERETT WA 982013931 SPECIALTY CLINIC 253 - PMG EASTERN WA - GYNECOLOGIC ROBOTIC SURGE 101 W 8TH AVE STE 1300 SPOKANE WA 992042307 SPECIALTY CLINIC 254 - PMG EASTERN WA - RECONSTRUCTIVE SURGERY 820 S MCCLELLAN ST STE 118 SPOKANE WA 992042446 SPECIALTY CLINIC 255 - PMG SW WA - PROVIDENCE VASCULAR SURGERY (O 128 LILLY RD NESTE 205 OLYMPIA WA 985067400 SPECIALTY CLINIC 256 - PMG SW WA - PROVIDENCE CENTRALIA GENERAL S 1720 COOKS HILL RD CENTRALIA WA 985319071 SPECIALTY CLINIC 257 - PMG NW WA - PPG MONROE WALK IN 14692 179TH AVE SE STE 500 MONROE WA 982721162 URGENT CARE 258 - PMG EASTERN WA - URGENT CARE PMP 16528 E DESMET CT SPOKANE VALLEY WA 992163522 URGENT CARE 259 - PMG EASTERN WA - SOUTH URGENT CARE 421 S DIVISION ST SPOKANE WA 992021331 URGENT CARE 260 - PMG EASTERN WA - URGENT CARE HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 992181417 URGENT CARE 261 - PMG NW WA - WOMENS SERVICES 16708 BOTHELL EVERETT HWY STE 201 MILL CREEK WA 98012 SPECIALTY CLINIC 262 - PMG NW WA - PAVILION FOR WOMEN & CHILDREN 900 PACIFIC AVE STE 501 EVERETT WA 982014189 SPECIALTY CLINIC 263 - PMG EASTERN WA - FATHER MALNAR MATERNITY C 101 W 8TH AVE STE 1300 SPOKANE WA 992042307 SPECIALTY CLINIC 264 - PMG EASTERN WA - GYNECOLOGIC ONCOLOGY CLIN 101 W 8TH AVE STE 1400 SPOKANE WA 992042307 SPECIALTY CLINIC 265 - PMG EASTERN WA - OB HOSPITALISTS 101 W 8TH AVE STE 1100 SPOKANE WA 992042307 SPECIALTY CLINIC 266 - PMG SW WA - PROVIDENCE CENTRALIA WOMEN'S C 1000 S SCHEUBER RD CENTRALIA WA 985318877 SPECIALTY CLINIC 267 - PMG SW WA - PROVIDENCE WOMENS HEALTH SERVI 3425 ENSIGN RD NE STE 220 OLYMPIA WA 985065063 SPECIALTY CLINIC 268 - PMG NW WA - WOUND HEALING AND HYPERBARIC M 1330 ROCKEFELLER AVE STE 540 EVERETT WA 982011677 SPECIALTY CLINIC 269 - PROVIDENCE EMILLIE COURT ASSISTED LIVING 34 E 8TH AVE SPOKANE WA 992027210 SENIOR CARE 270 - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 271 - PROVIDENCE CHINIAK BAY ELDER HOUSE 1915 E REZANOF DRIVE KODIAK ISLAND AK 99615 SENIOR CARE 272 - PROVIDENCE HORIZON HOUSE ANCHORAGE 3760 PIPER ST SUITE 1061 ANCHORAGE AK 98508 SENIOR CARE 273 - PMG SE WA - SACRED HEART MC 101 WEST 8TH AVE STE 4200 SPOKANE WA 992042307 SPECIALTY CLINIC 274 - PROVIDENCE HEALTH AND SERVICES - WASHINGTO 1017 S 2ND AVE STE 2 WALLA WALLA WA 993624183 SPECIALTY CLINIC 275 - PROVIDENCE HEALTH AND SERVICES - WASHINGTO 1017 S 2ND AVE STE 2 WALLA WALLA WA 993624183 SPECIALTY CLINIC 276 - PMG SE WA - 1018 WHITMAN ST WALLA WALLA WA 993623400 SPECIALTY CLINIC 277 - PMG SE WA - WA STATE PENITENTIARY 1313 NORTH 13TH AVE WALLA WALLA WA 993628817 SPECIALTY CLINIC 278 - PMG SE WA - 1460 DALLES MILITARY RD WALLA WALLA WA 993629551 SPECIALTY CLINIC 279 - PMG SE WA - PARK MANOR REHABILITATION CENT 1710 PLAZA WAY WALLA WALLA WA 993624362 SPECIALTY CLINIC 280 - PMG SE WA - EAGLE SPRINGS MEMORY CARE 20 SE LARCH AVE COLLEGE PLACE WA 993241199 SPECIALTY CLINIC 281 - PMG SE WA - VALLEY RESIDENTIAL SERVICES 240 BUSH ST WALLA WALLA WA 993622618 SPECIALTY CLINIC 282 - PMG SE WA - POPLAR MEDICAL 301 WEST POPLAR ST WALLA WALLA WA 993622858 SPECIALTY CLINIC 283 - PMG SE WA - QUALICENTER OF WALLA WALLA 301 WEST POPLAR ST WALLA WALLA WA 993622800 SPECIALTY CLINIC 284 - PMG SE WA - ER PHYSICIANS 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 285 - PMG SE WA - REGENCY AT THE PARK 420 SE MYRA RD COLLEGE PLACE WA 993241796 SPECIALTY CLINIC 286 - PMG SE WA - EAGLE MEADOWS 550 EAST WHITMAN DR COLLEGE PLACE WA 993242121 SPECIALTY CLINIC 287 - PMG SE WA - SWEDISH MEDICAL CENTER 747 BROADWAY SEATTLE WA 981224379 SPECIALTY CLINIC 288 - PROVIDENCE HEALTH AND SERVICES WASHINGTON 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 289 - PROVIDENCE SPOKANE HEART INSTITUTE - 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 290 - PROVIDENCE SPOKANE HEART INSTITUTE - 606 N 3RD AVESTE 101 SANDPOINT ID 838641594 SPECIALTY CLINIC 291 - PROVIDENCE SPOKANE HEART INSTITUTE - 607 W MAIN ST GRANGEVILLE ID 83530 SPECIALTY CLINIC 292 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 105 W 8TH AVE STE 1000 PROVIDENCE KIDNEY SPOKANE WA 992042327 SPECIALTY CLINIC 293 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE STE 232 SPOKANE WA 992042354 SPECIALTY CLINIC 294 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 295 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 982251813 SPECIALTY CLINIC 296 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 SPECIALTY CLINIC 297 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 298 - PROVIDENCE HEART AND LUNG SURGICAL ASSOCIA 5633 N LIDGERWOOD STPROVIDENCE HOLY FAMILY SPOKANE WA 992081224 SPECIALTY CLINIC 299 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 300 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 301 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 110 SPOKANE WA 98024 SPECIALTY CLINIC 302 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 711 S COWLEY ST SPOKANE WA 99202 SPECIALTY CLINIC 303 - PMG NW WA - MARYSVILLE CLINIC 11603 STATE AVE STE G MARYSVILLE WA 98271 SPECIALTY CLINIC 304 - PMG NW WA - SILVERLAKE CARDIOLOGY 12728 19TH AVE SE STE 200 EVERETT WA 982086526 SPECIALTY CLINIC 305 - PMG NW WA - VEIN CENTER 12800 BOTHELL EVERETT HWY STE 270 EVERETT WA 982086644 SPECIALTY CLINIC 306 - PMG NW WA - EVERETT DEXA SCAN 1330 ROCKEFELLER AVE STE 230 EVERETT WA 982011676 SPECIALTY CLINIC 307 - PMG NW WA - EVERETT INTERNAL MEDICINE 1330 ROCKEFELLER AVE STE 210 EVERETT WA 982011676 SPECIALTY CLINIC 308 - PMG NW WA - GENERAL SURGERY CLINIC 1330 ROCKEFELLER AVE STE 310 EVERETT WA 982011677 SPECIALTY CLINIC 309 - PMG NW WA - SKAGIT REGIONAL CLINICS - INTE 1415 E KINCAID ST MOUNT VERNON WA 982744126 SPECIALTY CLINIC 310 - PMG NW WA - 14841 179TH AVE SE STE 210 MONROE WA 982721127 SPECIALTY CLINIC 311 - PMG NW WA - 1700 13TH ST EVERETT WA 982011689 SPECIALTY CLINIC 312 - PMG NW WA - CRANIAL SPINE & JOINT CLINIC 1717 13TH ST STE 401 EVERETT WA 982011621 SPECIALTY CLINIC 313 - PMG NW WA - SNOHOMISH CLINIC 1830 BICKFORD AVE STE 211 SNOHOMISH WA 98290 SPECIALTY CLINIC 314 - PMG NW WA - CANYON PARK CARDIOLOGY 1909 214TH ST SE STE 211 BOTHELL WA 980214418 SPECIALTY CLINIC 315 - PMG NW WA - ST JUDE ADULT HOME CARE 20704 WOODS CREEK RD MONROE WA 982729668 SPECIALTY CLINIC 316 - PMG NW WA - EDMONDS UROLOGY 21822 76TH AVE W EDMONDS WA 980267900 SPECIALTY CLINIC 317 - PMG NW WA - BETHANY AT SILVERLAKE 2235 LAKE HEIGHTS DR EVERETT WA 982086030 SPECIALTY CLINIC 318 - PMG NW WA - LYNNWOOD CLINIC 2902 164TH ST SW STE E1 LYNNWOOD WA 98087 SPECIALTY CLINIC 319 - PMG NW WA - SPORTS ORTHOPEDIC AND HAND 3726 BROADWAYSTE 201 EVERETT WA 982013788 SPECIALTY CLINIC 320 - PMG NW WA - HARBOUR POINT WALK IN 4112 HARBOUR POINT BLVD SW STE 100 MUKILTEO WA 982755457 SPECIALTY CLINIC 321 - PMG NW WA - MARYSVILLE FAMILY MEDICINE 4404 80TH ST NE MARYSVILLE WA 982703427 SPECIALTY CLINIC 322 - PMG NW WA - SWEDISH MEDICAL CENTER CHERRY 500 17TH AVE SEATTLE WA 981225711 SPECIALTY CLINIC 323 - PMG NW WA - PROVIDENCE SAINT JOSEPH MED CE 501 S BUENA VISTA ST BURBANK CA 915054809 SPECIALTY CLINIC 324 - PMG ALASKA - PMG PRIMARY CARE HUFFMAN 1389 HUFFMAN PARK DR STE 202 ANCHORAGE AK 99515 SPECIALTY CLINIC 325 - PMG ALASKA 3220 PROVIDENCE DR STE E3-040 ANCHORAGE AK 995084679 SPECIALTY CLINIC 326 - PMG ALASKA - PMG PRIMARY CARE C436 3260 PROVIDENCE DR STE C436 ANCHORAGE AK 995084661 SPECIALTY CLINIC 327 - PMG ALASKA - PALLIATIVE CARE CLINIC 3300 PROVIDENCE DR STE B104 ANCHORAGE AK 99508 SPECIALTY CLINIC 328 - PMG ALASKA - PMG PRIMARY CARE B314 3300 PROVIDENCE DR STE B314 ANCHORAGE AK 995084690 SPECIALTY CLINIC 329 - PMG ALASKA - PMG MOBILE THERAPIES 3300 PROVIDENCE DRIVE SUITE B302 ANCHORAGE AK 99508 SPECIALTY CLINIC 330 - PMG ALASKA - PMGA ADULT PULMONOLOGY & SLEE 3340 PROVIDENCE DR STE A370 ANCHOARGE AK 99508 SPECIALTY CLINIC 331 - PMG ALASKA - EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 995041645 SPECIALTY CLINIC 332 - PROVIDENCE ST PETER HOSPITAL - PALLIATIVE 3525 ENSIGN RD NE STE F OLYMPIA WA 985065065 SPECIALTY CLINIC 333 - PMG EASTERN WA - PEDIATRIC UROLOGY 101 W 8TH AVE STE 100 SPOKANE WA 99204 SPECIALTY CLINIC 334 - PMG EASTERN WA - INLAND VASCULAR INST 122 7TH AVE STE 420 SPOKANE WA 992042330 SPECIALTY CLINIC 335 - PMG EASTERN WA - 1300 E MULLAN AVE STE 900 POST FALLS ID 83854 SPECIALTY CLINIC 336 - PMG EASTERN WA - VALLEY YOUNG PEOPLE'S CLI 1414 N VERCLER RD STE 1 SPOKANE VALLEY WA 992161092 SPECIALTY CLINIC 337 - PMG EASTERN WA - GARDEN HOMES CLINIC 143 GARDEN HOMES DR COLVILLE WA 991149229 SPECIALTY CLINIC 338 - PMG EASTERN WA - VEIN CENTER PROVIDENCE ME 16528 E DESMET CT SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 339 - PMG EASTERN WA - 212 E CENTRAL AVE STE 440 SPOKANE WA 992086290 SPECIALTY CLINIC 340 - PMG EASTERN WA - INLAND VASCULAR INSTITUTE 212 E CENTRAL AVE SPOKANE WA 992086291 SPECIALTY CLINIC 341 - PMG EASTERN WA - 212 RODEO DR MOSCOW ID 838439798 SPECIALTY CLINIC 342 - PMG EASTERN WA - HOLY FAMILY PARTIAL HOSPI 235 E ROWAN AVE STE 107 SPOKANE WA 992071240 SPECIALTY CLINIC 343 - PMG EASTERN WA - 301 CEDAR ST OROFINO ID 83544 SPECIALTY CLINIC 344 - PMG EASTERN WA - HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 SPECIALTY CLINIC 345 - PMG EASTERN WA - 415 6TH ST LEWISTON ID 93501 SPECIALTY CLINIC 346 - PMG EASTERN WA - 520 N THIRD AVE SANDPOINT ID 838641507 SPECIALTY CLINIC 347 - PMG EASTERN WA - INLAND VASCULAR INSTITUTE 62 W 7TH AVE STE 420 SPOKANE WA 992042330 SPECIALTY CLINIC 348 - PMG EASTERN WA - 700 S MAIN ST MOSCOW ID 83843 SPECIALTY CLINIC 349 - PMG EASTERN WA - 701 LEWISTON ST COTTONWOOD ID 83522 SPECIALTY CLINIC 350 - PMG SW WA - CLINIC AT PANORAMA 1450 NORTHWEST LN SE STE A LACEY WA 985036908 SPECIALTY CLINIC 351 - PMG SW WA - PROVIDENCE UROLOGY OLYMPIA 149 LILLY RD NE OLYMPIA WA 985065028 SPECIALTY CLINIC 352 - PMG SW WA - PANORAMA CONVALESCENT AND REHA 1600 SLEATER KINNEY RD SE LACEY WA 985032500 SPECIALTY CLINIC 353 - PROVIDENCE KODIAK MENTAL HEALTH CENTER 717 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 354 - PMG SE WA - DAYTON GENERAL HOSPITAL 1012 SOUTH 3RD ST DAYTON WA 98328 SPECIALTY CLINIC 355 - PMG SE WA - WALLA WALLA GENERAL HOSPITAL 1025 SOUTH 2ND AVE WALLA WALLA WA 993624116 SPECIALTY CLINIC 356 - PMG SE WA - WHEATLAND VILLAGE ASSISTED LIV 1500 CATHERINE ST WALLA WALLA WA 993624166 SPECIALTY CLINIC 357 - PMG SE WA - PENDLETON 1601 SE COURT AVE PENDLETON OR 97801 SPECIALTY CLINIC 358 - PMG SE WA - COUNTRY LANE ADULT CARE ADULT 1840 GRAY LYNN DR WALLA WALLA WA 993629247 SPECIALTY CLINIC 359 - PMG SE WA - CHASE MEDICAL 380 CHASE AVE WALLA WALLA WA 993622924 SPECIALTY CLINIC 360 - PMG SE WA - ST MARY MEDICAL CENTER 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 361 - PMG SE WA - WA ODD FELLOWS HOME 534 BOYER AVE WALLA WALLA WA 993622047 SPECIALTY CLINIC 362 - PMG SE WA - GOOD SHEPARD MEDICAL CENTER 610 NORTHWEST 11TH ST HERMISTON OR 97838 SPECIALTY CLINIC 363 - PMG SE WA - WALLA WALLA VETERANS ADMINISTR 77 WAINWRIGHT DR WALLA WALLA WA 993623975 SPECIALTY CLINIC 364 - PMG NW WA - EMERITUS AT SILVER LAKE 12806 BOTHELL EVERETT HWY EVERETT WA 982086692 SPECIALTY CLINIC 365 - PMG NW WA - REGIONAL MEDICAL CENTER 1321 COLBY AVE EVERETT WA 982011665 SPECIALTY CLINIC 366 - PMG NW WA - REGENCY CARE CENTER AT MONROE 1355 W MAIN ST MONROE WA 982722022 SPECIALTY CLINIC 367 - PMG NW WA - CRANIAL SPINE & JOINT CLINIC 14692 179TH AVE SE STE 100 MONROE WA 98272 SPECIALTY CLINIC 368 - PMG NW WA - ALIVE INN 14764 179TH AVE SE MONROE WA 98272 SPECIALTY CLINIC 369 - PMG NW WA - MERRILL GARDENS AT MONROE 15465 179TH AVE SE MONROE WA 982721728 SPECIALTY CLINIC 370 - PMG NW WA - BETHANY AT SILVER CREST 2131 LAKE HEIGHTS DR EVERETT WA 982088315 SPECIALTY CLINIC 371 - PMG NW WA - SUNRISE VIEW CONVALESCENT CENT 2520 MADISON ST EVERETT WA 982034868 SPECIALTY CLINIC 372 - PMG NW WA - CASCADE VALLEY HOSPITAL 330 S STILLAGUAMISH AVE ARLINGTON WA 98223 SPECIALTY CLINIC 373 - PMG NW WA - MERRY HAVEN CARE CENTER 402 AVE E SNOHOMISH WA 982902720 SPECIALTY CLINIC 374 - PMG NW WA - HOSPICE OF SEATTLE 425 PONTIUS AVE N STE 300 SEATTLE WA 981095450 SPECIALTY CLINIC 375 - PMG NW WA - EMERALD HILLS HEALTHCARE CENTE 5821 188TH ST SW LYNNWOOD WA 98037 SPECIALTY CLINIC 376 - PMG NW WA - MADELEINE VILLA HEALTHCARE CEN 5925 47TH AVE NE MARYSVILLE WA 98270 SPECIALTY CLINIC 377 - PMG ALASKA AT PROVIDENCE ALASKA MEDICAL CE 3200 PROVIDENCE DR ANCHORAGE AK 995084615 SPECIALTY CLINIC 378 - PMG NW WA - N EVERETT UROLOGY 4310 COLBY AVE STE 203 EVERETT WA 982032338 SPECIALTY CLINIC 379 - PMG NW WA - CRANIAL SPINE AND JOINT ON SW 550 17TH AVE SEATTLE WA 981225788 SPECIALTY CLINIC 380 - PMG ALASKA AT PROVIDENCE KODIAK ISLAND MED 1915 E REZANOF DR KODIAK AK 996156602 SPECIALTY CLINIC 381 - PMG ALASKA AT PROVIDENCE SEWARD MEDICAL CE 417 1ST AVE SEWARD AK 99664 SPECIALTY CLINIC 382 - PMG ALASKA AT PROVIDENCE VALDEZ MEDICAL CE 911 MEALS AVE VALDEZ AK 99686 SPECIALTY CLINIC 383 - PMG EASTERN WA AT PROVIDENCE SACRED HEART 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 384 - PMG EASTERN WA AT PROVIDENCE ST JOSEPH CAR 17 E 8TH AVE SPOKANE WA 99202 SPECIALTY CLINIC 385 - PMG EASTERN WA AT PROVIDENCE ST JOSEPHS HO 500 E WEBSTER AVE CHEWELAH WA 991099523 SPECIALTY CLINIC 386 - PMG EASTERN WA AT ST PATRICK HOSPITAL 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 387 - PMG EASTERN WA AT PROVIDENCE HOLY FAMILY H 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 388 - PMG EASTERN WA AT MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 991143316 SPECIALTY CLINIC 389 - PMG EASTERN WA AT PROVIDENCE MOUNT CARMEL 982 E COLUMBIA AVE COLVILLE WA 991143316 SPECIALTY CLINIC 390 - PROVIDENCE HOSPICE AND HOME CARE OF SNOHOM 1700 13TH ST EVERETT WA 982011689 HOME HEALTH 391 - PMG EASTERN WA - PMG LAB NORTH PINES 1212 N PINES RD SPOKANE WA 99206 SPECIALTY CLINIC 392 - PMG EASTERN WA - PMG LAB PMP 16528 DESMET CT STE B1400 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 393 - PMG EASTERN WA - LAB SOUTH 29TH 2020 E 29THLOWER LEVEL SPOKANE WA 99203 SPECIALTY CLINIC 394 - PMG EASTERN WA - PMG LAB HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 SPECIALTY CLINIC 395 - PMG EASTERN WA - PMG LAB SOUTH DIVISION 421 S DIVISION ST SPOKANE WA 99202 SPECIALTY CLINIC 396 - PMG EASTERN WA - PMG LAB - KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 SPECIALTY CLINIC 397 - PMG EASTERN WA - PMG LAB HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 SPECIALTY CLINIC 398 - PMG EASTERN WA - PMG LAB STHC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 399 - PMG EASTERN WA - PMG LAB - MCB 820 S MCCLELLAN ST STE LL12 SPOKANE WA 992042457 SPECIALTY CLINIC 400 - PMG EASTERN WA - PMG LAB ROWAN 9631 N NEVADA ST STE 300 SPOKANE WA 99218 SPECIALTY CLINIC 401 - PMG EASTERN WA - PMG LAB NORTHPOINT 9911 N NEVADA ST STE 200 SPOKANE WA 99218 SPECIALTY CLINIC 402 - PROVIDENCE ELDERPLACE - HERITAGE HOUSE 1533 WESTERN AVE SEATTLE WA 98101 SPECIALTY CLINIC 403 - PROVIDENCE ELDERPLACE - SEATTLE 4515 MARTIN LUTHER KING JR WAY S STE 100 SEATTLE WA 98108 SPECIALTY CLINIC 404 - PROVIDENCE ELDERPLACE - WEST SEATTLE 4831 35TH AVE SW SEATTLE WA 98126 SPECIALTY CLINIC 405 - PROVIDENCE ELDERPLACE - NORTHAVEN 531 NE 112TH ST SEATTLE WA 98125 SPECIALTY CLINIC 406 - PROVIDENCE ELDERPLACE - FULL LIFE 7829 S 180TH ST KENT WA 98032 SPECIALTY CLINIC 407 - PROVIDENCE ELDERPLACE - REDMOND 8632 160TH AVE NE REDMOND WA 98052 SPECIALTY CLINIC 408 - PMG EASTERN WA - COLVILLE RURAL HEALTH CLI 1200 E COLUMBIA AVE COLVILLE WA 991143354 SPECIALTY CLINIC 409 - PMG EASTERN WA - KETTLE FALLS CLINIC 840 S MEYERS ST KETTLE FALLS WA 99141 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 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 ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE AND SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:- PROVIDENCE LIVEWELL LOCAL - CONNECTS PEOPLE WITH A CLEARINGHOUSE THAT MAKES IT EASIER TO FIND AND ACCESS HEALTH AND WELL-BEING INFORMATION AND TOOLS AND CONNECT WITH THE COMMUNITY ASSETS THROUGHOUT THE COUNTY THAT SUPPORT HEALTH AND HEALING. - PROVIDENCE HEALTH AND WELL-BEING MONITOR PROVIDENCE PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL DETERMINATES OF HEALTH ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS. - PROVIDENCE TOTAL HEALTH A SCREENING TOOL USED IN A PRIMARY CARE CLINIC TO SCREEN FOR SOCIAL DETERMINANT NEEDS AND REFERRING THOSE PERSONS IDENTIFIED AS HAVING AN UNMET NEED TO COMMUNITY SERVICES.- PROVIDENCE EDGE OF AMAZING ANNUAL COMMUNITY HEALTH SUMMIT THAT BRINGS TOGETHER PEOPLE FROM ORGANIZATIONS THAT ARE COMMITTED TO IMPROVING COMMUNITY HEALTH AND EQUITY. PARTICIPANTS OF THE SUMMIT SHARE PROJECTS AND GOALS TO HELP CREATE COLLABORATIVE PARTNERSHIPS THAT WILL INCREASE IMPACT AND EFFICIENCIES OF COMMUNITY BUILDING ACTIVITIES. - PROVIDENCE HEALTH EDUCATION PROMOTION COLLECTIVELY WITH OUR COMMUNITY PARTNERS, WE PROMOTE AWARENESS OF KEY PRIORITY PUBLIC HEALTH, HEALTH EDUCATION, AND PREVENTION MESSAGES FOR OUR COMMUNITIES. CLASSES, SUPPORT GROUPS, AND EDUCATIONAL EVENTS ARE HELD IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. TOPICS ARE TAILORED TO THE AUDIENCE AND COVER A WIDE VARIETY OF HEALTH AND WELL-BEING AREAS.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-TRI COUNTY ECONOMIC DEVELOPMENT DISTRICTWE ARE ALSO MEMBERS OF MANY BOARDS IN THE COMMUNITY INCLUDING:-COLVILLE CHAMBER OF COMMERCEPROVIDENCE SACRED HEART, CHILDREN'S HOSPITAL, HOLY FAMILY AND ST. LUKE'S REHABILITATION INSTITUTE ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN BRAIN TUMOR ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-CANCER PATIENT CARE-CATHOLIC CHARITIES-HOPE HOUSE-INLAND NW BLOOD CENTER-MARCH OF DIMES-SPECIAL OLYMPICS-SPOKANE REGIONAL LAW AND JUSTICE COUNCIL-WOMEN HELPING WOMEN-YWCAPROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. PROVIDENCE MEDICAL GROUP PHYSICIANS OFFER FREE SPORTS PHYSICALS TO WALLA WALLA STUDENTS GRADES 6-11 IN COORDINATION WITH WALLA WALLA PUBLIC SCHOOLS, PROVIDENCE ST. MARY REHABILITATION AND PROVIDENCE ST. MARY FOUNDATION.A PROVIDENCE MEDICAL GROUP PRACTICE MANAGER CONTRIBUTES TIME TO THE SOS HEALTH SERVICES BOARD, WHICH SERVES ALL PEOPLE IN THE WALLA WALLA VALLEY, PARTICULARLY THOSE WITHOUT INSURANCE COVERAGE, AND REGARDLESS OF IMMIGRATION STATUS. THE PRACTICE MANAGER ALSO PROVIDES MENTORSHIP TO THE CLINIC'S COORDINATOR. A PROVIDENCE ST. MARY PHYSICIAN ALSO VOLUNTEERS AT THE SOS CLINIC. 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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY. PART VI, LINE 2: NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ALASKA MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICTHE CHNA PROCESS IS BASED UPON THE UNDERSTANDING THAT HEALTH AND WELLNESS HAPPEN ACROSS OUR COMMUNITIES, NOT JUST IN MEDICAL FACILITIES. IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. WE ALSO INVITED KEY STAKEHOLDERS AND COMMUNITY MEMBERS TO PROVIDE ADDITIONAL CONTEXT TO THE DATA THROUGH COMMUNITY SURVEYS AND COMMUNITY FORUMS. PRMCE UTILIZED A THREE-STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS. NEEDS IDENTIFIED IN THE SNOHOMISH HEALTH DISTRICT CHNA WERE EVALUATED IN THE FIRST PHASE OF PRIORITIZATION. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE. PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC REPRESENTATIVES PARTICIPATE IN BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP) MEETINGS AND ARE INCLUDED IN BMRCHP CHIP PLANNING DISCUSSIONS AND MEETINGS, PARTICIPATE IN REACH OUT WALLA WALLA MEETINGS AND INITIATIVES, AND HAVE AN EFFECTIVE AND COLLABORATIVE WORKING RELATIONSHIP WITH WALLA WALLA COUNTY DEPARTMENT OF HEALTH.KODIAK MEDICAL CENTERIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEAR, KODIAK MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND HOLY FAMILYEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS.THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.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.ST. LUKE'S REHABILITATION CENTEREVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.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 CENTRALIA HOSPITAL THE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, THE SOUTHWEST WASHINGTON SERVICE AREA, CONSISTS OF FIVE COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 506,000.WITHIN THIS GEOGRAPHICAL AREA, THURSTON AND LEWIS COUNTIES ARE DESIGNATED AS THE PRIMARY SERVICE AREA FOR THE TWO HOSPITALS, WITH A POPULATION OF APPROXIMATELY 368,367 PEOPLE, AN INCREASE OF 6.3% FROM THE PRIOR ASSESSMENT. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES.OF THE OVER 368,000 PERMANENT RESIDENTS OF THURSTON AND LEWIS COUNTIES, ROUGHLY 47% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS ACROSS THE COUNTY. FOR REFERENCE, IN 2020, 200% FPL REPRESENTS AN ANNUAL HOUSEHOLD INCOME OF $52,400 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. THE HIGH NEED SERVICE AREA CONSISTS OF A DISPROPORTIONATE AMOUNT OF RESIDENTS AGES 18 TO 34, WHILE OLDER ADULTS, AGES 65 TO 84 ARE LESS LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA. LEWIS AND THURSTON COUNTIES HAVE HIGHER PERCENTAGES OF PEOPLE OVER AGE 65 THAN THE STATE. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS SOUTHWEST WASHINGTON GEOGRAPHIES. IN THE SERVICE AREA, THE MAJORITY POPULATION (80.3%) ARE WHITE. 5.9% OF SERVICE AREA RESIDENTS IDENTIFY AS TWO OR MORE RACES, 5.9% ARE ASIAN/PACIFIC ISLANDER, 3.4% ARE ANOTHER RACE, 2.9% ARE BLACK, AND 1.6% ARE AMERICAN INDIAN. IN THE HOSPITALS' SERVICE AREA, 9.77% OF THE POPULATION IS OF HISPANIC ETHNICITY. WITHIN THE HIGH NEED PORTION OF THE SERVICE AREA, 11.07% OF THE POPULATION IS OF HISPANIC ETHNICITY. INDIVIDUALS WHO IDENTIFY AS HISPANIC OR "OTHER" RACE ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS THAN THEIR PEERS OF OTHER RACES. PEOPLE WHO IDENTIFY AS WHITE ARE SLIGHTLY LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS, HIGHLIGHTING INEQUITIES BY RACE.THE HOSPITALS' SERVICE AREA HAS A LOWER ECONOMIC STATUS WHEN COMPARED TO THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $66,242. OVER ONE QUARTER (29.4%) OF THE AREA IS CONSIDERED LOW-INCOME, LIVING AT 200% OF LESS OF THE FEDERAL POVERTY LEVEL (FPL). 6.7% OF AREA ADULTS ARE UNEMPLOYED AND 16.1% ACCESS SNAP (FOOD STAMP) BENEFITS. AMONG AREA RENTERS, 25.6% EXPERIENCE A SEVERE HOUSING COST BURDEN, AS THEY SPEND 50% OR MORE OF THEIR INCOME ON RENT.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE MASON GENERAL HOSPITAL AND FAMILY CLINICS, GRAYS HARBOR COMMUNITY HOSPITAL, WILLAPA HARBOR HOSPITAL, OCEAN BEACH HOSPITAL AND MEDICAL CLINICS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY AND REGIONAL MEDICAL CENTER PACIFICTHE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY OF PRMCE'S INPATIENT POPULATION RESIDES. AS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN, AND SNOHOMISH COUNTIES. HOWEVER, MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY. PRMCE SERVES ONE OUT OF EVERY FOUR RESIDENTS OF SNOHOMISH COUNTY AND FOR THIS REASON THE GEOGRAPHIC DEFINITION FOR THE CHNA IS SNOHOMISH COUNTY. SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE. THE COUNTY LAND AREA IS COMPRISED OF 68 PERCENT FOREST LAND, 18 PERCENT RURAL, 9 PERCENT URBAN/CITY, AND 5 PERCENT AGRICULTURAL. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 805,624. AMONG SNOHOMISH COUNTY RESIDENTS, 73% OF RESIDENTS ARE WHITE, 12% ASIAN, AND 4% AFRICAN AMERICAN. OF THE TOTAL POPULATION, 11% ARE HISPANIC, AND 5% REPORT TWO OR MORE RACES. THE MEDIAN AGE FOR SNOHOMISH COUNTY IS 38.6 YEARS FOR MALES AND 40.5 YEARS FOR FEMALES. NEARLY 25% OF THE POPULATION IS UNDER THE AGE OF 19. IN THE NEXT FIVE YEARS, THE POPULATION OVER THE AGE OF 65 IS EXPECTED TO INCREASE. THE MEDIAN FAMILY INCOME EXCEEDS THAT OF THE STATE AND THE NATIONAL MEDIAN AT $91,181 AND 7.78% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. HEALTH PROFESSION SHORTAGE AREA THE 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). SNOHOMISH COUNTY HAS SEVERAL AREAS THAT ARE DESIGNATED AS A SHORTAGE AREA. THIS INFORMATION CAN BE USED TO UNDERSTAND ACCESS ISSUES, STATE AND LOCAL HEALTH CARE PLANNING, PLACEMENT OF PROVIDERS, AND ALLOCATION OF LIMITED HEALTH CARE RESOURCES.HOSPITALS LOCATED IN EVERETT WASHINGTON, IN ADDITION TO PROVIDENCE, ARE KAISER PERMANENTE MEDICAL CENTER, BHC FAIRFAX HOSPITAL. PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, HOLY FAMILY AND ST. LUKE'S REHABILITATION INSTITUTEIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID - 19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL 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. PART VI, LINE 5: PROVIDENCE 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) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:- PROVIDENCE ACROSS SEVEN WESTERN STATES- COVENANT HEALTH IN WEST TEXAS- PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN SEATTLE, WA.2021 WAS A YEAR MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES. PART VI, LINE 7, REPORTS FILED WITH STATES WA,OR,CA,MT,AK,TX PART VI, LINE 2 (CONTINUED) PROVIDENCE MT. CARMEL & 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.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PROVIDENCE KODIAK ISLAND MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE KODIAK ISLAND BOROUGH. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2019, WIPFLI LLP WAS ENGAGED BY PROVIDENCE TO COLLECT AND AGGREGATE PRIMARY AND SECONDARY DATA IN THE FORM OF A CHNA REPORT.A COMMUNITY SURVEY WAS MADE AVAILABLE ONLINE AND ADMINISTERED IN HARD COPY THROUGHOUT THE COMMUNITY BY THE ADVISORY COMMITTEE, COMMUNITY VOLUNTEERS AND PSMCC STAFF. THE SURVEY WAS BASED ON THE PRIOR KODIAK ASSESSMENT SURVEY TO ENABLE TRACKING AND DEMONSTRATION OF HEALTH TRENDS, BUT WAS ALSO AUGMENTED BASED ON INPUT FROM THE KODIAK CHNA ADVISORY GROUP TO CAPTURE INFORMATION ABOUT UNIQUE AND/OR TIMELY HEALTH-RELATED ISSUES WITHIN THE KODIAK COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS IN ADDITION TO STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL CENTER FOR HEALTH STATISTICS- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES PROGRAMKEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN THE KODIAK COMMUNITY. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALAS HEALTH CARE CONTINUES TO EVOLVE, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH COMMUNITY ORGANIZATIONS, WE CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT TO LEARN ABOUT THE GREATEST NEEDS AND ASSETS FROM THE PERSPECTIVE OF SOME OF THE MOST MARGINALIZED GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. THIS ASSESSMENT HELPS US DEVELOP COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS AND GUIDES OUR COMMUNITY BENEFIT INVESTMENTS, NOT ONLY FOR OUR OWN PROGRAMS BUT ALSO FOR MANY PARTNERS. DOZENS OF PARTICIPANTS PROVIDED FEEDBACK. SIGNIFICANT CONTRIBUTORS INCLUDE PRIORITY SPOKANE, A CIVIC LEADERSHIP GROUP MADE UP OF LOCAL GOVERNMENT, BUSINESSES, NONPROFIT ORGANIZATIONS AND LOCAL FUNDERS; THE SPOKANE REGIONAL HEALTH DISTRICT; AND THE SPOKANE HOMELESS COALITION. PART VI, LINE 4 (CONTINUED): TOTAL ANCHORAGE POPULATION IS 294,356:- 27.4% YOUTH (0-19 YEARS)- 37.1% ADULTS (20-44 YEARS)- 25.1% OLDER ADULTS (45-64 YEARS)- 10.5% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY:- 64.5% WHITE/CAUCASIAN - 9.8% ASIAN- 9.2% WERE HISPANIC OR LATINO- 8.8% WERE ALASKA NATIVE OR AMERICAN INDIAN- 6.0% WERE AFRICAN AMERICAN OR BLACK- 2.6% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER- 8.2% WERE OF TWO OR MORE RACES. INCOME AND HOUSING:- $82,271 MEDIAN HOUSEHOLD INCOME- 4.9% UNEMPLOYMENT- 8.1% TOTAL POPULATION BELOW POVERTY- 12.3% CHILDREN LESS THAN 18 YEARS OLD BELOW POVERTY- 5.5% HOUSEHOLDS WITH PUBLIC ASSISTANCE INCOME- 4.3% HOMELESS STUDENTS SERVED BY ANCHORAGE SCHOOL DISTRICT OTHER HOSPITALS IN SERVICE AREAIN ADDITION TO ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL ST. ELIAS, THE OTHER HOSPITALS IN ANCHORAGE INCLUDE ALASKA NATIVE MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA VETERANS ADMINISTRATION (VA) HEALTH CARE SYSTEM, AFMS-JOINT BASE ELMENDORF-RICHARDSON-673D MEDICAL GROUP AND ALASKA AREA NATIVE HEALTH SERVICES.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITALPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE LOCATED IN STEVENS COUNTY, WHICH HAS THE THIRD-HIGHEST POVERTY RATE IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BETWEEN FERRY AND PEND OREILLE COUNTIES, MAKING UP THE TRI COUNTY REGION. TOTAL POPULATION IS 45,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.1 PERCENT IN 2017. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED: - 20.7 PERCENT YOUTH (0-17 YEARS)- 17 PERCENT YOUNG ADULTS (18-39 YEARS)- 39.1 PERCENT OLDER ADULTS (40-64 YEARS)- 23.2 PERCENT SENIORS (65 YEARS AND OLDER) AMONG STEVENS COUNTY RESIDENTS IN 2018, 89.2 PERCENT WERE WHITE, 0.4 PERCENT AFRICAN AMERICAN, 5.7 PERCENT NATIVE AMERICAN, 0.7 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.7 PERCENT WERE OF TWO OR MORE RACES. IN 2017, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $53,245, AND THE UNEMPLOYMENT RATE WAS 7.3 PERCENT. AN INCREASE FROM 6.3 PERCENT FROM OUR LAST NEEDS ASSESSMENT. 29 PERCENT OF THE COMMUNITY HAS HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL, AND 17.2 PERCENT OF CHILDREN AND 8.8 PERCENT OF OLDER ADULTS LIVE AT OR BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME HAS INCREASED AND PERCENTAGE OF THE POPULATION LIVING UNDER THE FEDERAL POVERTY LEVEL HAS INCREASED SINCE THE LAST NEEDS ASSESSMENT. IN STEVENS COUNTY, 1.6 PERCENT OF OCCUPIED HOUSING LACKED COMPLETE PLUMBING FACILITIES AND 1.8 PERCENT LACKED COMPLETE KITCHEN FACILITIES. COMPARED TO 0.4 PERCENT OF OCCUPIED HOUSING IN WASHINGTON STATE. 90 PERCENT OF OUR POPULATION 25 AND OLDER HAS A HIGH SCHOOL DEGREE OR EQUIVALENT OR MORE EDUCATION. STEVENS COUNTY HAS LESS OF THE POPULATION WITH BACHELOR'S DEGREES OR HIGHER THAN THE STATE AVERAGE. THE SHARE OF STEVENS COUNTY RESIDENTS WHO ARE UNINSURED WAS 10.3 PERCENT IN 2016. THIS IS A DECREASE FROM 15.3 PERCENT IN 2009. THIS IS SLIGHTLY HIGHER THAN THE OVERALL SHARE OF WASHINGTON STATE, AT 9.8 PERCENT. AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS IN STEVENS COUNTY ARE MORE LIKELY TO BE UNINSURED THAN ELSEWHERE IN THE STATE. IN STEVENS COUNTY, 26 PERCENT OF YOUTH AND 40 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. DURING 2016, THE TOP-FOUR CAUSES OF HOSPITALIZATIONS WERE: - 11.2% FOR UNINTENTIONAL INJURIES, INCREASING FROM 9.0% IN 2006. - 11.3% FOR HEART DISEASES, DECREASING FROM 13.8% IN 2006. - 10.7% FOR DIGESTIVE SYSTEM DISEASES, DECREASING FROM 11.2% IN 2006.- 8.9% FOR RESPIRATORY DISEASES, DECREASING FROM 13.2% IN 2006.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. PROVIDENCE ST. MARY MEDICAL CENTERPSMMC SERVICE AREA IS IN WALLA WALLA COUNTY AND SERVES WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES WHICH INCLUDES A POPULATION OF APPROXIMATELY 144,442 PEOPLE. POPULATION AND AGEALMOST HALF OF THOSE LIVING IN WALLA WALLA COUNTY ARE AGES 18-54, WITH THE NEXT LARGEST AGE GROUP BEING THOSE 6-18, FOLLOWED BY AGES 65-84. THOSE AGES 6-54 ARE MORE LIKELY TO LIVE IN A HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. THE MALE-TO-FEMALE RATIO IS PROPORTIONAL WITH SLIGHTLY MORE MALES THAN FEMALES. RACE AND ETHNICITYPER THE U.S. CENSUS, 2019, AMONG WALLA WALLA COUNTY RESIDENTS, 82.5% WERE WHITE, 1.1% AMERICAN INDIAN, 1.5% ASIAN, 2.2% BLACK, 0.3% PACIFIC ISLANDER, 8.9% OTHER RACE, 3.6% TWO OR MORE RACES. AMONG COLUMBIA COUNTY RESIDENTS, 89.5% WERE WHITE, 1.5% AMERICAN INDIAN, 1.3% ASIAN, 0.9% BLACK, 0.3% PACIFIC ISLANDER, 2.5% OTHER RACE, 4.0% TWO OR MORE RACES. AMONG UMATILLA COUNTY RESIDENTS, 76.1% WERE WHITE, 3.6% AMERICAN INDIAN, 1.0% ASIAN, 1.1% BLACK, 0.2% PACIFIC ISLANDER, 14.5% OTHER RACE, 3.6% TWO OR MORE RACES.OF THE OVER 144,442 PERMANENT RESIDENTS OF WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES ROUGHLY 50% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. INCOME AND HOUSINGTHE 2019 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $57,858 COMPARED TO 2017 RATE OF $54,157. THE MEDIAN INCOME IN THE HIGH NEED SERVICE AREA IS LESS THAN HALF OF THE MEDIAN INCOME IN WALLA WALLA COUNTY AND THE BROADER SERVICE AREA. THE PERCENT OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IS 24.5% IN WALLA WALLA COUNTY, 33.28% IN THE HIGH NEED SERVICE AREA, AND 13.97% IN THE BROADER SERVICE AREA. HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). PSMMC IS IN A PRIMARY CARE, MENTAL, AND DENTAL HEALTH HPSA. LARGE PORTIONS OF THE SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS. OTHER DESIGNATIONS WITHIN WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES INCLUDE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), CORRECTIONAL FACILITIES, AND LOW-INCOME, HOMELESS, AND/OR MIGRANT FARMWORKER POPULATIONS.OTHER HOSPITALS IN SERVICE AREAST. HELENA HOSPITAL ALSO SERVES WALLA WALLA WASHINGTON PART VI, LINE 4 (CONTINUED): ST. LUKE'S REHABILITATION CENTERIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.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 ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES. COMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. THE AGE DEMOGRAPHICS ARE THE FOLLOWING:- 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). THE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT RESIDENTS' ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES:- 22% OF ADULTS UNDER THE AGE 65 ARE UNINSURED (US CENSUS: SMALL AREA HEALTH INSURANCE ESTIMATES)- 8% OF ADULTS OF ALL AGES ARE UNINSURED- 11% INDICATE USING THE EMERGENCY ROOM FOR MAIN SOURCE OF HEALTH CARE- 12% REPORT BEING UNABLE TO RECEIVE NEEDED HEALTH CARE IN THE LAST 12 MONTHSTHE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT THE HEALTH AND WELLBEING OF COMMUNITY RESIDENTS: - 65% OF ADULTS ARE OVERWEIGHT OR OBESE- 22% OF SURVEY RESPONDENTS INDICATED THEY HAVE A CHRONIC DISEASE, AND OF THOSE, 25% DO NOT HAVE THE RESOURCES NEEDED TO MANAGE THEIR CHRONIC DISEASE- 25% OF SURVEY RESPONDENTS ENGAGED IN BINGE DRINKING IN THE PAST 30 DAYS- 14% OF RESPONDENTS INDICATED THAT THEY EXPERIENCED DEPRESSION IN THE PAST 12 MONTHS- 5% OF SURVEY RESPONDENTS INDICATED THAT THEY HAD THOUGHT ABOUT COMMITTING SUICIDE AT SOME POINT IN THE PAST 12 MONTHS. HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). 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 AREA MEDICALLY 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 AREA:ANCHORAGE, AK1) ALASKA REGIONAL HOSPITAL2)ALASKA NATIVE MEDICAL CENTERKODIAK, AK PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS THE ONLY HOSPITAL ON KODIAK ISLANDTHE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES. - IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.-THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS. 1 SAINT JOHNS HOSPITAL & HEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 501(C)(3) 11250000 0 OPERATIONAL SUPPORT CATHOLIC CHARITIES OF SPOKANE PO BOX 2253 SPOKANE WA 99201 910569880 501(C)(3) 1497460 0 COMMUNITY BENEFIT RESTRICTED GRANT EVERETT TRANSITIONAL CARE SERVICES FOUNDATION 916 PACIFIC AVE FL4 EVERETT WA 98201 943264605 501(C)(3) 900000 0 OPERATIONAL SUPPORT MEDICAL TEAMS INTERNATIONAL PO BOX 4288 PORTLAND OR 97208 930878944 501(C)(3) 701440 0 COMMUNITY BENEFIT RESTRICTED GRANT UNIVERSITY OF ALASKA 1815 BRAGAW ST STE 206 ANCHORAGE AK 99508 926000147 GOVERNMENT 392000 0 SPONSORSHIP COALITION TO PROTECT AMERICA'S HEALTH CARE PO BOX 30211 BETHESDA MD 20824 522253225 501(C)(3) 250000 0 OPERATIONAL SUPPORT PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 98126 911188119 501(C)(3) 233000 0 OPERATIONAL SUPPORT WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVE NE SHORLINE WA 98155 911698851 501(C)(3) 230000 0 OPERATIONAL SUPPORT PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 425 PONTIUS AVE N UNIT 300 SEATTLE WA 98109 912077378 501(C)(3) 209000 0 OPERATIONAL SUPPORT VOLUNTEERS OF AMERICA EASTERN WASHINGTON AND NORTHERN IDAHO 525 W 2ND AVE SPOKANE WA 99201 910577131 501(C)(3) 180000 0 OPERATIONAL SUPPORT SPOKANE TREATMENT AND RECOVERY SERVICES 105 W 3RD AVE SPOKANE WA 99201 911108762 501(C)(3) 175150 0 COMMUNITY BENEFIT RESTRICTED GRANT THE EVERETT GOSPEL MISSION 3711 SMITH AVE PO BOX 423 EVERETT WA 98201 910780146 501(C)(3) 175000 0 COMMUNITY BENEFIT RESTRICTED GRANT NORTHWEST JUSTICE PROJECT 1702 W BROADWAY AVE SPOKANE WA 99201 911687791 501(C)(3) 156650 0 OPERATIONAL SUPPORT COMMUNITY HEALTH ASSOCIATION OF SPOKANE 203 N WASHINGTONSTE 300 SPOKANE WA 99201 911641797 501(C)(3) 148000 0 SPONSORSHIP INNOVIA FOUNDATION ATTN PRIORITY SPOKANE FUND 421 W RIVERSIDE AVE 606 SPOKANE WA 99201 910941053 501(C)(3) 125000 0 OPERATIONAL SUPPORT PROJECT ACCESS NORTHWEST 200 BROADWAY AVE STE 202 SEATTE WA 98122 204377921 501(C)(3) 125000 0 COMMUNITY BENEFIT RESTRICTED GRANT SEED GLOBAL HEALTH 20 ASHBURTON PLACE BOSTON MA 02108 453064098 501(C)(3) 122000 0 OPERATIONAL SUPPORT VOLUNTEERS OF AMERICA WESTERN WASHINGTON PO BOX 839 EVERETT WA 98206 910577129 501(C)(3) 112500 0 COMMUNITY BENEFIT RESTRICTED GRANT CITY OF WALLA WALLA 15 N 3RD AVE WALLA WALLA WA 99362 916001290 GOVERNMENT 110000 0 OPERATIONAL SUPPORT PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DR SE ISSAQUAH WA 98029 931554288 501(C)(3) 110000 0 OPERATIONAL SUPPORT PARTNERS WITH FAMILIES AND CHILDREN 1321 W BROADWAY SPOKANE WA 99201 680576560 501(C)(3) 105000 0 COMMUNITY BENEFIT RESTRICTED GRANT RONALD MCDONALD HOUSE CHARITIES OF THE INLAND NW 1015 W 5TH AVE SPOKANE WA 99204 911176115 501(C)(3) 101500 0 OPERATIONAL SUPPORT CITY OF OLYMPIA PO BOX 1967 OLYMPIA WA 98507 911392815 GOVERNMENT 100000 0 OPERATIONAL SUPPORT EVERETT COMMUNITY COLLEGE MAIL STOP 12 2000 TOWER ST EVERETT WA 98201 910759103 GOVERNMENT 100000 0 OPERATIONAL SUPPORT PARTNERSHIP HEALTH CENTER INC 401 RAILROAD ST W MISSOULA MT 59802 363843543 501(C)(3) 100000 0 OPERATIONAL SUPPORT SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ST ORANGE CA 92868 951643383 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT FRONTIER BEHAVIORAL HEALTH 107 S DIVISION ST SPOKANE WA 99202 910853801 501(C)(3) 98800 0 SPONSORSHIP PROVIDENCE ALASKA FOUNDATION PO BOX 196604 ANCHORAGE AK 99519 920093565 501(C)(3) 89736 0 COMMUNITY BENEFIT RESTRICTED GRANT SECOND HARVEST INLAND NW 12134 E FRONT AVE SPOKANE WA 99202 237173826 501(C)(3) 80000 0 COMMUNITY BENEFIT RESTRICTED GRANT SPOKANE PARKS FOUNDATION PO BOX 8127 SPOKANE WA 99203 916033504 501(C)(3) 78000 0 COMMUNITY BENEFIT RESTRICTED GRANT NAMI SPOKANE 10 N POST ST STE 638 SPOKANE WA 99201 911153510 501(C)(3) 70000 0 COMMUNITY BENEFIT RESTRICTED GRANT PROV NE WA HUNGER COALITION 986 S MAIN ST STE D COLVILLE WA 99114 463051292 501(C)(3) 70000 0 COMMUNITY BENEFIT RESTRICTED GRANT CATHOLIC RELIEF SERVICES PO BOX 17526 BALTIMORE MD 21298 135563422 501(C)(3) 69000 0 OPERATIONAL SUPPORT SPOKANE REGIONAL HEALTH DISTRICT 1101 W COLLEGE AVE SPOKANE WA 99201 911527532 GOVERNMENT 64567 0 OPERATIONAL SUPPORT SEAVIEW COMMUNITY SERVICES 302 RAILWAY AVE PO BOX 1045 SEWARD AK 99664 920043803 501(C)(3) 61000 0 SPONSORSHIP LATINOS EN SPOKANE 947 E ERMINA AVE SPOKANE WA 99207 852725630 501(C)(3) 60000 0 COMMUNITY BENEFIT RESTRICTED GRANT SPOKANE PRESCRIPTION ACCESS NETWORK PO BOX 9658 SPOKANE WA 99209 331134368 501(C)(3) 60000 0 OPERATIONAL SUPPORT YWCA SPOKANE 930 N MONROE ST SPOKANE WA 99201 910565025 501(C)(3) 53000 0 OPERATIONAL SUPPORT FUSE INNOVATION FUND 907 E 8TH AVE SPOKANE WA 99202 870800705 501(C)(3) 50400 0 COMMUNITY BENEFIT RESTRICTED GRANT AMERICAN FOUNDATION FOR SUICIDE PREVENTION 199 WATER ST FL11 NEW YORK NY 10038 133393329 501(C)(3) 50000 0 OPERATIONAL SUPPORT DELTA DENTAL OF WASHINGTON 400 FAIRVIEW AVE N SEATTLE WA 98109 910621480 501(C)(4) 50000 0 SPONSORSHIP SPOKANE REGIONAL CHAMBER OF COMMERCE PO BOX 822 SPOKANE WA 99210 910418800 501(C)(6) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA 511 S BUENA VISTA ST BURBANK CA 91505 510216589 501(C)(3) 50000 0 SPONSORSHIP EXCELSIOR YOUTH SERVICES 3754 W INDIAND TRAIL RD SPOKANE WA 99208 911189908 501(C)(3) 45000 0 SPONSORSHIP SOUND WELLNESS ALLIANCE NETWORK PO BOX 550 VALDEZ AK 99686 820942210 501(C)(3) 44481 0 COMMUNITY BENEFIT RESTRICTED GRANT STEVENS COUNTY SHERIFF'S AMBULANCE 425 N HWY COLVILLE WA 99114 916001372 GOVERNMENT 43500 0 COMMUNITY BENEFIT RESTRICTED GRANT THE WATERFALL FOUNDATION PO BOX 70049 FAIRBANKS AK 99707 541980898 501(C)(3) 43000 0 OPERATIONAL SUPPORT COLVILLE COMMUNITY SENIOR CENTER 231 W ELEP AVE COLVILLE WA 99114 911442690 501(C)(3) 40500 0 COMMUNITY BENEFIT RESTRICTED GRANT PLYMOUNTH HOUSING 2213 3RD AVE SEATTLE WA 98121 911122621 501(C)(3) 40000 0 COMMUNITY BENEFIT RESTRICTED GRANT CHILDREN'S HOME SOCIETY OF WASHINGTON 2323 N DISCOVERY PLACE SPOKANE WA 99216 910575955 501(C)(3) 35000 0 COMMUNITY BENEFIT RESTRICTED GRANT COMPASSIONATE ADDICTION TREATMENT 112 E 1ST AVE SPOKANE WA 99202 834425311 501(C)(3) 35000 0 OPERATIONAL SUPPORT SPOKANE COUNTY UNITED WAY 920 N WASHINGTONSTE 100 SPOKANE WA 99201 910606058 501(C)(3) 35000 0 OPERATIONAL SUPPORT EASTERN WASHINGTON UNIVERSITY FOUNDATION 102 HARGREAVES HALL CHENEY WA 99004 911019819 501(C)(3) 34650 0 SPONSORSHIP VALDEZ SENIOR CENTER INC 1300 E HANAGITA PO BOX 1635 VALDEZ AK 99686 920082275 501(C)(3) 31959 0 OPERATIONAL SUPPORT ECONOMIC ALLIANCE SNOHOMISH COUNTY 808 134TH ST SW STE 101 EVERETT WA 98204 910647005 501(C)(4) 30000 0 OPERATIONAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 17 N STATE ST STE 1530 CHICAGO IL 60602 364483505 501(C)(3) 30000 0 COMMUNITY BENEFIT RESTRICTED GRANT SEATTLE REPERTORY THEATRE PO BOX 900923 SEATTLE WA 98109 910756535 501(C)(3) 30000 0 OPERATIONAL SUPPORT THE OLYMPIA FREE CLINIC PO BOX 6310 OLYMPIA WA 98507 271606329 501(C)(3) 30000 0 SPONSORSHIP TRILOGY RECOVERY COMMUNITY 120 E BIRCH ST STE 14 WALLA WALLA WA 99362 320303794 501(C)(3) 30000 0 COMMUNITY BENEFIT RESTRICTED GRANT UNITED WAY 701 W 8TH AVE ANCHORAGE AK 99501 920027948 501(C)(3) 29414 0 SPONSORSHIP WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE WA 98125 943214597 501(C)(3) 27500 0 COMMUNITY BENEFIT RESTRICTED GRANT SENIOR CITIZENS OF KODIAK INC 302 ERSKINE KODIAK AK 99615 237348249 501(C)(3) 26600 0 OPERATIONAL SUPPORT ADVOCATES FOR VICTIMS OF VIOLENCE INC PO BOX 524 VALDEZ AK 99686 920083034 501(C)(3) 25564 0 OPERATIONAL SUPPORT FAITH IN PRACTICE 7500 BEECHNUT ST STE 208 HOUSTON TX 77074 760415986 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT JUBILEE WOMEN'S CENTER 620 18TH AVE E SEATTLE WA 98112 911539920 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT LET EVERY WOMAN KNOW - ALASKA 3851 PIPER ST STE U1185 ANCHORAGE AK 99508 461861913 501(C)(3) 25000 0 OPERATIONAL SUPPORT NAZARETH GUILD PO BOX 76 SPOKANE WA 99210 453962529 501(C)(3) 25000 0 OPERATIONAL SUPPORT PACIFIC NORTHWEST BALLET ATTN CAITLIN M BELL 301 MERCER ST SEATTLE WA 98109 910897129 501(C)(3) 25000 0 OPERATIONAL SUPPORT REACH COMPASSION IN ACTION 3604 NE 10TH COURT RENTON WA 98056 813474411 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT ST VINCENT DE PAUL FOOD BANK AND COMMUNITY SERVICES PO BOX 4273 / 215 S 6TH AVE PASCO WA 99302 825338652 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT WOMEN'S & CHILDREN'S FREE RESTAURANT 1408 N WASHINGTON ST SPOKANE WA 99201 911399742 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT WORLD PULSE VOICES 401 NE 19TH AVE STE 200 PORLAND OR 97232 412065177 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT MEAD SCHOOL DISTRICT 2323 E FAREWELL RD MEAD WA 99201 237104932 501(C)(6) 24006 0 SPONSORSHIP LUTHERAN COMMUNITY SERVICES NORTHWEST 210 W SPRAGUE AVE SPOKANE WA 99201 930386860 501(C)(3) 22700 0 COMMUNITY BENEFIT RESTRICTED GRANT PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW RENTON WA 98057 510216587 501(C)(3) 22089 0 SPONSORSHIP MARTIN LUTHER KING JR FAMILY OUTREACH CENTER 500 S STONE ST SPOKANE WA 99202 910912823 501(C)(3) 20400 0 COMMUNITY BENEFIT RESTRICTED GRANT CARL MAXEY CENTER 1312 N MONROE ST 148 SPOKANE WA 99201 824396555 501(C)(3) 20000 0 SPONSORSHIP GIRLS INC OF ST LOUIS 3801 NELSON DR ST LOUIS MO 63121 431321294 501(C)(3) 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT LUMEN PUBLIC SCHOOL 718 W RIVERSIDE AVE 201 SPOKANE WA 99201 832652406 GOVERNMENT 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT TRANSITIONAL PROGRAMS FOR WOMEN 3128 N HEMLOCK SPOKANE WA 99205 911307272 501(C)(3) 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT UNIVERSITY DISTRICT DEVELOPMENT ASSOCIATION 120 N PINE ST STE 292 SPOKANE WA 99202 911973749 501(C)(3) 20000 0 SPONSORSHIP VANESSA BEHAN CRISIS NURSERY 2230 E SPRAGUE AVE SPOKANE WA 99202 911196575 501(C)(3) 18000 0 OPERATIONAL SUPPORT KODIAK ISLAND HEALTH CARE FOUNDATION 1911 E REZANOF DRIVE KODIAK AK 99615 920146203 501(C)(3) 17500 0 OPERATIONAL SUPPORT WALLA WALLA YMCA 340 S PARK WALLA WALLA WA 99362 910580856 501(C)(3) 16500 0 OPERATIONAL SUPPORT COMMUNITY MINDED ENTERPRISES PO BOX 48150 SPOKANE WA 99228 911764236 501(C)(3) 15500 0 COMMUNITY BENEFIT RESTRICTED GRANT A CHILD'S HOPE SPOKANE 222 W MISSION AVE STE 250 SPOKANE WA 99201 814953438 501(C)(3) 15000 0 COMMUNITY BENEFIT RESTRICTED GRANT A REFUGE TRAUMA INFORMED THERAPIES 222 W MISSION AVE STE 122 SPOKANE WA 99201 833115513 501(C)(3) 15000 0 OPERATIONAL SUPPORT YMCA OF SNOHOMISH COUNTY PO BOX 419 EVERETT WA 98206 910565561 501(C)(3) 15000 0 SPONSORSHIP WGHA 1809 7TH AVE STE 1000 SEATTLE WA 98101 272314726 501(C)(3) 13000 0 SPONSORSHIP CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION 51383 HWY 93 PO BOX 278 PABLO MT 58855 810230409 501(C)(3) 12500 0 COMMUNITY BENEFIT RESTRICTED GRANT NATIONAL MEDICAL FELLOWSHIPS PO BOX 3875 NEW YORK NY 10163 010963657 501(C)(3) 10750 0 SPONSORSHIP CAMP FIRE INLAND NORTHWEST 409 N ARGONNE RD STE B SPOKANE VALLEY WA 99212 910567727 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT COMMUNITIES IN SCHOOLS OF WASHINGTON 1010 S 336TH ST STE 205 FEDERAL WAY WA 98003 911541026 501(C)(3) 10000 0 SPONSORSHIP FAILSAFE FOR LIFE 15615 N MEADOWGLEN CT SPOKANE WA 99208 813525568 501(C)(3) 10000 0 OPERATIONAL SUPPORT GAMELIN WASHINGTON ASSOCIATION 1423 1ST AVE 440 SEATTLE WA 98101 201910170 501(C)(3) 10000 0 OPERATIONAL SUPPORT HOPE STREET 1887 HOME STREET WALLA WALLA WA 99362 833052347 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT NEW BEGINNINGS CHAPEL 882 W MAIN WALLA WALLA WA 99362 274601869 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 3201 SW GRAHAM ST UNIT 302 SEATTLE WA 98126 912171539 501(C)(3) 10000 0 OPERATIONAL SUPPORT PROVIDENCE PETER CLAVER ASSOCIATION 7101 38TH AVE S SEATTLE WA 98118 311629656 501(C)(3) 10000 0 OPERATIONAL SUPPORT SAFE CROSSING FOUNDATION 4210 SW OREGON ST STE H SEATTLE WA 98116 752992774 501(C)(3) 10000 0 OPERATIONAL SUPPORT SOCIETY OF ST VINCENT DE PAUL 5950 4TH AVE S SEATTLE WA 98108 910583891 501(C)(3) 10000 0 SPONSORSHIP SOUTHWEST YOUTH AND FAMILY SERVICES 4555 DELRIDGE WAY SW SEATTLE WA 98106 911117862 501(C)(3) 10000 0 SPONSORSHIP WALLA WALLA ALLIANCE FOR THE HOMELESS PO BOX 3431 WALLA WALLA WA 99362 474473859 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT MARCH OF DIMES DONATION PROCESSING CENTER PO BOX 18819 ATLANTA GA 31126 131846366 501(C)(3) 9000 0 SPONSORSHIP AMERICAN RED CROSS PO BOX 3097 SEATTLE WA 98114 530196605 501(C)(3) 7500 0 COMMUNITY BENEFIT RESTRICTED GRANT LIFE SUPPORT PO BOX 264 SOUTH CLE ELUM WA 98943 200413954 501(C)(3) 7500 0 SPONSORSHIP CORPORATION OF ST BENEDICTS CHURCH 8110 JEWEL LAKE ROAD ANCHORAGE AK 99502 920122543 501(C)(3) 7000 0 OPERATIONAL SUPPORT TOGETHER 1520 IRVING ST SW STE A TUMWATER WA 98512 911465778 501(C)(3) 6500 0 SPONSORSHIP REACH OUT AND READ INC 89 SOUTH ST STE 201 BOSTON MA 02111 043481253 501(C)(3) 6050 0 SPONSORSHIP LEWIS COUNTY AUTISM COALITION 1673 S MARKET BLVD PMB 240 CHEHALIS WA 98532 473931045 501(C)(3) 6000 0 OPERATIONAL SUPPORT COMMUNITY YOUTH SERVICES 711 STATE AVE NE OLYMPIA WA 98506 910859922 501(C)(3) 5500 0 OPERATIONAL SUPPORT 107 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 ROD F HOCHMAN MD FORMER OFFICER - PSJH PRESIDENT/CEO 0 2224561 0 5586400 0 828858 0 810415 0 29930 0 9480164 0 764400 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0 1103566 0 671005 0 1303904 0 410295 0 17644 0 3506414 0 1251780 ERIK WEXLER PRESIDENT STRAT & OPS (SOUTH) 1288496 0 884707 0 447295 0 582297 0 24262 0 3227057 0 424024 0 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0 1092734 0 536536 0 977935 0 294426 0 19583 0 2921214 0 925168 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 0 1273462 0 766134 0 263545 0 580007 0 28222 0 2911370 0 211879 ELAINE COUTURE EVP CHIEF EXEC WA & MT - THRU 5/21 275094 0 485102 0 1958449 0 25033 0 6813 0 2750491 0 311233 0 GUY HUDSON MD CHIEF EXEC SWEDISH HEALTH SVCS 1209134 0 559998 0 273534 0 501889 0 20266 0 2564821 0 270912 0 MIKE BUTLER FORMER PRESIDENT 0 0 0 0 0 2359254 0 7651 0 0 0 2366905 0 0 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0 988719 0 510324 0 387839 0 270192 0 33484 0 2190558 0 341291 JOEL GILBERTSON EVP CHIEF EXECUTIVE WA AND MT 765306 0 518330 0 491989 0 364702 0 31383 0 2171710 0 194575 0 KEVIN MANEMANN CHIEF EXECUTIVE PSJH SO CA 906923 0 663247 0 38300 0 453045 0 28465 0 2089980 0 0 0 CINDY STRAUSS FORMER SECRETARY 0 228582 0 263565 0 1434949 0 6525 0 11330 0 1944951 0 397592 MIKE WATERS EVP AMBULATORY CARE NETWORK 682426 0 533015 0 313473 0 375762 0 20754 0 1925430 0 183238 0 GREG TILL CHIEF PEOPLE OFFICER 664080 0 699002 0 212898 0 188205 0 29687 0 1793872 0 175548 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 810289 0 339019 0 307368 0 235035 0 27365 0 1719076 0 266274 BRYAN MITCHELL PHYSICIAN ORTHOPEDIC SURGEON 1426305 0 60534 0 89726 0 99377 0 25387 0 1701329 0 88016 0 GREG HOFFMAN PRESIDENT/CEO & TREASURER 875809 0 415999 0 115470 0 241752 0 31590 0 1680620 0 76348 0 AARON MARTIN FORMER KE - PSJH EVP CHF MKT/DIG INN 0 809570 0 351062 0 275473 0 222987 0 13010 0 1672102 0 251577 STEVEN NISCO PHYSICIAN 946836 0 234919 0 306054 0 113252 0 25387 0 1626448 0 281651 0 JATIN MOTIWAL CE CLINICAL INSTITUTES - THRU 10/21 485967 0 339558 0 707410 0 4350 0 25927 0 1563212 0 490509 0 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 641890 0 329115 0 206066 0 173930 0 26438 0 1377439 0 91647 0 PRESTON SIMMONS SVP CHIEF EXEC AK REGION 621914 0 288279 0 219907 0 213845 0 31108 0 1375053 0 192884 0 OREST HOLUBEC FMR KE - PSJH SVP/CHF COM/EXT AFF OF 0 538173 0 309999 0 201766 0 160532 0 31065 0 1241535 0 164043 JOHN WHIPPLE SECRETARY 485477 0 301033 0 252027 0 156256 0 29193 0 1223986 0 180264 0 DEBBIE BURTON SVP CHIEF NURSING OFFCR - THRU 1/21 1581 0 97000 0 1013240 0 7318 0 444 0 1119583 0 118519 0 SCOTT O'BRIEN COO WA AND MT REGION 581129 0 257895 0 79181 0 173552 0 12565 0 1104322 0 58551 0 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 478972 0 188541 0 194134 0 150948 0 25722 0 1038317 0 153592 0 PEG CURRIE CHIEF EXEC SACRED HEART MEDICAL CTR 475822 0 110499 0 149753 0 147296 0 14504 0 897874 0 122777 0 JIM WATSON ESQ ASSISTANT SECRETARY 450443 0 287615 0 22030 0 94222 0 32632 0 886942 0 0 0 DAVID BROWN SVP CAO AMBULATORY CARE 411677 0 119936 0 174771 0 140142 0 30558 0 877084 0 152970 0 ALI SANTORE SVP GOVT AFFAIRS & SOCIAL RESP 500823 0 195754 0 77910 0 89786 0 12516 0 876789 0 76807 0 ELLA GOSS CHIEF EXEC ALASKA MEDICAL CENTER 397498 0 129650 0 106234 0 131965 0 25032 0 790379 0 84573 0 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0 0 0 0 0 750000 0 0 0 0 0 750000 0 0 DARIN GOSS CHIEF EXEC ST. PETER HOSPITAL 401962 0 148752 0 20966 0 117179 0 30069 0 718928 0 0 0 HELEN ANDRUS REGIONAL CFO WA AND MT 389977 0 122811 0 84163 0 82598 0 15538 0 695087 0 58481 0 DARREN REDICK CHIEF EXEC PRMCE 349997 0 42229 0 9816 0 103636 0 24630 0 530308 0 4948 0 KIM WILLIAMS CHIEF EXEC PRMCE - THRU 3/21 108612 0 103966 0 246451 0 20614 0 6425 0 486068 0 150654 0 AMY MILLER REGIONAL CFO - AK PSJH 255954 0 38541 0 865 0 23566 0 29337 0 348263 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 210749 0 30761 0 1041 0 12268 0 11812 0 266631 0 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS -RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $2,355,018 JATIN MOTIWAL - $140,250 VENKAT BHAMIDIPATI - $750,000 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: ROD F. HOCHMAN, MD - $764,400 DEBRA CANALES - $1,251,780 ERIK WEXLER - $424,024 RHONDA MEDOWS, MD - $925,168 LISA VANCE - $211,879 ELAINE COUTURE - $311,233 GUY HUDSON, MD - $270,912 AMY COMPTON-PHILLIPS, MD - $341,291 JOEL GILBERTSON - $194,575 CINDY STRAUSS - $397,592 MIKE WATERS - $183,238 GREG TILL - $175,548 JO ANN ESCASA-HAIGH - $266,274 BRYAN MITCHELL - $88,016 GREG HOFFMAN - $76,348 AARON MARTIN - $251,577 STEVEN NISCO - $281,651 JATIN MOTIWAL - $490,509 SYLVAIN TREPANIER - $91,647 PRESTON SIMMONS - $192,884 OREST HOLUBEC - $164,043 JOHN WHIPPLE - $180,264 DEBBIE BURTON - $118,519 SCOTT O'BRIEN - $58,551 MARY CRANSTOUN - $153,592 PEG CURRIE - $122,777 DAVID BROWN - $152,970 ALI SANTORE - $76,807 ELLA GOSS - $84,573 HELEN ANDRUS - $58,481 DARREN REDICK - $4,948 KIM WILLIAMS - $150,654 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. 3330410 MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 14254797 TECH. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 1612867 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 474420 LEGAL SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 268582 CONSTR. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 23801033 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 105460220 TECH SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 10689838 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 232662 CONSTR. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 4397960 ACCT. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 246766 MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 4455873 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 3129042 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 156499 LEASE 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 23919223 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 137129 STAFFING SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 7285705 CONSULTING 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): THE MAYDAY FOUNDATION PROVIDES IMMEDIATE, PRACTICAL FINANCIAL SUPPORT TO THURSTON COUNTY FAMILIES COPING WITH CANCER WHILE RAISING KIDS AT HOME. THEY COVER HOUSEHOLD EXPENSES LIKE RENT, MORTGAGE, UTILITIES, GAS AND GROCERIES FOR A SHORT TIME, UNTIL A CANCER PATIENT CAN WORK OUT A NEW BUDGET OR RETURN TO WORK. THE FOUNDATION'S FAMILY SUPPORT FUND IS THE LIFELINE OF SUPPORT FOR LOCAL FAMILIES WORKING THROUGH THE FINANCIAL IMPLICATIONS OF A CANCER DIAGNOSIS. THE GOAL IS TO KEEP PEOPLE IN THEIR HOMES, PREVENTING HOMELESSNESS AND BANKRUPTCY. ABOUT 50% OF MAYDAY FAMILIES ARE MOTHERS WITH BREAST CANCER AND ABOUT HALF OF THESE WOMEN ARE SINGLE PARENTS. SUPPORT FROM PROVIDENCE IS EARMARKED FOR HOUSING COSTS FOR LOCAL CANCER PATIENTS. THROUGH THE ADELINE COFFMAN GUILD PROVIDENCE FUNDS UNCOMPENSATED CARE FOR THE CHILDREN OF LEWIS COUNTY, WASHINGTON AT SEATTLE CHILDREN'S HOSPITAL, A PEDIATRIC REFERRAL CENTER FOR THE PACIFIC NORTHWEST, SPECIALIZING IN THE HEALTH CARE OF CHILDREN. PROVIDENCE FUNDED THE THURSTON-MASON COUNTY DENTAL SOCIETY TO PROVIDE: FREE DENTAL TREATMENT AT THE OLYMPIA UNION GOSPEL MISSION TO THOSE WITH NO INSURANCE AND WHO ARE AT OR BELOW THE POVERTY LINE; FREE DENTAL SUPPLIES AND EDUCATION TO SCHOOL AGED CHILDREN THROUGH THE LITTLE RED SCHOOLHOUSE PROJECT. TOGETHER! SERVES YOUTH AND FAMILIES IN THE SOUTH SOUND TO ADVANCE THE HEALTH AND WELL-BEING OF ALL YOUNG PEOPLE. PROVIDENCE FUNDING HAS SUPPORTED THE HOST HOMES PROGRAM, A SHORT-TERM COMMUNITY-BASED HOSTED HOUSING OPTION FOR UNACCOMPANIED YOUTH, 13- 21, UNSTABLY HOUSED WITHOUT THEIR LEGAL GUARDIAN. MANY YOUTH SERVED ARE LGBTQ+ AND/OR HAVE EXPERIENCED SIGNIFICANT TRAUMA. PROVIDENCE ALSO SUPPORTS THE COMMUNITY SCHOOLS INITIATIVE, WHICH FOCUSES ON BASIC NEEDS, PHYSICAL HEALTH, FAMILY ENGAGEMENT, AND MORE. CASE MANAGERS ASSIST STUDENTS WITH SUPPORTS SUCH AS HOMELESSNESS PREVENTION AND RAPID REHOUSING OF FAMILIES EXPERIENCING HOMELESSNESS, DISTRIBUTION OF MEAL BOXES, AND SUPPORT FOR EXISTING AND EXPANDED AFTER-SCHOOL PROGRAMS AND LUNCHTIME SUPPORT AND ENRICHMENT ACTIVITIES. PROVIDENCE FUNDED OLYMPIA CAMP ABILITIES TO HOST THEIR ANNUAL SPORTS CAMP FOR VISUALLY IMPAIRED AND BLIND CHILDREN. MOST CHILDREN WITH A VISUAL IMPAIRMENT OR WHO ARE BLIND ARE MARGINALIZED AND NOT INCLUDED IN SCHOOL SPORTS OR PHYSICAL EDUCATION, WHICH HAS LED TO A 70% OBESITY RATE FOR THESE CHILDREN. OLYMPIA CAMP ABILITIES TEACHES THESE CHILDREN HOW TO PLAY SPORTS SAFELY WITH ADAPTIVE EQUIPMENT AND THE HOPE IS THEY CAN RETURN TO SCHOOL AND TEACH THEIR PHYSICAL EDUCATION TEACHER OR COACH HOW THEY CAN BE INCLUDED IN SPORTS SAFELY. MANY OF THE ATHLETES COME FROM LOW-INCOME HOMES AND 100% SCHOLARSHIPS ARE PROVIDED FOR ANY CHILD APPLYING TO ATTEND CAMP. THE PROVIDENCE SYSTEM HAS INVESTED IN PROVIDING TECHNICAL ASSISTANCE TO THURSTON COUNTY THROUGH COMMUNITY SOLUTIONS' BUILT FOR ZERO INITIATIVE. WITH LOCAL SUPPORT, THE COUNTY HAS CONVENED A ROBUST BUILT FOR ZERO (BFZ) COHORT. THE COMMUNITY IS CONCENTRATING ITS EFFORTS ON CHRONICALLY HOMELESS INDIVIDUALS AND IS FOCUSED ON BUILDING A UNIFIED PROCESS FOR DEVELOPING A BY-NAME LIST OF PEOPLE EXPERIENCING HOMELESSNESS TO ACHIEVE FUNCTIONAL ZERO FOR HOMELESSNESS IN THURSTON COUNTY BY 2026. ADJACENT TO ST. PETER HOSPITAL AND MOTHER JOSEPH CARE CENTER, THE HOMELESS ENCAMPMENT ALONG ENSIGN ROAD IN OLYMPIA IS ONE OF THE LARGEST AND MOST VISIBLE IN ALL OF THURSTON COUNTY. PROVIDENCE IS A CRUCIAL AND TRUSTED PARTNER TO LOCAL GOVERNMENTS AND OUR LOCAL HEALTH JURISDICTION IN HELPING TO PROVIDE SERVICES AND A SAFE HOUSING ENVIRONMENT FOR THOSE CURRENTLY LIVING ALONG ENSIGN, INCLUDING THE PROVISION OF FUNDING FROM THE PROVIDENCE SYSTEM. IN OLYMPIA, WASHINGTON, THE PROVIDENCE SEXUAL ASSAULT CLINIC AND CHILD MALTREATMENT CENTER PROVIDES MEDICAL SERVICES TO CHILDREN AND ADULTS WHO ARE VICTIMS OF SEXUAL OR PHYSICAL ABUSE. THE CLINIC IS THE ONLY FACILITY OF ITS KIND IN THE REGION AND RECEIVES PATIENT REFERRALS FROM LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES AND MEDICAL PROVIDERS. EACH YEAR, THE SEXUAL ASSAULT CLINIC SERVES MORE THAN 350 PATIENTS AND THEIR FAMILIES FROM ITS FIVE SURROUNDING COUNTIES. THE CLINIC ALSO WORKS WITH INDIAN CHILD WELFARE AND TRIBAL COMMUNITIES. THE PROVIDENCE ST. PETER HOSPITAL BIRTH CENTER OFFERS CARE TO A POPULATION THAT IS SEEN IS TOO GREAT TO BE ABSORBED BY ANY OTHER LOCAL HOSPITALS, INCLUDING: FULLY EQUIPPED LABOR, DELIVERY AND RECOVERY AREAS; IN-ROOM CARE AND RESOURCES FOR NEWBORNS; OPERATING AND RECOVERY ROOMS WITH C-SECTION AND EMERGENCY CAPABILITIES; DELIVERY SUPPORT THROUGH PEDIATRIC WELLNESS CHECKS, INCLUDING COMPLETE HEALTH CARE FOR BOTH MOTHER AND CHILD. OTHER SERVICES INCLUDE BREASTFEEDING SUPPORT, LACTATION CONSULTATIONS, AND BREAST PUMP EQUIPMENT. LOCATED WITHIN THE BIRTH CENTER IS A LEVEL II SPECIAL CARE NURSERY FOR ADVANCED NEONATAL CARE. THIS DESIGNATION INDICATES A HIGH LEVEL OF SPECIALIZED CARE FOR HIGH-RISK NEWBORNS SUCH AS PRE-TERM INFANTS AND THOSE WITH SERIOUS MEDICAL CONDITIONS. HOME FOR GOOD - PERMANENT SUPPORTIVE HOUSING FOR ANCHORAGE'S MOST VULNERABLE: IN ANCHORAGE, ALASKA, PROVIDENCE PARTNERED WITH THE UNITED WAY, THE MUNICIPALITY OF ANCHORAGE, SOCIAL FINANCE, AND A HOST OF FUNDERS ON AN INNOVATIVE PAY-FOR-SUCCESS PERMANENT SUPPORTIVE HOUSING PROGRAM TO SERVE ANCHORAGE'S MOST VULNERABLE HOMELESS POPULATION. PROVIDENCE PROVIDED $500,000 IN COMMUNITY PARTNERSHIP FUNDING NEEDED TO KICK OFF THE PROGRAM. THE HOME-FOR-GOOD PSH PROGRAM INITIATED IN OCTOBER OF 2020 TO PROVIDE SUPPORTIVE HOUSING THAT COMBINES STABLE HOUSING WITH ROBUST, WRAP-AROUND SERVICES FOR 150 OF ANCHORAGE RESIDENTS IDENTIFIED AS THE COMMUNITY'S MOST VULNERABLE WHO SUFFER FROM PERSISTENT HOMELESSNESS AND DISABLING CONDITIONS. DATA COLLECTED FOR THE INITIAL 65 INDIVIDUALS SERVED BY HOME FOR GOOD IN 2021 REFLECT A SIGNIFICANT REDUCTION IN EMERGENCY SERVICES UTILIZATION AFTER JUST SIX MONTHS. SAFETY CENTER INTAKES WENT DOWN 75%. ARRESTS WENT DOWN 69%. CALLS FOR EMS TRANSPORT WENT DOWN 50% AND THERE WAS A 78% REDUCTION IN SHELTER STAYS FOR THIS POPULATION. THE CHILDREN'S LUNCHBOX: THE CHILDREN'S LUNCHBOX IN ANCHORAGE, ALASKA HAS PLAYED A VITAL ROLE IN FEEDING HUNGRY CHILDREN SINCE 1998. IN 2021, THE PROGRAM CONTINUED TO MEET GROWING NEEDS AND ENSURE NO CHILD WENT HUNGRY. BUOYED BY A $125,000 INVESTMENT FROM PROVIDENCE HEALTH & SERVICES ALASKA IN PARTNERSHIP WITH PROVIDENCE ALASKA FOUNDATION, AND GENEROUS DONATIONS FROM OTHER INDIVIDUAL AND CORPORATE DONORS AND GRANTS, BEAN'S CAF WAS ABLE TO EXPAND THE CHILDREN'S LUNCHBOX TO MEET THE GROWING NEED OF FAMILIES DURING THE PANDEMIC. IN 2021, CHILDREN'S LUNCHBOX PROVIDED 245,383 MEALS TO FAMILIES AND CHILDREN IN ANCHORAGE. THAT NUMBER INCREASES DAILY. FRESH MEALS ARE ASSEMBLED EACH WEEK AND PACKAGED IN VACUUM-SEALED CONTAINERS. THE SHELF-STABLE PANTRY PACKS ARE PACKAGED BY VOLUNTEERS IN AN OFF-SITE WAREHOUSE, FOLLOWING COVID-19 SAFETY PROTOCOL, OR BY VOLUNTEERS AT HOME. THE PANTRY BOXES CONTAIN BREAKFAST, LUNCH OR DINNER AND CAN BE PICKED UP VIA MOBILE PICK-UP OR DELIVERY AT DESIGNATED LOCATIONS THROUGHOUT TOWN. VACCINATION CLINICS AND COMMUNITY HEALTH WORKERS: IN 2021, PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) IN WALLA WALLA, WASHINGTON, CONDUCTED ITS FREE ANNUAL DRIVE-THROUGH INFLUENZA VACCINATION CLINIC IN OCTOBER PROVIDING BETWEEN 500-600 DOSES. THE EXPERIENCE OF PROVIDING THE ANNUAL DRIVE-THROUGH INFLUENZA VACCINATION CLINIC EACH OCTOBER FOR THE LAST 12 YEARS HELPED THE TEAM TO QUICKLY STAND UP THE COVID-19 MASS VACCINATION CLINICS IN 2020 THAT CONTINUED IN 2021. PSMMC COLLABORATED WITH PUBLIC HEALTH AND OTHER COMMUNITY ORGANIZATIONS TO DEVELOP FREE COMMUNITY COVID-19 TESTING STRATEGIES TO ADDRESS THE NEEDS OF POPULATIONS SUCH AS THE ELDERLY, THOSE WITH LIMITED MOBILITY, THE HISPANIC COMMUNITY, AND HIGH-RISK WORK ENVIRONMENTS. TO RESPOND TO COVID-19 RELATED COMMUNITY NEEDS, FOUR COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD MADE 2300 UNIQUE TOUCHPOINTS IN 2021 REACHING PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS (AGES 12-24): PSMMC SUPPORTED THE WORK OF THE ANCHOR COMMUNITY INITIATIVE (ACI) WALLA WALLA IN 2021. ACI REPORTED A 20% REDUCTION IN THE NUMBER OF ACTIVELY HOMELESS YOUTH AND YOUNG ADULTS IN THEIR SYSTEM APRIL-SEPTEMBER 2021 COMPARED TO THE PRIOR SIX-MONTH PERIOD. IN STEVENS COUNTY, WASHINGTON, PROVIDENCE MOUNT CARMEL AND PROVIDENCE ST. JOSEPH HOSPITALS SUPPORTED YOUTH AND FAMILIES THROUGH PARTNERSHIPS WITH THE COLVILLE PUBLIC LIBRARY TO OFFER RESOURCES TO FAMILIES OF NEWBORNS, AS WELL AS SUPPORT OF COLVILLE SCHOOL DISTRICT TO PROMOTE A SAFE, HEALTHY SCHOOL ENVIRONMENT. FURTHER, PROVIDENCE SUPPORTED YOUTH AND FAMILIES THROUGH FOOD SECURITY PARTNERSHIP WITH N.E.W. HUNGER COALITION, WHICH PROVIDES TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES AND OFFERS HOME GARDEN SUPPORT. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): REMOVING BARRIERS TO CARE - ACCESS TO COMMUNITY-BASED CARE IMPROVING ACCESS TO CARE AND COVERAGE ARE AMONG SEVERAL IMPORTANT SOCIAL DETERMINANTS FOR ENJOYING A HEALTHIER LIFE. BY MEETING PEOPLE WHERE THEY ARE IN THE COMMUNITY, REGARDLESS OF THEIR CIRCUMSTANCES, PROVIDENCE IS REMOVING OBSTACLES TO CARE. WE'RE STRONG ADVOCATES FOR PRESERVING AND EXPANDING COVERAGE OF CRUCIAL SAFETY NET PROGRAMS, ESPECIALLY IN TIMES OF CRISIS. ONE SUCH PROGRAM IS THE PROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE (PICAA) IN EVERETT, WASHINGTON. PICAA IS THE PRIMARY FACILITY IN SNOHOMISH COUNTY PROVIDING MEDICAL AND FORENSIC EXAMS FOR THOSE IMPACTED BY SEXUAL, PHYSICAL, AND/OR RELATIONSHIP VIOLENCE AS WELL AS THERAPY AND ADVOCACY SERVICES. PICAA'S SEXUAL ASSAULT NURSES ALSO TRAVEL TO OTHER FACILITIES THROUGHOUT SNOHOMISH COUNTY, WHICH OFTEN DON'T HAVE TRAINED CLINICIANS AVAILABLE TO PROVIDE EXAMS. PROVIDENCE PLACES A PRIORITY ON SERVING THIS VULNERABLE POPULATION IN SNOHOMISH COUNTY. IN ADDITION TO STAFFING AND SUPPORTING PICAA WITH COMMUNITY BENEFIT FUNDING, PROVIDENCE ALSO SUPPORTS PEORIA HOME, WHICH OFFERS HOUSING AND SERVICES TO WOMEN SEEKING TO LEAVE SEX TRAFFICKING. TO FURTHER SUPPORT ACCESS TO URGENT AND EMERGENT CARE, PROVIDENCE HAS PROVIDED MANY YEARS OF SUPPORT TO STEVENS COUNTY AMBULANCE; BEGINNING IN 2021, THE ORGANIZATION MOVED FROM RELYING ON ALL-VOLUNTEER SERVICE TO EMPLOYING EMTS AND PARAMEDICS TO SERVE STEVENS COUNTY. IN 2021, PROVIDENCE HEALTH CARE / PROVIDENCE INLAND NORTHWEST WASHINGTON IN SPOKANE, WASHINGTON, SUPPORTED THE LAUNCH OF ALLIED RESIDENTIAL HEALTH, A LOCAL OPERATOR OF 40 ADULT RESIDENTIAL LIVING SPACES; THE FOCUS POPULATION FOR THIS PROGRAM ARE PATIENTS WHO WOULD OTHERWISE NOT HAVE A SAFE PLACE TO DISCHARGE TO. 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 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. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT 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, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021. 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 187,762,405. MANAGEMENT AND GENERAL EXPENSES 195,500,052. FUNDRAISING EXPENSES 132,856. TOTAL EXPENSES 383,395,313. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,679,616. MANAGEMENT AND GENERAL EXPENSES 1,748,832. FUNDRAISING EXPENSES 1,188. TOTAL EXPENSES 3,429,636. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 153,929,145. MANAGEMENT AND GENERAL EXPENSES 160,272,531. FUNDRAISING EXPENSES 108,917. TOTAL EXPENSES 314,310,593. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 71,513,752. MANAGEMENT AND GENERAL EXPENSES 74,460,818. FUNDRAISING EXPENSES 50,601. TOTAL EXPENSES 146,025,171. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 373,854,031. MANAGEMENT AND GENERAL EXPENSES 389,260,474. FUNDRAISING EXPENSES 264,530. TOTAL EXPENSES 763,379,035. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 17,577,478. MANAGEMENT AND GENERAL EXPENSES 18,301,842. FUNDRAISING EXPENSES 12,437. TOTAL EXPENSES 35,891,757. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -422,146,368. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 8,157,251. CHANGE IN INVESTMENT IN JOINT VENTURE -9,444,698. OTHER CHANGES IN NET ASSETS -16,243,071. EXPRESS CARE LLC 800 FIFTH AVE STE 1200 SEATTLE WA 98104 831518217 HEALTHCARE WA 6338513 12325487 PROVIDENCE HEALTH & SERVICES - WASHINGTON HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 271698016 A/R & COLLECTIONS WA 0 -3181557 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY LLC PO BOX 196606 ANCHORAGE AK 99519 320252199 REAL ESTATE AK 3355079 35740619 PROVIDENCE HEALTH & SERVICES - WASHINGTON LIND HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 INVESTMENTS WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PIONEER HEALTH LABS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 812389573 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE DOLORES HOUSE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 825497218 SUPPORTIVE HOUSING WA 288696 5428560 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE HOUSE OAKLAND GP LLC 540 23RD ST OAKLAND CA 94612 811481031 SUPPORTIVE HOUSING CA 0 0 PROVIDENCE HEALTH & SERVICES - 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MEDICAL CENTERS S 4315029 ACCRUAL PROVIDENCE ALASKA FOUNDATION S 1500000 ACCRUAL PROVIDENCE HEALTH & SERVICES - MONTANA S 282191351 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON S 1573282292 ACCRUAL PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA S 1481828908 ACCRUAL PROVIDENCE SAINT JOHNS HEALTH CENTER S 754593 ACCRUAL PROVIDENCE ST JOSEPH HEALTH S 9165194 ACCRUAL PROVIDENCE ST JOSEPH MEDICAL CENTER S 10651591 ACCRUAL SWEDISH EDMONDS S 18667855 ACCRUAL SWEDISH HEALTH SERVICES S 1517440494 ACCRUAL TARZANA MEDICAL CENTER LLC S 89367 ACCRUAL PROVIDENCE ALASKA FOUNDATION C 4117143 ACCRUAL PROVIDENCE COMMUNITY HEALTH FOUNDATION (MEDFORD) C 60000 ACCRUAL PROVIDENCE GENERAL FOUNDATION C 1305534 ACCRUAL PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON C 2123018 ACCRUAL PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY C 327142 ACCRUAL PROVIDENCE HOSPICE OF SEATTLE FOUNDATION C 405059 ACCRUAL PROVIDENCE MARIANWOOD FOUNDATION C 136148 ACCRUAL PROVIDENCE MOUNT ST VINCENT FOUNDATION C 323313 ACCRUAL PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION C 2506121 ACCRUAL PROVIDENCE ST MARY FOUNDATION C 483156 ACCRUAL SWEDISH MEDICAL CENTER FOUNDATION C 154795 ACCRUAL KADLEC REGIONAL MEDICAL CENTER R 209755 ACCRUAL PROVIDENCE HEALTH & SERVICES - WASHINGTON R 42506422 ACCRUAL SWEDISH HEALTH SERVICES R 2821208 ACCRUAL KADLEC REGIONAL MEDICAL CENTER S 6258957 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON S 2149784 ACCRUAL PROVIDENCE HEALTH & SERVICES - WASHINGTON S 42506422 ACCRUAL SWEDISH EDMONDS S 59233 ACCRUAL SWEDISH HEALTH SERVICES S 601679 ACCRUAL ST JOSEPH HERITAGE HEALTHCARE M 54300 ACCRUAL PROVIDENCE ST JOSEPH HEALTH P 135566002 ACCRUAL PROVIDENCE MOUNT ST VINCENT FOUNDATION B 233000 ACCRUAL PROVIDENCE HOSPICE OF SEATTLE FOUNDATION B 209000 ACCRUAL PROVIDENCE MARIANWOOD FOUNDATION B 110000 ACCRUAL SISTERS OF ST JOSEPH OF ORANGE B 100000 ACCRUAL PROVIDENCE ALASKA FOUNDATION B 89736 ACCRUAL PROVIDENCE HEALTH & SERVICES - SOUTHERN CALIFORNIA B 50000 ACCRUAL