2020-11-04T12:18:58-06:00 2019-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2019-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JO ANN ESCASA-HAIGH EVP/ASST. TREASURER 9493814000 2020-11-04 1 EVA NITTA P01286320 4158948000 70.181.192.165 2020-11-04 12:18:16 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9954457A230D2217538EB78B690AB1CFA3B7FEF 2019 2021-01-29 14:40:06Z X MIKE BUTLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 5515610202 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. 15 15 38217 3710 4422687 1581558 35193386 31683586 4390838771 4664895899 76734504 125763770 586475712 194909507 5089242373 5017252762 14417585 12071490 0 0 4490134606 4254638658 0 0 2569092 2625889226 3065411041 7130441417 7332121189 -2041199044 -2314868427 15777348778 10614613332 12635224708 7432725973 3142124070 3181887359 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 3559295323 12071490 4664895899 SEE SCHEDULE OPROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.ACUTE CARE-INPATIENT & OUTPATIENTREALIZING OUR MISSION - AS PEOPLE OF PROVIDENCE, WE REVEAL GOD'S LOVEFOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIP AS A NOT-FOR-PROFIT HEALTH CARE MINISTRY, PROVIDENCE HEALTH & SERVICES - WASHINGTON EMBRACES OUR RESPONSIBILITY TO RESPOND TO THE NEEDS OF PEOPLE IN OUR COMMUNITIES, ESPECIALLY THE POOR AND VULNERABLE. IN THE FACE OF RAPIDLY CHANGING HEALTH CARE, OUR COMMITMENT TO OUR MISSION TO CARE FOR EVERYONE REMAINS UNCHANGED. WHEN THE SISTERS OF PROVIDENCE BEGAN OUR TRADITION OF CARING, THEIR MINISTRY GREATLY DEPENDED ON PARTNERING WITH OTHERS IN THE COMMUNITY WHO WERE COMMITTED TO DOING GOOD. THIS SAME PIONEERING SPIRIT CONTINUES TODAY AS OUR CALLING AND OUR PROMISE.2018 ALASKA HIGHLIGHTS INCLUDED:THE ALASKA DEPARTMENT OF HEALTH & SOCIAL SERVICES HAS CERTIFIED PROVIDENCE ALASKA MEDICAL CENTER AS A COMPREHENSIVE PEDIATRIC EMERGENCY CARE FACILITY. THE CERTIFICATION IS ADMINISTERED BY THE ALASKA EMERGENCY MEDICAL SERVICES FOR CHILDREN PEDIATRIC ADVISORY BOARD AND STATE FACILITY RECOGNITION PROGRAM AND FOCUSES ON A HOSPITAL'S ABILITY TO PROVIDE COMPREHENSIVE PEDIATRIC EMERGENCY CARE.PROVIDENCE CHILD CARE SERVICES IS AMONG THE FIRST EARLY CARE AND LEARNING PROGRAMS IN ALASKA TO ENROLL IN AND BE RECOGNIZED BY LEARN & GROW, OUR STATE'S QUALITY RECOGNITION AND IMPROVEMENT SYSTEM. BY PARTICIPATING IN LEARN & GROW, PROVIDENCE CHILD CARE SERVICES HAS DEMONSTRATED ITS COMMITMENT TO ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES. LEARN & GROW IS A SYSTEM TO RECOGNIZE LEVELS OF QUALITY WITHIN EARLY CARE AND LEARNING PROGRAMS AND TO SUPPORT PROGRAMS AS THEY ADVANCE THROUGH THESE LEVELS OF QUALITY.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) HAS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2017. PAMC IS ONE OF LESS THAN 500 HOSPITALS NATIONWIDE AND THE ONLY HOSPITAL IN THE STATE OF ALASKA TO RECEIVE THE HONOR. THIS IS THE SIXTH CONSECUTIVE YEAR PAMC HAS EARNED THE PLATINUM PERFORMANCE AWARD.PROVIDENCE ALASKA MEDICAL CENTER HAS RECEIVED A NATIONAL AWARD FOR ITS HIGH-QUALITY CARE OF PATIENTS EXPERIENCING STROKE. PAMC RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR ITS CARE OF STROKE PATIENTS. THIS MARKS THE SIXTH CONSECUTIVE YEAR PROVIDENCE ALASKA MEDICAL CENTER HAS BEEN RECOGNIZED WITH A GET WITH THE GUIDELINES QUALITY ACHIEVEMENT AWARD.2018 WASHINGTON HIGHLIGHTS INCLUDED:THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) HAVE RECOGNIZED THE CHILDREN'S HOSPITAL AT PROVIDENCE FOR EXCELLENCE IN LACTATION CARE.THE VERMONT OXFORD NETWORK HAS NAMED THE CHILDREN'S HOSPITAL AT PROVIDENCE A 2017 CENTER OF EXCELLENCE IN EDUCATION AND TRAINING. THE HOSPITAL EARNED THIS DESIGNATION BY SUCCESSFULLY TRAINING AT LEAST 85 PERCENT OF THE CARE TEAM, USING A NOVEL ON-LINE LEARNING PLATFORM TO COMPLETE OVER 15 CRITICAL AREAS. THE DESIGNATION REPRESENTS PROVIDENCE'S EFFORTS TO IMPROVE THE QUALITY, SAFETY AND VALUE OF CARE FOR SUBSTANCE-EXPOSED INFANTS AND THEIR FAMILIES.THE SPOKANE TEACHING HEALTH CENTER CLINIC, LOCATED ON WASHINGTON STATE UNIVERSITY SPOKANE'S HEALTH SCIENCES CAMPUS, WAS OPERATED BY PROVIDENCE HEALTH CARE AND SUPPORTED BY THE CONSORTIUM OF EMPIRE HEALTH FOUNDATION, PROVIDENCE HEALTH CARE AND WASHINGTON STATE UNIVERSITY SPOKANE.OVERALL, SPOKANE NOW HAS OVER 100 MEDICAL RESIDENCIES AND FELLOWSHIPS, UP FROM 74 JUST FOUR YEARS AGO. SOME RESIDENTS ARE TRAINING IN FAMILY AND INTERNAL MEDICINE AND ARE SUPPORTED THROUGH THE CONSORTIUM WHILE OTHER RESIDENTS ARE TRAINING IN PSYCHIATRY AND ARE SUPPORTED THROUGH PROVIDENCE.IN ADDITION TO GROWING RESIDENCY SLOTS, THE CONSORTIUM HAS A MISSION OF INTEGRATING STUDENTS AND FACULTY FROM HEALTH SCIENCES PROGRAMS IN THE REGION INTO A TEAM-BASED CLINICAL ENVIRONMENT, WHICH IS THE FUTURE OF HEALTH CARE.THE SOCIETY OF THORACIC SURGEONS (STS) HAS AWARDED ITS HIGHEST OVERALL RATING OF THREE STARS TO PROVIDENCE SACRED HEART MEDICAL CENTER FOR ALL THREE CATEGORIES OF ADULT CARDIAC SURGERY; ISOLATED CORONARY ARTERY BYPASS GRAFTING (CABG), ISOLATED AORTIC VALVE REPLACEMENT (AVR), ANDPROCEDURES INVOLVING BOTH CORONARY ARTERY BYPASS AND AORTIC VALVE (AVR+CABG).BASED ON 2015 DATA, SACRED HEART MEDICAL CENTER IS ONE OF ONLY 12 HOSPITALS IN THE NATION TO RECEIVE THREE STARS IN ALL THREE AREAS OF ADULT CARDIAC SURGERY. THIS PLACES IT AMONG THE TOP 1.2 PERCENT OF HOSPITALS IN THE NATION.PROVIDENCE MOUNT CARMEL HOSPITAL IN COLVILLE HAS BEEN NAMED BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA) AS ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS (CAH) IN AMERICA.THE TOP 20 CRITICAL ACCESS HOSPITALS ARE THOSE HOSPITALS THAT HAVE ACHIEVED SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM NINE INDICES OF STRENGTH: INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, POPULATION RISK, COST, CHARGE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES AND FINANCIAL STABILITY.THE PROVIDENCE SACRED HEART MEDICAL CENTER/GONZAGA UNIVERSITY NURSE ANESTHESIA PROGRAM IS ONE OF THE BEST GRADUATE NURSE ANESTHESIA PROGRAMS IN THE NATION. THE INNOVATIVE NURSE ANESTHESIA DOCTORAL PROGRAM FOCUSES ON CLINICAL ANESTHESIA AND LEADERSHIP.PROVIDENCE SACRED HEART MEDICAL CENTER HAS RECEIVED THE HEALTHGRADES 2017 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE DISTINCTION MAKES SACRED HEART MEDICAL CENTER ONE OF THE TOP FIVE PERCENT OF MORE THAN 4,500 HOSPITALS NATIONWIDE FOR ITS CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS.FIRE DISTRICT 7 PARTNERED WITH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT ON A SYSTEM THAT ALLOWS EMERGENCY RESPONSE PERSONNEL AND DOCTORS TO SHARE PATIENT HEALTH RECORDS IN NEAR REAL TIME.PROVIDENCE ST. PETER HOSPITAL HAS BEEN RECOGNIZED AS ONE OF THE BEST HOSPITALS IN THE STATE OF WASHINGTON.PROVIDENCE ST. PETER WAS ONE OF LESS THAN 50 HOSPITALS IN THE UNITED STATES RANKED HIGH PERFORMING IN EIGHT SPECIALTY AREAS:* ABDOMINAL AORTIC ANEURYSM REPAIR* COPD* COLON CANCER SURGERY* HEART BYPASS SURGERY* HEART FAILURE* HIP REPLACEMENT* KNEE REPLACEMENT* LUNG CANCER SURGERY 3559295323 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 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 2451 0 1 38217 1 1 1 1 IN 0 0 0 1 1 0 0 0 0 1 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA CA X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 ROD F HOCHMAN MD FORMER PRESIDENT/CEO 0.00 60.00 X 0 9697491 1217351 MIKE BUTLER PRESIDENT 39.00 21.00 X 0 3421103 597820 ERIK WEXLER CHIEF EXECUTIVE, SOUTHERN CA 0.00 50.00 X 2323821 0 283835 DEBRA CANALES FORMER EVP/CAO 39.00 21.00 X 0 2204087 353537 RHONDA MEDOWS MD FORMER EVP/POPULATION HEALTH 39.00 21.00 X 0 1888838 274454 CINDY STRAUSS SECRETARY 39.00 21.00 X 0 1735009 347233 AMY COMPTON-PHILLIPS MD FORMER EVP/CHIEF CLINICAL OFFICER 36.00 19.00 X 0 1701825 248465 VENKAT BHAMIDIPATI EVP/TREASURER 39.00 21.00 X 0 1615492 304802 MICHAEL COTTON PRESIDENT/CEO - HEALTH PLANS 0.00 60.00 X 1512186 0 250848 ELAINE COUTURE EVP CHIEF EXECUTIVE WA AND MT 39.00 21.00 X 1482902 0 262184 DALE SUROWITZ CHIEF EXEC PROV TARZANA MED CN 0.00 59.00 X 1510249 0 200905 ATUL THAKKER PHYSICIAN 50.00 5.00 X 1518642 0 172965 LISA VANCE FORMER SVP/CLINICAL PROGRAM SRVCS 39.00 21.00 X 0 1313995 245652 BRUCE LAMOUREUX FORMER CE/AK REGION 42.00 23.00 X 1532246 0 18860 JOEL GILBERTSON EVP COMMUNITY PARTNERSHIPS 39.00 21.00 X 1315140 0 203790 HECTOR BOIRIE SVP/SUPPLY CHAIN MGMT (PART YEAR) 50.00 0.00 X 1483528 0 26042 AARON MARTIN FORMER SVP/STRATEGY & INNOVATION 47.00 23.00 X 0 1302273 194312 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 33.00 27.00 X 0 1188910 217824 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 37.00 21.00 X 1356638 0 46012 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 39.00 21.00 X 1364262 0 36627 GREG TILL CHIEF PEOPLE OFFICER 42.00 23.00 X 1166513 0 196967 PRESTON SIMMONS SVP CHIEF EXEC AK REGION 42.00 23.00 X 1039101 0 236488 MIKE WATERS EVP AMBULATORY CARE NETWORK 0.00 65.00 X 1049713 0 159733 JOHN WHIPPLE ASSISTANT SECRETARY 33.00 17.00 X 905646 0 235831 JANICE NEWELL FORMER SVP/CHIEF INFORMATION OFFICER 39.00 21.00 X 1071876 0 18740 OREST HOLUBEC FORMER SVP/CHIEF COMM/EXT AFF OFF 36.00 19.00 X 0 891959 168978 JIM WATSON ESQ ASSISTANT SECRETARY 5.00 55.00 X 0 843494 137810 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 39.00 21.00 X 801721 0 167261 DAVID BROWN SVP CAO AMBULATORY CARE 36.00 19.00 X 797114 0 164344 MEDRICE COLUCCIO CHIEF EXEC ST. PETER HOSPITAL 39.00 21.00 X 920171 0 18297 PEG CURRIE CHIEF EXEC SACRED HEART MEDICAL CTR 40.00 0.00 X 751349 0 164464 KIM WILLIAMS CHIEF EXEC PRMCE 40.00 0.00 X 721802 0 169105 DEBBIE BURTON SVP CHIEF NURSING OFFICER 39.00 21.00 X 710092 0 170287 JACK MUDD FORMER SVP/MISSION LEADERSHIP 0.00 29.00 X 802158 0 6452 HELEN ANDRUS CFO WA AND MT REGION 42.00 23.00 X 628326 0 94814 SCOTT O'BRIEN COO WA AND MT REGION 42.00 23.00 X 531666 0 144650 ELLA GOSS CHIEF EXEC ALASKA MEDICAL CENTER 40.00 0.00 X 397604 0 141344 AMY MILLER CFO AK REGION 42.00 23.00 X 254844 0 44710 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 39.00 21.00 X 222743 0 19991 TERRY SMITH FORMER SVP/MANAGEMENT SVCS 0.00 0.00 X 0 156620 13839 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 33.00 17.00 X 133465 0 24894 DAVE OLSEN BOARD CHAIR 5.50 0.10 X 65360 0 0 RICHARD BLAIR PAST CHAIR 4.60 0.10 X 50360 0 0 ISIAAH CRAWFORD PHD DIRECTOR 4.10 0.10 X 46550 0 0 DICK P ALLEN DIRECTOR 2.00 0.10 X 40789 0 0 MICHAEL HOLCOMB DIRECTOR 5.30 0.10 X 40391 0 0 CAROLINA REYES MD DIRECTOR 4.60 0.10 X 40360 0 0 MARY LYONS PHD DIRECTOR 1.50 0.10 X 40360 0 0 CHARLES SORENSON MD DIRECTOR 0.10 5.00 X 30360 0 0 PHOEBE YANG DIRECTOR 2.00 0.10 X 30360 0 0 LYDIA MARSHALL DIRECTOR 0.10 5.00 X 22860 0 0 KATHARIN DYER DIRECTOR 0.10 5.00 X 0 0 0 MICHAEL MURPHY DIRECTOR 0.10 5.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 1.90 0.10 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 2.10 0.10 X 0 0 0 SR PHYLLIS HUGHES RSM DRPH DIRECTOR 5.00 0.10 X 0 0 0 28713268 27961096 8002517 7097 1 1 0 MCKINSEY AND CO INC-US 711 3RD AVE 4TH FLOOR NEW YORK NY 10017 CONSULTING SERVICES 45245832 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND WA 98052 TECHNOLOGY SERVICES 39109896 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECHNOLOGY SERVICES 31416869 MARSH USA INCORPORATED CORP 500 CTR 540 LAKE COOK RD STE DEERFIELD IL 60015 INSURANCE SERVICES 30403376 3MD INVESTMENTS INC 17735 NE 65TH STREET SUITE 120 REDMOND WA 98052 TECHNOLOGY SERVICES 24879763 1112 1840759 12968100 9480999 7393728 31683586 NET PATIENT REVENUE 621110 4621812665 4619008011 2804654 JV INCOME 900099 22258430 21955241 303189 HOSPITAL FEE 621110 20824804 20824804 4664895899 66634734 66634734 26277259 0 26277259 26277259 26277259 550989716 490225454 1635226 60764262 -1635226 59129036 59129036 327531 1840759 814047 -486516 -486516 24350 9142 15208 15208 2164565 5673571 -3509006 -3509006 INTERAFFILIATE REVENUE 900099 104090948 104090948 COST RECOVERY 900099 49184241 49184241 CAFETERIA REVENUE 722514 14423054 14394902 28152 4914319 3627627 1286692 172612562 5017252762 4833085774 4422687 148060715 X 11917988 11917988 153502 153502 2696436624 1808128361 887360798 947465 287785874 4889104 282795649 101121 1086615479 4577401 1081656266 381812 183800681 119767532 63968566 64583 24021986 31225 23982320 8441 -953394 -6122180 5169121 -335 6607849 48163 6557364 2322 948643 948643 8542353 8542353 1189857028 606686338 582752268 418422 12530536 291698 12234435 4403 145907356 57786435 88069653 51268 10570883 2970145 7597024 3714 162691326 112230516 50403644 57166 33160861 11197178 21952031 11652 18184041 7352295 10825357 6389 128466937 933530 127488267 45140 347889268 69380280 278386748 122240 33190522 189410 32989450 11662 MEDICAL SUPPLIES 653172440 667208854 -14265924 229510 OTHER DIRECT EXPENSES 132623024 -4543532 137119955 46601 HOSPITAL FEE 62825058 62278316 524667 22075 LICENSES AND TAXES 51219708 11661784 39539927 17997 43954616 10280980 33658192 15444 7332121189 3559295323 3770256774 2569092 24559192 617648703 1143192186 456565684 1659312 3034290 668153057 559397226 8392388 17083405 85800507 60955582 60155246 71683792 6406543943 3820720107 2624801371 2585823836 2504643581 3379078348 273482833 217392676 156095552 149521205 8226413553 2496428585 15777348778 10614613332 1048997077 1477932840 65784016 14808308 3962314335 4116191621 97353 7558031927 1823793204 12635224708 7432725973 X 3084096445 3108966263 58027625 72921096 3142124070 3181887359 15777348778 10614613332 X -2314868427 272432158 1877028 2080322530 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 358989 1 690000 0 1 258643 1307632 0 PART II-B, LINE 1: OUR 2019 ADVOCACY AGENDA AT PROVIDENCE ST. JOSEPH HEALTH, 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 ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH 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 4273843 111328 135488 81956 29451 4409252 4202915 113806 204390 193582 53686 4273843 3758083 110125 480178 145471 4202915 3867662 81983 169113 360675 3758083 3666745 87481 185739 72303 3867662 0.00000 0.00470 0.99530 0 0 509250035 509250035 2166421050 1137723269 1028697781 299708141 189018168 110689973 2948257661 2361491568 586766093 482907056 132487102 350419954 2585823836 DUE FROM AFFILIATES 1986140929 DUE FROM THIRD PARTY 14522310 HOSPITAL FEE RECEIVABLE 2850551 CHARITABLE REMAINDER TRUST 76809 ARTWORK 20000 OTHER ASSETS 492817986 2496428585 I/C - TAX-EXEMPT BOND LIABILITIES 521836807 ACCRUED RETIREMENT COMPENSATION 969591074 CAPITAL LEASE OBLIGATIONS 227913766 DUE TO THIRD PARTY 51560461 ASSET RETIREMENT OBLIGATION - FIN 47 25704945 THIRD PARTY SETTLEMENTS 1406490 CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS 9865 OTHER LIABILITIES 25769796 1823793204 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 679200 NORTH AMERICA 0 0 GRANTMAKING 111000 SUB-SAHARAN AFRICA 0 13 PROGRAM SERVICE PROVIDE EDUCATION TO FAMILY MEDICINE RESIDENTS AND HOSPITAL STAFF IN MALAWI 34800 SOUTH ASIA 0 0 INVESTMENTS 2038671 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICE FINANCE SUPPORT SERVICES 9132477 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICE FOREIGN TRAVEL 12962 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICE FOREIGN TRAVEL 138730 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICE FOREIGN TRAVEL 110240 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 1250 RUSSIA AND NEIGHBORING STATES 0 0 PROGRAM SERVICE FOREIGN TRAVEL 7860 SOUTH ASIA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 450476 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 21491 0 13 0 0 0 13 12258080 481077 12739157 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 679200 CHECK NORTH AMERICA MEDICAL MISSION TRIPS 111000 CHECK 2 0 1 0 1 0 0 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 2009791 1752115 257676 17988 244062 463439 GOLF CLASSIC 59025 36550 22475 1640 20775 8386 21849 1 99474 52094 47380 12808 168 22932 2168290 1840759 327531 1640 51571 252616 508220 814047 -486516 24350 2215 6927 1 1.00000 24350 2215 6927 9142 15208 WA 1 0 0 0 1.00000 PATRICIA L SZABO 4831 35TH AVENUE SW SEATTLE WA 98126 0 PATRICIA L SZABO 0 PROVIDED OVERSIGHT OF SALE OF RAFFLE TICKETS AND ACCOUNTING FOR PROCEEDS RECEIVED. X 0 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 68922737 68922737 0.00940 915367615 703615637 211751978 0.02890 128794 114058 14736 0.00000 984419146 703729695 280689451 0.03830 11981089 598679 11382410 0.00160 56350674 16246900 40103774 0.00550 80653924 57693914 22960010 0.00310 2913919 2393803 520116 0.00010 4737701 2100 4735601 0.00060 156637307 76935396 79701911 0.01090 1141056453 780665091 360391362 0.04920 1531 0 1531 0.00000 84187 0 84187 0.00000 659665 149628 510037 0.00010 1602450 32900 1569550 0.00020 2347833 182528 2165305 0.00030 1 1591419678 1904955678 -313536000 X 1 1 12 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 1321 COLBY AVENUE 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 MEDICAL CENTER 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 PROVIDENCE ST MARY MEDICAL CENTER (8) 8 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE LINE 10A URL BELOW X 1 19 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE KODIAK IS MEDICAL CNT (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 19 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-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X 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 17 1 0 0 1 X SEE LINE 10A URL BELOW X 1 18 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X 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 19 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - WASHINGTON (GROUP C - 2 & 6) 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE LINE 10A URL BELOW X 1 18 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X 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 18 1 0 1 1 X SEE LINE 10A URL BELOW X 1 19 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-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X 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 0 0 1 X SEE LINE 10A URL BELOW X 1 19 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X 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 ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE KODIAK IS. MEDICAL CNT (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: THIS REPORT WAS COMPLETED FOR PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) AS PART OF A LARGER COMMUNITY HEALTH ASSESSMENT EFFORT. THE COMMUNITY HEALTH REPORT REFERENCED IN THIS CHNA IS THE WORK OF THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP. IN ADDITION, COMMUNITY CONVERSATIONS WAS A COALITION PROJECT THAT BROUGHT TOGETHER A DIVERSE GROUP OF COMMUNITY MEMBERS TO PROVIDE FEEDBACK AND INPUT REGARDING THE STRENGTHS AND OPPORTUNITIES IN WALLA WALLA. PROVIDENCE KODIAK IS. MEDICAL CNT (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 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. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 11: FINAL PSMMC MISSION COMMITTEE PRIORITIZATION PROCESS: THE MISSION COMMITTEE, IN REVIEWING THE PUBLIC HEALTH DRAFT CHIP PRIORITIES, MET ON MARCH 11, 2019 AND THROUGH GROUP PROCESS PRIORITIZED THREE RECOMMENDATIONS FOR THE PSMMC CHIP FOR THE COMMUNITY BOARD, WHICH APPROVED THE IMPLEMENTATION PLAN ON APRIL 26, 2019. - YOUTH AT RISK HOMELESS YOUTH AND YOUNG ADULTS (INCLUDED IN CHNA UNDER YOUTH AT RISK AND HOMELESSNESS) - BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE COMBINED ALSO INCLUDED IN CHNA) - IMPROVING IMMUNIZATION RATES WITHIN THE COMMUNITY (INCLUDED IN PSMMC CHNA AND SUBSTITUTED OVER EARLY LEARNING INITIATIVES PRIORITIZED BY PUBLIC HEALTH)1. YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS: STRATEGIES: - COLLECT QUALITY, REAL-TIME DATA WITHIN WALLA WALLA COUNTY. - FULL SET OF POLICIES AND PROCEDURES TO CAPTURE YOUTH AND YOUNG ADULTS EXPERIENCING HOMELESSNESS. -OUTREACH AND STREET ENGAGEMENT TO ENSURE YOUTH EXPERIENCING UNSHELTERED HOMELESSNESS WILL BE IDENTIFIED AND ENGAGED.-SAFE AND SECURE HOUSING FOR ALL YOUTH AND YOUNG ADULTS. ACCOMPLISHMENTS:REMAIN ACTIVE IN WALLA WALLA ANCHOR COMMUNITY INITIATIVE (ACI) CORE TEAM, FIERCELY ADVOCATING THE RELATIONSHIP OF HOUSING AND HEALTH OUTCOMES. MEMBERSHIP ON WALLA WALLA DEPARTMENT OF COMMUNITY HEALTH COUNCIL ON HOUSING ONBOARDED TWO COMMUNITY HEALTH WORKERS HIRED SPECIFICALLY TO WORK WITH OUR COMMUNITY'S MOST MEDICALLY AND SOCIALLY COMPLEX. THEY SPEND PART OF EACH DAY AT OUR FOUR WALLA WALLA SHELTERS, ENGAGING AND ENROLLING OUR HOMELESS IN SERVICES. ENTERED A COMPACT CARE COLLABORATIVE TO LAUNCH A MOBILE OUTREACH OFFICE WITH TWO COMMUNITY PARTNERS DURING COVID POP HEALTH STAFF/OCCASIONAL PROVIDER HAVE ROUNDED AT SHELTERS, CONDUCTING WELLNESS CHECKS, DISSEMINATING COVID EDUCATION LAUNCHED WALLA WALLA INTENSIVE CASE MANAGEMENT SERVICESSTRONG PARTNERSHIP WITH BLUE MOUNTAIN ACTION COUNCIL, YOUTH AND YOUNG ADULT NAVIGATORS. 2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE): STRATEGIES: -COLLECT QUALITY, REAL-TIME DATA WHERE A COMPREHENSIVE SET OF BEHAVIORAL HEALTH INDICATORS WILL BE TRACKED ANNUALLY -PREPARE A GAP ANALYSIS WHICH WILL INCLUDE A LIST OF SERVICES AVAILABLE TO ALL AGE GROUPS ACROSS THE SERVICE AREA, AND LACK OF SERVICES -REDUCTION IN ACCESS TO LETHAL MEANS (PRESCRIPTION DRUG BOX, GUN LOCKS, OTHERS) -MENTAL HEALTH FIRST AID TRAINING -IMPLEMENT POPULATION HEALTH DEPARTMENT WHICH WILL PROVIDE INTEGRATED BEHAVIORAL HEALTH INTO PMG PRIMARY CARE ACCOMPLISHMENTS:LETTER OF AGREEMENT SIGNED WITH AIMS/COLLABORATIVE CARE FOR BH INTEGRATION IN PRIMARY CAREPARTICIPATING IN WALLA WALLA MENTAL HEALTH NETWORKMANDATORY QPR TRAINING FOR ALL PMG EMPLOYEES, CERTIFIED 234 CAREGIVERS IN QPR SUICIDE PREVENTION TRAININGSEVENTEEN MENTAL HEALTH FIRST AID TRAININGS WERE CONDUCTED IN 2019 FOR CAREGIVERS AND COMMUNITY MEMBERS MEMBERSHIP IN WW DEPARTMENT OF COMMUNITY HEALTH BEHAVIORAL HEALTH COUNCILVOICE ON TOWN HALL BEHAVIORAL HEALTH COUNTY PRIORITIES MEMBERSHIP IN COMMUNITY RESILIENCE INITIATIVE AGREEMENT WITH MED LOCK, TO INSTALL A MEDICATION DROP BOX ON THE CAMPUS FULFILLING A HUGE COMMUNITY NEED PSMMC LAUNCHED AN OPIOID STEWARDSHIP COMMITTEE FOCUSING ON A SAFE COMMUNITY APPROACH TO OPIOID MANAGEMENT MENTAL HEALTH FIRST AID TRAINING ADOPTING TO A VIRTUAL PLATFORM FUNDS SECURED TO TRAIN A BILINGUAL PROVIDENCE BASED MENTAL HEALTH FIRST AID INSTRUCTOR "ACCESS PROVIDENCE" TELEPSYCH SERVICES IN URGENT CARE TO LAUNCH 8/17/20MONTHLY COLLABORATIVE MEETINGS WITH PSMMC, PMG, AND COMPREHENSIVE MENTAL HEALTH CASE CONFERENCING MENTAL HEALTH IMPROVEMENT PLAN WORK UNDERWAY PARTICIPATED IN 2019 NATIONAL NIGHT OUT AND HANDED OUT MEDICATION DISPOSAL CARBON PACKS 3. IMPROVE IMMUNIZATION RATES WITHIN THE COMMUNITY: -CONDUCT INNOVATIVE COMMUNITY COORDINATED PUBLIC EDUCATION BY CREATING A PUBLIC HEALTH INFORMATION AND MESSAGING PROGRAM ON BENEFIT OF VACCINATION WITH INNOVATIVE NEW APPROACH TO FAMILIES IN TARGETED AREAS WITH LOWEST VACCINATION RATES -CONDUCT FLU VACCINATION CLINICS TO UNDERSERVED -EXPLORE NEED FOR CHILD IMMUNIZATION CLINICS WITH COMMUNITY PARTNERS TO PROVIDE INCREASED ACCESS AT CONVENIENT TIMES AND LOCATIONS ACCOMPLISHMENTS:INTEND TO USE THE MOBILE OFFICE OUTREACH AS AN IMMUNIZATION OUTREACH TOOL DISCUSSIONS WITH YMCA/CCY ON IMMUNIZATIONS EFFORTS PARTICIPATED IN 2019 NATIONAL NIGHT OUT CASCADING INFORMATION ABOUT PRIMARY CARE AND IMMUNIZATIONS PROVIDENCE KODIAK IS. MEDICAL CNT (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 PROVIDENCE KODIAK ISLAND MEDICAL CENTER (PKIMC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES.1. 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 SERVICES - PKICC ADDRESSES 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 ADDRESSES THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY ILL 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 CONTINUES 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 CONTINUES 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. 2. 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 PLAN INCLUDES 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. 3. HEALTHY LIFESTYLE/CHRONIC CONDITIONS SURVEY 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 PLAN INCLUDES 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 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PROVIDENCE KODIAK IS. MEDICAL CNT (11) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PROVIDENCE KODIAK IS. MEDICAL CNT (11) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B, LINE 9: PROVIDENCE KODIAK IS. MEDICAL CNT (11)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 21, 2020, 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: A WORKGROUP WAS CONVENED TO REVIEW THE CONTENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY BENEFIT PLAN AND IDENTIFY PRIORITY HEALTH NEEDS. WORKGROUP MEMBERS REPRESENTED A VARIETY OF SECTORS IN OUR COMMUNITY, INCLUDING ORGANIZATIONS THAT SERVE THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS IN OUR COMMUNITY:-PETER BRENNAN-AMBER LEWIS-LIZ DAVIS-MICHELLE JAMES-DR. KEVIN HAUGHTON-CHRISTINE DICKINSON-EILEEN MCKENZIE-SULLIVAN-DENISE MARRONI-ANGIE WOLLE-JENNIFER HOUKOUTSIDE CONSULTANT: HC2 STRATEGIES, INC. PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS CONTRACTED HC2 STRATEGIES, INC. TO ASSIST IN CONDUCTING AND DOCUMENTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. HC2 STRATEGIES, INC. IS A HEALTH CARE CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE SYSTEMS, STRATEGY AND INNOVATION, COMMUNITY HEALTH NEEDS ASSESSMENTS, AND PROGRAM EVALUATION (WWW.HC2STRATEGIES.COM). HC2'S HEALTHCARE INTELLIGENCE DIRECTOR, JESSICA L.A. JACKSON, WORKED DIRECTLY WITH BOTH HOSPITALS TO DETERMINE APPROPRIATE INDICATORS, RESEARCH METHODS, AND PRIORITIZATION METHODS. KEY CONTRIBUTORS: LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICESPROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS INVITED KEY LEADERS WITHIN OUR LOCAL COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENTS TO INFORM OUR COMMUNITY HEALTH NEEDS ASSESSMENT. DANETTE YORK, DIRECTOR OF LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, AND MARY ANN O'GARRO, EPIDEMIOLOGIST WITH THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, WORKED DIRECTLY WITH PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS TO SHARE KEY INFORMATION REGARDING HEALTH INDICATORS, SPECIALIZED FOCUS REPORTS, AND OFFER GUIDANCE TO OUR OVERSIGHT TEAM.OTHER PARTNERS IN THE CHIP COMMITTEE AND COMMUNITY ASSESSMENT PARTICIPANTS INCLUDED VARIOUS COMMUNITY BASED ORGANIZATIONS THAT REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS:-BEHAVIORAL HEALTH RESOURCES-CASCADE MENTAL HEALTH-HOUSING RESOURCE CENTER OF LEWIS COUNTY-HOUSING AUTHORITY OF THURSTON COUNTY-SIDEWALK-SENIOR SERVICES FOR SOUTH SOUND-LEWIS COUNTY PUBLIC HEALTH & SOCIAL SERVICES-THURSTON COUNTY PUBLIC HEALTH-UNITED WAY OF LEWIS COUNTY-UNITED WAY OF THURSTON COUNTY-LEWIS & THURSTON COUNTY FOOD BANKS-THURSTON COUNTY DEVELOPMENT DISABILITIES PROGRAM-THURSTON-MASON BEHAVIORAL HEALTH ORGANIZATION-LEWIS COUNTY COMMUNITY HEALTH PARTNERSHIP-CHOICE REGIONAL HEALTH NETWORK-THURSTON THRIVES-VALLEY VIEW HEALTH CENTER-SEAMAR COMMUNITY HEALTH CENTER-OCEAN BEACH HOSPITAL-WILLAPA HARBOR HOSPITAL-SUMMIT PACIFIC HOSPITAL-MASON GENERAL HOSPITAL-STECK MEDICAL CLINIC-GRAYS HARBOR COMMUNITY HOSPITAL PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11: PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE NEEDS IDENTIFIED BELOW. THE TOP PRIORITY IDENTIFIED WAS MENTAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE SERVICES).MENTAL HEALTH SERVICES - INCLUDING SUBSTANCE ABUSE SERVICESACCOMPLISHMENTS:PROGRAM SAVES PATIENTS MILLIONS THE PROVIDENCE MEDICATION ASSISTANCE PROGRAM (MAP) WORKS WITH PATIENTS LIKE ALAN WHO CAN'T AFFORD OR HAVE BEEN DENIED EXPENSIVE DRUGS TO FIND PROGRAMS TO GET NEEDED MEDICATION AT NO OR LOW COST. IT HELPS PATIENTS WITH REFILLS AND MEDICATION ON AN ONGOING BASIS AFTER DISCHARGE. THE MAP TEAM WORKS AS A PATIENT ADVOCATE WITH THE INSURANCE COMPANY TO MAKE SURE NEEDED MEDICATIONS ARE COVERED OR GOES DIRECTLY TO MANUFACTURERS TO FIND FINANCIAL SUPPORT PROGRAMS. IN 2019, THE TEAM FILLED 1,286 PRESCRIPTIONS AND SAVED PATIENTS MORE THAN $3.5 MILLION. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B FACILITY REPORTING GROUP 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 IN THE PRMCE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. 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. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5: DEVELOPMENT OF THE CHNA REQUIRES INPUT AND GUIDANCE FROM A WIDE RANGE OF INDIVIDUALS AND ORGANIZATIONS INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. PROVIDENCE IS A MEMBER OF VARIOUS COMMUNITY-WIDE COMMITTEES AND GROUPS THAT ARE WORKING TO INCREASE THE HEALTH OF OUR COMMUNITIES. THESE COMMITTEES, AS WELL AS OTHER PARTICIPANTS SUCH AS THE SNOHOMISH HEALTH DISTRICT, ENABLE PROVIDENCE TO GATHER AND EVALUATE INFORMATION AND INPUT TO HELP INFORM THE COMMUNITY NEEDS ASSESSMENT. APPENDIX II IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS. SOME OF THE PROVIDENCE-LED ACTIVITY INCLUDE THE FOLLOWING:-PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS AND OTHER NON-PROFITS AIMED AT ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS THAT SUPPORT HEALTH AND WELL-BEING WITH A SPECIFIC FOCUS ON HEALTH PRIORITY AND PROGRESS, HEALTH EDUCATION AND HEALING, WORKFORCE HEALTH AND PRODUCTIVITY, AND COMMUNITY HEALTH TRANSFORMATION. -PIHC FOCUS GROUPS INCLUDED 130 INDIVIDUALS PARTICIPATING IN FOCUS GROUPS AND LISTENING SESSIONS HELD AT 12 SEPARATE LOCATIONS THROUGHOUT THE COUNTY. TO ENSURE THAT WE GAVE A VOICE TO A REPRESENTATIVE CROSS SECTION OF SNOHOMISH COUNTY, SOME PARTICIPANTS WERE SELECTED AT RANDOM, SOME BASED ON DEMOGRAPHICS. MANY PARTICIPANTS ATTENDED ANONYMOUSLY. PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT HOW THEY DEFINED HEALTH AND WELLNESS; WHAT OPTIMAL HEALTH AND WELLNESS LOOKED LIKE TO THEM; WHAT BARRIERS THEY FACE TO ACHIEVING GOOD HEALTH; AND WHAT MAKES FOR A HEALTHY COMMUNITY. -PIHC HEALTH AND WELL BEING MONITOR WAS DEVELOPED TO DEFINE AND MEASURE HEALTH THROUGH THE EYES OF SNOHOMISH COUNTY RESIDENTS. A SAMPLING OF OVER 1,000 RESIDENTS WERE CONTACTED THROUGH STREET INTERVIEWS, NEWSPAPER POLLING, TARGETED FOCUS GROUPS IN UNDERSERVED AREAS, AND COUNTY-WIDE TELEPHONE AND ON-LINE SURVEYS. PARTICIPANTS WERE ASKED TO MEASURE 24 ASPECTS OF THEIR HEALTH IN SIX KEY AREAS IDENTIFIED AS RELEVANT BY THE COMMUNITY: SECURITY AND BASIC NEEDS; EMOTIONAL AND SPIRITUAL HEALTH; WORK LEARNING AND GROWTH; PHYSICAL HEALTH; RELATIONSHIPS AND SOCIAL CONNECTIONS; AND NEIGHBORHOOD AND ENVIRONMENT. -PIHC COMMUNITY HEALTH SUMMIT BRINGS TOGETHER MORE THAN 450 MEMBERS OF THE COMMUNITY, INCLUDING SOCIAL SERVICE AND HEALTHCARE PROFESSIONALS, TO LEARN ABOUT BEST PRACTICES FROM LOCAL, STATE AND NATIONAL EXPERTS. 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, PROVIDENCE CANNOT DIRECTLY ADDRESS ALL NEEDS IN A CHNA. BASED ON THE PRIORITIZATION ANALYSIS COMPLETED IN PHASE III, PRMCE DETERMINED THAT WE WILL ADDRESS ACCESS TO MENTAL HEALTH, OPIOID USE DISORDER, ACCESS TO PRIMARY CARE, AND HOMELESSNESS FOR THE CURRENT IMPLEMENTATION PLAN.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. ACCESS TO MENTAL HEALTH: 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. THE STRATEGIES INCLUDE 1) IMPROVING WHOLE PERSON CARE BY EMBEDDING MENTAL HEALTH PROGRAMS INTO PRIMARY CARE, 2) INCREASING ACCESS TO MENTAL HEALTH SERVICES IN THE COMMUNITY, 3) EDUCATING CAREGIVERS, PROVIDES AND THE COMMUNITY IN ORDER TO DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS AND 4) COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS FOCUSED ON MENTAL HEALTH ACCESS.ACCOMPLISHMENT:PROVIDING BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY, AND ACROSS THE COUNTRY, MANY PEOPLE WHO NEED BEHAVIORAL HEALTH SERVICES HAVE LIMITED ACCESS TO APPROPRIATE CARE. THE SHORTAGE OF PSYCHIATRISTS AND OTHER MENTAL HEALTH SPECIALISTS IN SNOHOMISH COUNTY MAKES IT CHALLENGING TO GET A TIMELY INITIAL ASSESSMENT OR EVEN A CRISIS APPOINTMENT FOR HELP. IN NOVEMBER 2019, PROVIDENCE OPENED A UNIQUE CLINIC TO HELP EASE THIS HEALTH BURDEN IN SNOHOMISH COUNTY. OUR BEHAVIORAL HEALTH URGENT CARE WELCOMES ADULTS 18 AND OVER WHO NEED URGENT BEHAVIORAL HEALTH INTERVENTION, BUT DO NOT REQUIRE EMERGENCY MEDICAL CARE. NO ONE IS TURNED AWAY DUE TO LACK OF HEALTH INSURANCE. THE CLINIC'S MULTIDISCIPLINARY TEAM ENSURES EVERY INTERACTION WITH A PATIENT COMES FROM A TRAUMA-INFORMED PERSPECTIVE. THE CLINIC'S PROVIDERS AND STAFF TYPICALLY SCREEN PATIENTS FOR DEPRESSION, ANXIETY, AND OTHER MENTAL HEALTH CONCERNS, CONNECT THEM TO LONG-TERM RESOURCES, PRESCRIBE MEDICATIONS IF NEEDED, REFER TO OTHER SOURCES OF HELP, AND ASSIST WITH THE NAVIGATION OF RESOURCES. A PEER COUNSELOR CONTINUES TO FOLLOW UP WITH PATIENTS AFTER THEY'VE LEFT THE CLINIC TO HELP THEM GET THE SERVICES THEY NEED.OPIOID USE DISORDER: THE GOAL IS TO IMPLEMENT PREVENTION AND INTERVENTION STRATEGIES TO REDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE ABUSE OF OPIOID MEDICATIONS AND ILLEGAL OPIOIDS IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH SUBSTANCE USE DISORDERS. THE STRATEGIES INCLUDE 1) INCREASE ACCESS TO TREATMENT OPTIONS, 2) PREVENT INAPPROPRIATE OPIOID PRESCRIBING, 3) EDUCATE CAREGIVERS, PROVIDERS AND THE COMMUNITY TO DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH OPIOID USE DISORDER, 4) PROVIDE SCREENING AND ASSESSMENT OF COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY DRUG ABUSE NEEDS, AND 5) COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS FOCUSED ON OPIOID ABUSE DISORDERS.HOMELESSNESS: 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 HOMELESSNESS. THE STRATEGIES INCLUDE 1) IDENTIFYING SOLUTIONS TO THE HEALTH CARE NEEDS OF THE HOMELESS POPULATION POST HOSPITAL DISCHARGE, 2) PROVIDE SCREENING AND ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY HOUSING/HOMELESSNESS NEEDS.ACCESS TO PRIMARY CARE: THE GOAL IS TO ASSIST SNOHOMISH COUNTY RESIDENCE WITH ACCESSING PRIMARY CARE AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. THE STRATEGIES INCLUDE 1) IMPROVING THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS, 2) COLLABORATE WITH COMMUNITY PARTNERS TO INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE SECTOR, AND 3) RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY WHERE IT IS CONVENIENT FOR THE PATIENT.GIVEN THE SCOPE OF CARE PROVIDENCE PROVIDES TO OUR COMMUNITY, WE WILL ALSO HAVE AN INDIRECT IMPACT ON OTHER COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, PROVIDENCE HAS MANY OTHER COMMUNITY BENEFIT PROGRAMS THAT ARE DESIGNED TO IMPROVE THE HEALTH OF OUR COMMUNITY IN A VARIETY OF OTHER AREAS. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ESPOKANE COUNTY'S LAST NEEDS ASSESSMENT WAS 2018 WHICH WAS A JOINT EFFORT WITH PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL. THE NEEDS WERE PRIORITIZED AS DECREASE FAMILY VIOLENCE AND TRAUMA, INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, AND INCREASE AFFORDABLE HOUSING, WITH AN EMPHASIS ON YOUTH SUICIDE PREVENTION, ELDER CARE, AND DECREASING CHILD ABUSE RATES. PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 5: PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL REQUESTED INPUT FROM THE COMMUNITY IN THE LAST NEEDS ASSESSMENT THROUGH FOCUS GROUPS TAKING PLACE IN THE MONTH OF APRIL 2018 UNTIL A FINAL COMMUNITY PRIORITIZATION VOTE IN MAY. PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2019 COMMUNITY BENEFIT EFFORTS:- REDUCE FAMILY VIOLENCE AND TRAUMA - INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES - INCREASE ACCESS TO AFFORDABLE HOUSING ACCOMPLISHMENTS: IN 2019, PHC FUNDED OVER $2.5 MILLION DOLLARS IN GRANTS TO NON-PROFITS SERVING THE LOCAL SPOKANE COUNTY COMMUNITY. ONE EXAMPLE OF A GRANT RECIPIENT IS HOPE HOUSE. PROVIDENCE FUNDS BEDS AT HOPE HOUSE, A MEDICAL RESPITE PROGRAM THAT PROVIDES A SAFE PLACE TO HEAL OR RECOVER FROM ACUTE, POST-ACUTE OR A FLARE OF CHRONIC HEALTH CONDITIONS. AT DISCHARGE FROM THE HOSPITAL, THE CARE TEAMS IDENTIFY WOMEN MOST IN NEED OF THIS MEDICAL RESPITE. WOMEN ARE PROVIDED SHELTER AND OTHER BASIC NEEDS, CRISIS INTERVENTION, MEANINGFUL ACTIVITY, SUCH AS ART AND LIFE SKILLS CLASSES, SOCIAL SUPPORT AND HEALTH CARE STABILIZATION. DURING AN AVERAGE LENGTH OF STAY OF 35 DAYS, A COMMUNITY HEALTH WORKER HELPS THE WOMEN IDENTIFY HOUSING, NAVIGATE THE HEALTH FIELD AND FIND RELIABLE TRANSPORTATION TO HEALTH CARE. PROVIDENCE VISITING NURSES ATTEND TO THEIR MEDICAL CARE. MOST OF THE TIME, MEN AND WOMEN ON THE STREETS ARE NOT CONNECTED TO PRIMARY CARE AND ARE HIGH UTILIZERS OF THE EMERGENCY DEPARTMENT. IN FACT, THE HOMELESS POPULATION ACCESSES EMERGENCY DEPARTMENTS FOR CARE THREE TIMES MORE OFTEN THAN THE HOUSED POPULATION. ACCESSING CARE FROM THE EMERGENCY DEPARTMENT IS COSTLY AND DOES NOT PROVIDE INDIVIDUALS A LONG-TERM, COORDINATED SOLUTION. TOGETHER, HOPE HOUSE AND PROVIDENCE HELP ADDRESS THESE NEEDS FOR WOMEN IN SPOKANE. PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 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 THESIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ST. ELIAS CONDUCT THE 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:1. DR. DICK MANDSAGER, RASMUSON FOUNDATION2. LILY GADAMUS - SOUTHCENTRAL FOUNDATION3. LISA AQUINO - CATHOLIC SOCIAL SERVICES4. LISA MCGUIRE - DHSS, STATE OF ALASKA5. MICHELLE TIERNEY SOUTHCENTRAL FOUNDATION6. DR. MONICA GROSS - UNITED WAY OF ANCHORAGE7. NATASHA PINEDA - AHD, MUNICIPALITY OF ANCHORAGE8. SHANNON SAVAGE - ANCHORAGE NEIGHBORHOOD HEALTH CENTER9. TAMMY GREEN - ANCHORAGE NEIGHBORHOOD HEALTH CENTER10. TARI O'CONNER - DHSS, STATE OF ALASKA11. NATHAN JOHNSON - PROVIDENCE HEALTH AND SERVICES ALASKA12. LINDSIE MILLS - PROVIDENCE HEALTH AND SERVICES ALASKA13. CINDY GOUGH - PROVIDENCE HEALTH AND SERVICES ALASKA14. ELLA GOSS - PROVIDENCE HEALTH AND SERVICES ALASKA PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIAS WAS PREPARED IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION. 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 2018 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 ESTABLISHING 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.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) COMMITTED ROUGHLY $3 MILLION COMMUNITY BENEFIT FUNDING AND RESOURCES TO ADDRESS HOMELESSNESS AND FOOD INSECURITY IN 2019 SPANNING FOOD SERVICE, HOMELESS MEDICAL RESPITE, RAPID REHOUSING, COORDINATED ENTRY, HOMELESS MANAGEMENT INFORMATION SYSTEM AS WELL AS MYRIAD OTHER HOMELESS SUPPORT SERVICES. PHSA HAS COMMITTED TO CONTINUE THIS LEVEL OF INVESTMENT AND INVOLVEMENT IN ADDRESSING THE CAUSES AND IMPACTS OF POVERTY IN THE COMMUNITY.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.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.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. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B FACILITY REPORTING GROUP 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 STEVENS COUNTY NEEDS ASSESSMENT WAS IN 2019 AND PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL JOINTLY ASSESSED THE NEEDS AND PRIORITIZED AS EARLY CHILDHOOD SUPPORT, BASIC FOODS/NUTRITION BEHAVIORAL HEALTH, AND ACCESS TO SERVICES. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 5: PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL PROVIDES STEVENS COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. PROVIDENCE HEALTH CARE PARTNERED WITH THE TRI COUNTY HEALTH DISTRICT AND THE SPOKANE REGIONAL HEALTH DISTRICT TO CONDUCT THE 2019 COMMUNITY NEEDS ASSESSMENT USING THE MOST RECENT DATA AVAILABLE. THE PURPOSE WAS TO PRIORITIZE THE NEEDS OF THE COMMUNITY, ESPECIALLY AMONG THOSE LIVING IN POVERTY AND WITH THE LEAST ACCESS TO RESOURCES, AND TO PROMOTE COLLABORATIVE OPPORTUNITIES TO IMPROVE HEALTH AND WELL- BEING IN STEVENS COUNTY. 192 RESPONSES WERE COLLECTED AS A CONVENIENCE SAMPLE IN PARTNERSHIP WITH RURAL RESOURCES. 52 INDICATORS WERE ANALYZED AND 5 FOCUS GROUPS WERE HELD IN COLVILLE, CHEWELAH, KETTLE FALLS, NORTHPORT AND SPRINGDALE. PROVIDENCE REACHED OUT ADDITIONALLY TO VARIOUS COMMUNITY GROUPS FOR SURVEY INFORMATION. A TOTAL OF 89 SURVEYS WERE RECEIVED FROM STAFF OF PROVIDENCE, THE UNEMPLOYED, RETIRED, INDEPENDENT PHYSICIANS, EMPLOYEES OF RURAL RESOURCES, MEMBERS OF THE HUNGER COALITION, AS WELL AS THOSE WHO DID NOT WISH TO DISCLOSE FOR THEIR OWN REASONS. THESE SURVEYS INCLUDED QUESTIONS RELATED TO COMMUNITY MEMBER'S PERCEPTION OF HEALTH. COMMUNITY INPUT: SURVEYS AND FOCUS GROUPS WERE UTILIZED TO OBTAIN THE VOICE OF THOSE WORKING AND LIVING IN OUR COMMUNITY THAT WERE SENT OUT IN JANUARY 2019 AND WERE COLLECTED OVER THE NEXT THREE MONTHS. DURING THIS TIME, THE LOCAL HEALTH DISTRICT WAS ALSO PULLING TOGETHER FOCUS GROUPS IN VARIOUS TOWNS IN THE TRI-COUNTY AREA. MULTIPLE MEETINGS WERE SET FOR EACH FOCUS GROUP TO GAIN INPUT FROM VARIOUS COMMUNITIES THROUGHOUT THE MONTH OF APRIL 2019. THESE WERE HELD DURING THE EVENING TO ALLOW FOR THE WORKING POOR AND LOW INCOME TO ATTEND. WE ALSO TARGETED ORGANIZATIONS WHO WORK WITH THE LOW INCOME, MINORITY POPULATIONS AND MEDICALLY UNDERSERVED TO INVITE THEIR CLIENTS TO THE FOCUS GROUPS. ADDITIONAL FOCUS GROUPS IN NORTHPORT, KETTLE FALLS, CHEWELAH AND COLVILLE TO GATHER COMMUNITY INPUT FROM A DIVERSE GROUP OF COMMUNITY MEMBERS. PARTICIPANTS WERE ENCOURAGED TO CONSIDER ROOT CAUSES OR CLOSELY CORRELATING FACTORS BEHIND THE INDICATORS IDENTIFIED BY THE HEALTH DISTRICT ASSESSMENT. PARTICIPANTS WERE ASKED TO VOTE ON THEIR TOP HEALTH CONCERN, TOP CONCERN AFFECTING HEALTH, AND TOP HEALTH DISTRICT INDICATOR.DATA WAS ALSO PULLED FROM OUR HOSPITAL MEDICAL RECORD SYSTEM TO VIEW TRENDS FOR THE CALENDAR YEAR 2018. WE ASKED THE QUESTION OF WHAT DATA WOULD SHOW US THE NEEDS OF THE VULNERABLE IN OUR COMMUNITY. WE PULLED DATA FOR THE PERCENT OF AVOIDABLE EMERGENCY DEPARTMENT CASES, TOP REASONS FOR HOSPITAL UTILIZATION, AND THE PREVALENCE OF ALL SELF-HARM INSTANCES. PROVIDENCE SAINT JOSEPH HEALTH IMPLEMENTED A STANDARD DEFINITION OF AVOIDABLE EMERGENCY DEPARTMENT (AED) VISITS BASED ON RESEARCH AND STANDARDS FROM NEW YORK UNIVERSITY. THE DATA SHOW A DECLINE IN AVOIDABLE EMERGENCY DEPARTMENT UTILIZATION AT PROVIDENCE ST. JOSEPH HOSPITAL AND AN INCREASE AT PROVIDENCE MOUNT CARMEL HOSPITAL. BETWEEN MAY 2018 AND APRIL 2019, 32.3 PERCENT OF EMERGENCY DEPARTMENT VISITS AT MOUNT CARMEL HOSPITAL WERE POTENTIALLY AVOIDABLE, AS WERE 32.9 PERCENT OF EMERGENCY VISITS AT PROVIDENCE ST. JOSEPH HOSPITAL. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11: PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALTHE 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 ACCESS 2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS 3. PROPER NUTRITION FOR CHILDREN AND FAMILIES - CONTINUING CARE OF THE AGING POPULATION 1. GAP IN RURAL HOME HEALTH CARE NEEDS AND ISOLATION 2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS 3. PROPER NUTRITION FOR THE AGING POPULATION TO HELP WITH CHRONIC DISEASES. - ACCESS TO CARE 1. IMMUNIZATIONS 2. TRANSPORTATION 3. HEALTH EDUCATIONACCOMPLISHMENTS:PROVIDENCE HAS AN INNOVATIVE MEDICAL-LEGAL PARTNERSHIP WHERE HEALTH PROVIDERS AT THE SPOKANE TEACHING HEALTH CLINIC AND PROVIDENCE HOUSE OF CHARITY CLINIC MAY PRESCRIBE AN ATTORNEY TO THEIR LOW-INCOME PATIENTS IF THEY DETERMINE LEGAL INTERVENTION WOULD HELP ADDRESS OR RESOLVE A PATIENT'S HEALTH ISSUE. WITH THIS UNIQUE PARTNERSHIP, PROVIDERS CAN ADDRESS THE NONMEDICAL ROOT CAUSES OF HEALTH ISSUES. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 220 1 - HOSPICE AND HOME CARE OF SNOHOMISH COUNT 2731 WETMORE SUITE 500 EVERETT WA 98201 IN-HOME SERVICES 2 - INFUSION AND PHARMACY SERVICES 10807 E MONTGOMERY SUITE 8 SPOKANE VALLEY WA 99206 IN-HOME SERVICES 3 - PROVIDENCE DOMINICARE 110 S 3RD STREET EAST PO BOX 1070 CHEWELAH WA 99109 IN-HOME SERVICES 4 - PROVIDENCE HOME SERVICES KING COUNTY 2811 S 102ND STREET SUITE 220 TUKWILA WA 98168 IN-HOME SERVICES 5 - PROVIDENCE INFUSION AND PHARMACY SERVICE 3333 SOUTH 120TH PLACE SUITE 100 TUKWILA WA 98168 IN-HOME SERVICES 6 - PROVIDENCE VNA HOME HEALTH 1000 N ARGONNE SPOKANE VALLEY WA 99212 IN-HOME SERVICES 7 - ST MARY HOME HEALTH 380 CHASE STREET WALLA WALLA WA 99362 IN-HOME SERVICES 8 - PROVIDENCE FAMILY MEDICINE CENTER 1201 EAST 36TH AVENUE ANCHORAGE AK 99508 PRIMARY CARE 9 - CHEHALIS FAMILY MEDICINE 931 S MARKET BLVD CHEHALIS WA 98532 PRIMARY CARE 10 - EAST OLYMPIA FAMILY MEDICINE 525 LILLY RD NE SUITE 250 OLYMPIA WA 98506 PRIMARY CARE 11 - FAMILY MEDICINE 2902 164TH ST SW LYNNWOOD WA 98087 PRIMARY CARE 12 - FAMILY MEDICINE 4112 HARBOUR POINTE BLVD SW SUITE 100 MUKILTEO WA 98275 PRIMARY CARE 13 - FAMILY MEDICINE - INDIAN TRAIL 5011 W LOWELL AVE SUITE 100 SPOKANE WA 99208 PRIMARY CARE 14 - FAMILY MEDICINE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK WA 98208 PRIMARY CARE 15 - FAMILY MEDICINE - MILL CREEK COMMONS 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK WA 98012 PRIMARY CARE 16 - FAMILY MEDICINE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 PRIMARY CARE 17 - FAMILY MEDICINE - NORTH 212 E CENTRAL AVE SUITE 440 SPOKANE WA 99208 PRIMARY CARE 18 - FAMILY MEDICINE - NORTHPOINTE 9911 N NEVADA STREET SUITE 200 SPOKANE WA 99218 PRIMARY CARE 19 - FAMILY MEDICINE - SPOKANE VALLEY 13102 E MISSION AVENUE SPOKANE VALLEY WA 99216 PRIMARY CARE 20 - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 98516 PRIMARY CARE 21 - NORTHEAST WASHINGTON MEDICAL GROUP - COL 1200 EAST COLUMBIA AVE COLVILLE WA 99114 PRIMARY CARE 22 - NORTHEAST WASHINGTON MEDICAL GROUP - FAM 100 W SOUTH AVE CHEWELAH WA 99109 PRIMARY CARE 23 - NORTHEAST WASHINGTON MEDICAL GROUP - GAR 143 GARDEN HOMES DRIVE COLVILLE WA 99114 PRIMARY CARE 24 - NORTHEAST WASHINGTON MEDICAL GROUP - KET 840 S MEYERS STREET KETTLE FALLS WA 99141 PRIMARY CARE 25 - PROVIDENCE FAMILY MEDICINE 380 CHASE AVENUE WALLA WALLA WA 99362 PRIMARY CARE 26 - PROVIDENCE FAMILY MEDICINE RESIDENCY CLI 624 E FRONT AVE SPOKANE WA 99202 PRIMARY CARE 27 - PROVIDENCE MEDICAL GROUP-BATTLE GROUND F 101 NW 12TH AVE SUITE 107 BATTLE GROUND WA 98604 PRIMARY CARE 28 - PROVIDENCE MEDICAL GROUP-CAMAS 3101 SE 192ND AVE VANCOUVER WA 98683 PRIMARY CARE 29 - PROVIDENCE MEDICAL GROUP-MILL PLAIN 315 SE STONEMILL DRIVE SUITE 102 VANCOUVER WA 98684 PRIMARY CARE 30 - ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SW STE A ROCHESTER WA 98579 PRIMARY CARE 31 - ST PETER FAMILY MEDICINE 525 LILLY RD NE OLYMPIA WA 98506 PRIMARY CARE 32 - VALLEY FAMILY PHYSICIANS 16528 E DESMET COURT SUITE B3100 SPOKANE VALLEY WA 99216 PRIMARY CARE 33 - WEST OLYMPIA FAMILY MEDICINE 1620 COOPER POINT ROAD SW OLYMPIA WA 98502 PRIMARY CARE 34 - PROVIDENCE REHABILITATION SERVICES 4411 BUSINESS PARK BLVD BUILDING M-20 ANCHORAGE AK 99503 REHAB & PHYSICAL THERAPY 35 - CENTRALIA PHYSICAL MEDICINE 1800 COOKS HILL ROAD SUITE E CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 36 - CENTRALIA PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 37 - OLYMPIA PHYSICAL MEDICINE 410 PROVIDENCE LANE NE BUILDING 2 OLYMPIA WA 98506 REHAB & PHYSICAL THERAPY 38 - PHYSICAL AND AQUATIC THERAPY 1809 COOKS HILL RD CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 39 - PROVIDENCE CHEHALIS PHYSICAL THERAPY 91 SW CHEHALIS AVE SUITE 104 CHEHALIS WA 98532 REHAB & PHYSICAL THERAPY 40 - PROVIDENCE PHYSICAL MEDICINE AND REHABIL 301 W POPLAR STREET WALLA WALLA WA 99362 REHAB & PHYSICAL THERAPY 41 - TUMWATER VALLEY PHYSICAL THERAPY 4833 TUMWATER VALLEY DR STE 150 TUMWATER WA 98501 REHAB & PHYSICAL THERAPY 42 - PROVIDENCE EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 99504 SENIOR CARE 43 - PROVIDENCE HORIZON HOUSE 4140 FOLKER STREET ANCHORAGE AK 99508 SENIOR CARE 44 - PROVIDENCE MEDICAL GROUP SENIOR CARE 3300 PROVIDENCE DRIVE B TOWER SUITE 314 ANCHORAGE AK 99508 SENIOR CARE 45 - PROVIDENCE TRANSITIONAL CARE CENTER 910 COMPASSION CIRCLE ANCHORAGE AK 99504 SENIOR CARE 46 - PROVIDENCE SEWARD MOUNTAIN HAVEN 2203 OAK STREET SEWARD AK 99664 SENIOR CARE 47 - ELDERPLACE FULL LIFE 7829 S 180TH STREET KENT WA 98032 SENIOR CARE 48 - EMILIE COURT 34 E 8TH AVENUE SPOKANE WA 99202 SENIOR CARE 49 - HERITAGE HOUSE AT THE MARKET 1533 WESTERN AVENUE SEATTLE WA 98101 SENIOR CARE 50 - PROVIDENCE ADULT DAY HEALTH 6018 N ASTOR STREET SPOKANE WA 99208 SENIOR CARE 51 - PROVIDENCE ELDERPLACE 4515 MARTIN LUTHER KING JR WAY S SUITE 1 SEATTLE WA 98108 SENIOR CARE 52 - PROVIDENCE ELDERPLACE WEST 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 53 - PROVIDENCE MARIANWOOD 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 98029 SENIOR CARE 54 - PROVIDENCE MOTHER JOSEPH CARE CENTER 3333 ENSIGN ROAD NE OLYMPIA WA 98506 SENIOR CARE 55 - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 56 - PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVENUE SPOKANE WA 99202 SENIOR CARE 57 - PALLIATIVE CARE CLINIC 3851 PIPER STREET TOWER U STE LL002 ANCHORAGE AK 99508 SPECIALTY CLINIC 58 - PROVIDENCE ALASKA NEUROSCIENCE CENTER 3851 PIPER STREET ANCHORAGE AK 99508 SPECIALTY CLINIC 59 - PROVIDENCE MEDICAL GROUP BEHAVIORAL HEAL 3760 PIPER STREET SUITE 1108 ANCHORAGE AK 99508 SPECIALTY CLINIC 60 - PROVIDENCE MEDICAL GROUP MATERNAL-FETAL 3260 PROVIDENCE DRIVE SUITE C-522 ANCHORAGE AK 99508 SPECIALTY CLINIC 61 - PROVIDENCE MEDICAL GROUP PEDIATRIC GASTR 3340 PROVIDENCE DRIVE SUITE A-567 ANCHORAGE AK 99508 SPECIALTY CLINIC 62 - PROVIDENCE MEDICAL GROUP PEDIATRIC PULMO 3200 PROVIDENCE DRIVE SUITE D-338 ANCHORAGE AK 99508 SPECIALTY CLINIC 63 - PROVIDENCE MEDICAL GROUP PEDIATRIC SUBSP 3340 PROVIDENCE DRIVE SUITE A-351 ANCHORAGE AK 99508 SPECIALTY CLINIC 64 - PROVIDENCE MEDICAL GROUP PEDIATRIC SURGE 3340 PROVIDENCE DRIVE SUITE A-565 ANCHORAGE AK 99508 SPECIALTY CLINIC 65 - PROVIDENCE MEDICAL GROUP U-MED 3260 PROVIDENCE DRIVE C TOWER SUITE 436 ANCHORAGE AK 99508 SPECIALTY CLINIC 66 - PROVIDENCE PEDIATRIC ONCOLOGY & INFUSION 3851 PIPER ST SUITE U1-213 ANCHORAGE AK 99508 SPECIALTY CLINIC 67 - PROVIDENCE EAGLE RIVER MEDICAL OFFICE BU 17101 SNOWMOBILE LANE EAGLE RIVER AK 99577 SPECIALTY CLINIC 68 - PROVIDENCE MEDICAL GROUP MAT-SU BEHAVIOR 2250 S WOODWORTH LOOP SUITE 202 PALMER AK 99645 SPECIALTY CLINIC 69 - PROVIDENCE MEDICAL OFFICE BUILDING MAT-S 2250 SOUTH WOODWORTH LOOP PALMER AK 99645 SPECIALTY CLINIC 70 - ANTICOAGULATION - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK WA 98208 SPECIALTY CLINIC 71 - ANTICOAGULATION - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 72 - CANCER CARE - PROVIDENCE REGIONAL CANCER 1717 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 73 - CARDIAC AND THORACIC SURGERY - COLBY CAM 1330 ROCKEFELLER SUITE 400 EVERETT WA 98201 SPECIALTY CLINIC 74 - CARDIOLOGY - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 310 EVERETT WA 98201 SPECIALTY CLINIC 75 - CARDIOLOGY - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK WA 98208 SPECIALTY CLINIC 76 - CARDIOLOGY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 77 - CARDIOLOGY ASSOCIATES - ABERDEEN 1921 SUMNER AVE ABERDEEN WA 98520 SPECIALTY CLINIC 78 - CARDIOLOGY ASSOCIATES - CENTRALIA 1800 COOKS HILL ROAD SUITE K CENTRALIA WA 98531 SPECIALTY CLINIC 79 - CARDIOLOGY ASSOCIATES - SHELTON 939 MOUNTAIN VIEW DR SHELTON WA 98584 SPECIALTY CLINIC 80 - CARDIOLOGY ASSOCIATES - YELM 201 TAHOMA BLVD SE SUITE 204 YELM WA 98597 SPECIALTY CLINIC 81 - CENTRALIA GENERAL SURGERY 1720 COOKS HILL ROAD CENTRALIA WA 98531 SPECIALTY CLINIC 82 - CENTRALIA INTERNAL MEDICINE 1010 SOUTH SCHEUBER ROAD CENTRALIA WA 98531 SPECIALTY CLINIC 83 - CENTRALIA WOMEN'S CENTER 1000 S SCHEUBER ROAD CENTRALIA WA 98531 SPECIALTY CLINIC 84 - CLINIC AT PANORAMA 1450 NORTHWEST LANE SE SUITE A LACEY WA 98503 SPECIALTY CLINIC 85 - CRANIAL SPINE AND JOINT 1717 13TH ST SUITE 401 EVERETT WA 98201 SPECIALTY CLINIC 86 - EAR NOSE AND THROAT - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 87 - EAR NOSE AND THROAT - MILL CREEK CAMPU 12800 BOTHELL-EVERETT HIGHWAY SUITE 110 MILL CREEK WA 98208 SPECIALTY CLINIC 88 - ENDOCRINOLOGY - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 210 EVERETT WA 98201 SPECIALTY CLINIC 89 - ENDOCRINOLOGY - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK WA 98208 SPECIALTY CLINIC 90 - ENDOCRINOLOGY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 91 - EPILEPSY CENTER - SACRED HEART DOCTORS B 105 W 8TH AVE SUITE 318C SPOKANE WA 99204 SPECIALTY CLINIC 92 - FAMILY MEDICINE & MATERNITY CARE SOUTH 2020 E 29TH AVE SPOKANE WA 99203 SPECIALTY CLINIC 93 - GENETICS CLINIC 105 W 8TH AVE SUITE 454E SPOKANE WA 99204 SPECIALTY CLINIC 94 - GYNECOLOGIC ONCOLOGY 1717 13TH ST SUITE 300 EVERETT WA 98201 SPECIALTY CLINIC 95 - HAWKS PRAIRIE INTERNAL MEDICINE 2555 MARVIN RD NE LACEY WA 98516 SPECIALTY CLINIC 96 - INFECTIOUS DISEASE - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 520 EVERETT WA 98201 SPECIALTY CLINIC 97 - INTERNAL MEDICINE 820 S MCCLELLAN STREET SUITES 200 500 SPOKANE WA 99204 SPECIALTY CLINIC 98 - INTERNAL MEDICINE - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 210 EVERETT WA 98201 SPECIALTY CLINIC 99 - INTERNAL MEDICINE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 180 MILL CREEK WA 98208 SPECIALTY CLINIC 100 - INTERNAL MEDICINE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 101 - MARYSVILLE CLINIC 11603 STATE AVE SUITE G MARYSVILLE WA 98271 SPECIALTY CLINIC 102 - MIDWIFERY - MILL CREEK COMMONS 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK WA 98012 SPECIALTY CLINIC 103 - MIDWIFERY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 104 - MIDWIFERY - PAVILION FOR WOMEN & CHILDRE 900 PACIFIC AVE SUITE 501 EVERETT WA 98201 SPECIALTY CLINIC 105 - MINIMALLY INVASIVE HEART SURGERY 122 W 7TH AVENUE SPOKANE WA 99204 SPECIALTY CLINIC 106 - MULTIPLE SCLEROSIS CENTER 212 E CENTRAL AVE SUITE 440 SPOKANE WA 99208 SPECIALTY CLINIC 107 - NEPHROLOGY - HYPERTENSION KIDNEY CARE & 105 W 8TH AVE SUITE 7060 SPOKANE WA 99204 SPECIALTY CLINIC 108 - NEUROLOGY NEUROSURGERY & SPINE 105 W 8TH AVE SUITE 318C SPOKANE WA 99204 SPECIALTY CLINIC 109 - NORTHWEST HEART & LUNG SURGICAL ASSOCIAT 122 W 7TH AVE SUITE 110 SPOKANE WA 99204 SPECIALTY CLINIC 110 - OBSTETRICS AND GYNECOLOGY - MILL CREEK C 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK WA 98012 SPECIALTY CLINIC 111 - OBSTETRICS AND GYNECOLOGY - MONROE CLINI 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 112 - OBSTETRICS AND GYNECOLOGY - PAVILLION FO 900 PACIFIC AVE SUITE 501 EVERETT WA 98201 SPECIALTY CLINIC 113 - OCCUPATIONAL MEDICINE - DOWNTOWN 421 S DIVISION ST SUITE 2 SPOKANE WA 99202 SPECIALTY CLINIC 114 - OCCUPATIONAL MEDICINE - NORTH 551 E HAWTHORNE ROAD SPOKANE WA 99218 SPECIALTY CLINIC 115 - OCCUPATIONAL MEDICINE - SPOKANE VALLEY 16528 E DESMET COURT SUITE A1600 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 116 - OLYMPIA CARDIAC SURGERY 525 LILLY RD NE SUITE 200 OLYMPIA WA 98506 SPECIALTY CLINIC 117 - OLYMPIA ENDOCRINOLOGY 2555 MARVIN RD NE LACEY WA 98516 SPECIALTY CLINIC 118 - OLYMPIA INFECTIOUS DISEASE CLINIC 3525 ENSIGN RD NE SUITE R OLYMPIA WA 98506 SPECIALTY CLINIC 119 - OLYMPIA UROLOGY 149 LILLY ROAD NE OLYMPIA WA 98506 SPECIALTY CLINIC 120 - ORTHOPEDICS 820 S MCCLELLAN ST SUITE 300 SPOKANE WA 99204 SPECIALTY CLINIC 121 - ORTHOPEDICS - NORTH 212 E CENTRAL AVE SUITE 245 SPOKANE WA 99208 SPECIALTY CLINIC 122 - PEDIATRIC ASSOCIATES - NORTHPOINTE 9911 N NEVADA ST SUITE 200 SPOKANE WA 99218 SPECIALTY CLINIC 123 - PEDIATRIC GASTROENTEROLOGY - SACRED HEAR 105 W 8TH AVE SUITE 150E SPOKANE WA 99204 SPECIALTY CLINIC 124 - PEDIATRIC PULMONOLOGY & CYSTIC FIBROSIS 105 W 8TH AVE SUITE 660E SPOKANE WA 99204 SPECIALTY CLINIC 125 - PEDIATRICS 2902 164TH ST SW LYNNWOOD WA 98087 SPECIALTY CLINIC 126 - PEDIATRICS 4112 HARBOUR POINTE BLVD SW SUITE 100 MUKILTEO WA 98275 SPECIALTY CLINIC 127 - PEDIATRICS - INDIAN TRAIL 5011 W LOWELL AVE SUITE 100 SPOKANE WA 99208 SPECIALTY CLINIC 128 - PEDIATRICS - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 190 MILL CREEK WA 98208 SPECIALTY CLINIC 129 - PEDIATRICS - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 130 - PEDIATRICS - NORTH 212 E CENTRAL AVE SUITE 440 SPOKANE WA 99208 SPECIALTY CLINIC 131 - PHYSIATRY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 132 - PLASTIC AND RECONSTRUCTIVE SURGERY - MIL 12800 BOTHELL-EVERETT HIGHWAY SUITE 260 MILL CREEK WA 98208 SPECIALTY CLINIC 133 - PROVIDENCE CARDIOLOGY ASSOCIATES 500 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 134 - PROVIDENCE EAR NOSE & THROAT 301 W POPLAR STREET SUITE 210 WALLA WALLA WA 99362 SPECIALTY CLINIC 135 - PROVIDENCE GASTROENTEROLOGY 212 E CENTRAL AVE SUITE 440 SPOKANE WA 99208 SPECIALTY CLINIC 136 - PROVIDENCE GASTROENTEROLOGY 301 W POPLAR STREET SUITE 210 WALLA WALLA WA 99362 SPECIALTY CLINIC 137 - PROVIDENCE GENERAL SURGERY 380 CHASE AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 138 - PROVIDENCE HIV CLINIC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 139 - PROVIDENCE IN HOME PRIMARY CARE 1830 BICKFORD AVENUE SNOHOMISH WA 98290 SPECIALTY CLINIC 140 - PROVIDENCE INTERNAL MEDICINE 16528 E DESMET COURT SUITE B2100 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 141 - PROVIDENCE INTERNAL MEDICINE 380 CHASE STREET WALLA WALLA WA 99362 SPECIALTY CLINIC 142 - PROVIDENCE INTERNAL MEDICINE RESIDENCY C 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 143 - PROVIDENCE LIVER AND PANCREAS 105 W 8TH AVE SUITE 7050 SPOKANE WA 99204 SPECIALTY CLINIC 144 - PROVIDENCE MEDICAL PARK 16528 E DESMET COURT SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 145 - PROVIDENCE NEPHROLOGY 301 W POPLAR STREET SUITE 100 WALLA WALLA WA 99362 SPECIALTY CLINIC 146 - PROVIDENCE NEUROLOGY 105 W 8TH AVE SUITE 318C SPOKANE WA 99204 SPECIALTY CLINIC 147 - PROVIDENCE OCCUPATIONAL HEALTH 380 CHASE STREET WALLA WALLA WA 99362 SPECIALTY CLINIC 148 - PROVIDENCE ORTHOPEDIC SURGERY 380 CHASE STREET WALLA WALLA WA 99362 SPECIALTY CLINIC 149 - PROVIDENCE ORTHOPEDICS - SPOKANE VALLEY 16528 E DESMET COURT SUITE A2200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 150 - PROVIDENCE REGIONAL CANCER CENTER 105 W 8TH AVE SUITE 550E SPOKANE WA 99204 SPECIALTY CLINIC 151 - PROVIDENCE REGIONAL CANCER SYSTEM 4525 THIRD AVENUE SE STE 200 LACEY WA 98503 SPECIALTY CLINIC 152 - PROVIDENCE REGIONAL CANCER SYSTEM - ABER 954 ANDERSON DRIVE STE 102 ABERDEEN WA 98520 SPECIALTY CLINIC 153 - PROVIDENCE REGIONAL CANCER SYSTEM - CENT 2015 COOKS HILL RD CENTRALIA WA 98531 SPECIALTY CLINIC 154 - PROVIDENCE REGIONAL CANCER SYSTEM - SHEL 2026 OLYMPIC HIGHWAY N SUITE 203 SHELTON WA 98584 SPECIALTY CLINIC 155 - PROVIDENCE REGIONAL CANCER SYSTEM - YELM 201 TAHOMA BLVD SE STE 204 YELM WA 98597 SPECIALTY CLINIC 156 - PROVIDENCE SPOKANE CARDIOLOGY 122 W 7TH AVE SUITE 450 SPOKANE WA 99204 SPECIALTY CLINIC 157 - PROVIDENCE SPOKANE HEART INSTITUTE 122 W 7TH AVENUE SPOKANE WA 99204 SPECIALTY CLINIC 158 - PROVIDENCE ST PETER CHEMICAL DEPENDENCY 4800 COLLEGE STREET SE LACEY WA 98503 SPECIALTY CLINIC 159 - PROVIDENCE ST MARY NEUROSCIENCE INSTITU 301 W POPLAR STREET WALLA WALLA WA 99362 SPECIALTY CLINIC 160 - PROVIDENCE ST PETER OUTPATIENT ORTHOPED 410 PROVIDENCE LANE NE 2ND FLOOR OLYMPIA WA 98506 SPECIALTY CLINIC 161 - PROVIDENCE UROLOGY 301 W POPLAR STREET SUITE 50 WALLA WALLA WA 99362 SPECIALTY CLINIC 162 - PULMONARY AND SLEEP DISORDER CLINIC 212 E CENTRAL AVE SUITE 315 SPOKANE WA 99208 SPECIALTY CLINIC 163 - PULMONARY ONCOLOGY - SACRED HEART DOCTOR 105 W 8TH AVE SUITE 550E SPOKANE WA 99204 SPECIALTY CLINIC 164 - SEXUAL ASSAULT CLINIC 420 GOLF CLUB ROAD SUITE 203 LACEY WA 98503 SPECIALTY CLINIC 165 - SLEEP CENTER FOR SOUTHWEST WASHINGTON 500 LILLY RD NE SUITE 110 OLYMPIA WA 98605 SPECIALTY CLINIC 166 - SLEEP HEALTH - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK WA 98208 SPECIALTY CLINIC 167 - SLEEP HEALTH - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 168 - SLEEP LAB - PAVILION FOR WOMEN & CHILDRE 900 PACIFIC AVE 2ND FLOOR EVERETT WA 98201 SPECIALTY CLINIC 169 - SNOHOMISH CLINIC 1830 BICKFORD AVENUE SUITE 211 SNOHOMISH WA 98290 SPECIALTY CLINIC 170 - SOUTH SOUND INTERNAL MEDICINE 3425 ENSIGN ROAD NE SUITE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 171 - SOUTH SOUND PULMONARY AND SLEEP MEDICINE 500 LILLY RD NE SUITE 201 OLYMPIA WA 98506 SPECIALTY CLINIC 172 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU 2555 MARVIN RD NE LACEY LACEY WA 98516 SPECIALTY CLINIC 173 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU 1010 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 174 - SOUTHWEST WASHINGTON NEUROSURGERY 615 LILLY ROAD SUITE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 175 - ST PETER OUTPATIENT PEDIATRIC THERAPIES 410 PROVIDENCE LANE NE 2ND FLOOR OLYMPIA WA 98506 SPECIALTY CLINIC 176 - TRAVEL MEDICINE CLINIC 525 LILLY ROAD NE OLYMPIA WA 98506 SPECIALTY CLINIC 177 - VALLEY YOUNG PEOPLE'S CLINIC 1414 NORTH VERCLER ROAD 1 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 178 - VASCULAR INSTITUTE - PROVIDENCE SPOKANE 122 W 7TH AVENUE SUITE 420 SPOKANE WA 99204 SPECIALTY CLINIC 179 - VASCULAR SURGERY - COLBY CAMPUS MOB 1330 ROCKEFELLER AVE SUITE 520 EVERETT WA 98201 SPECIALTY CLINIC 180 - VEIN CENTER 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 181 - VEIN CENTER - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK WA 98208 SPECIALTY CLINIC 182 - WALK-IN CARE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 110 MILL CREEK WA 98208 SPECIALTY CLINIC 183 - WALK-IN CARE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE WA 98272 SPECIALTY CLINIC 184 - PROVIDENCE URGENT CARE 380 CHASE AVE WALLA WALLA WA 99362 URGENT CARE 185 - URGENT CARE - 5TH & DIVISION 421 S DIVISION STREET SPOKANE WA 99202 URGENT CARE 186 - URGENT CARE - HAWTHORNE 551 E HAWTHORNE ROAD SPOKANE WA 99218 URGENT CARE 187 - URGENT CARE - SPOKANE VALLEY 16528 E DESMET COURT SUITE A1200 SPOKANE VALLEY WA 99216 URGENT CARE 188 - WEST OLYMPIA IMMEDIATE CARE 1620 COOPER POINT ROAD SW OLYMPIA WA 98502 URGENT CARE 189 - PROVIDENCE EXPRESSCARE 1389 HUFFMAN RD STE 110 ANCHORAGE AK 99515 URGENT CARE 190 - PROVIDENCE PRIMARY CARE 1389 HUFFMAN RD STE 202 ANCHORAGE AK 99515 PRIMARY CARE 191 - ALASKA CARES 4901 A STREET ANCHORAGE AK 99503 SPECIALTY CLINIC 192 - PROVIDENCE CHINIAK BAY ELDER HOUSE 1915 E REZANOF DR KODIAK AK 99615 SENIOR CARE 193 - PROVIDENCE SAFE HARBOR 717 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 194 - PROVIDENCE IN HOME SERVICES 4001 DALE ST ANCHORAGE AK 99508 IN-HOME SERVICES 195 - SPOKANE CARDIOLOGY-LEWISTON 2315 8TH STREET LEWISTON ID 83501 SPECIALTY CARE 196 - RADIANT CARE ABERDEEN 1200 BASICH BOULEVARD ABERDEEN WA 98520 SPECIALTY CARE 197 - PROVIDENCE IMAGING CENTER 908 S SCHEUBER RD CENTRALIA WA 98531 IMAGING 198 - PMG SE WA UNIVERSITY CLINIC 295 S COLLEGE AVE COLLEGE PLACE WA 99324 SPECIALTY CARE 199 - PMG WWMG SILVER LK CARDIO 12728 19TH AVENUE SE SUITE 200 300 EVERETT WA 98208 SPECIALTY CARE 200 - INTERVENTION CENTER 1509 CALIFORNIA ST DAWSON PL CHILD ADV EVERETT WA 98201 SPECIALTY CARE 201 - UROLOGY & PHARMACY 4310 COLBY AVENUE SUITE 203 EVERETT WA 98203 SPECIALTY CARE 202 - PACE ALDER 1404 CENTRAL AVE SOUTH SUITE 110 KENT WA 98030 SENIOR SERVICES 203 - VASCULAR SURGERY 128 LILLY ROAD SUITE 205 LACEY WA 98506 SPECIALTY CARE 204 - PROV VALLEY YOUNG PEOPLE 23813 E APPLEWAY AVENUE LIBERTY LAKE WA 99019 SPECIALTY CARE 205 - COMMUNITY CARE CENTER 225 STATE AVE NE SUITES 100 AND 200 OLYMPIA WA 98501 SPECIALTY CARE 206 - G AND A HS SOUND 2146 WEST RAILROAD AVENUE SHELTON WA 98584 HOME SERVICES 207 - CLEARVIEW CLINIC 17432 STATE RD 9 SE SUITE 201 SNOHOMISH WA 98296 PRIMARY CARE 208 - PMG PEDS NORTH 1111 E WESTVIEW COURT SUITE B SPOKANE WA 99218 PRIMARY CARE 209 - PROV GRAND PEDIATRICS 1402 S GRAND BOULEVARD SPOKANE WA 99203 PRIMARY CARE 210 - PROV PEDIATRIC ASSOCIATES 1919 S GRAND BOULEVARD SPOKANE WA 99203 PRIMARY CARE 211 - INLAND NEUROSURGERY & SPINE & RISE ADULT 235 E ROWAN AVE SPOKANE WA 99207 SPECIALTY CARE 212 - ANTICOAGULATION OP CLINIC 46 E ROWAN AVENUE SPOKANE WA 99207 SPECIALTY CARE 213 - PMG KENDALL YARDS 546 N JEFFERSON LN SUITE 100 SPOKANE WA 99260 PRIMARY CARE 214 - PROV ROWAN INTERNAL MEDICINE 9631 NORTH NEVADA ST STE 301/2/4/10 SPOKANE WA 99218 PRIMARY CARE 215 - PMG INNOVATIVE CLINIC 1212 N PINES ROAD SPOKANE VALLEY WA 99206 PRIMARY CARE 216 - PMG SE WA SPORTS MEDICINE 1017 SOUTH SECOND AVENUE WALLA WALLA WA 99362 SPECIALTY CARE 217 - PMG SE WA OCCUPATIONAL MED 1025 S 2ND AVE WALLA WALLA WA 99362 SPECIALTY CARE 218 - PMG SE WA FAMILY PRACTICE 1111 S 2ND AVE WALLA WALLA WA 99362 PRIMARY CARE 219 - HOME HEALTH 201 W POPLAR ST WALLA WALLA WA 99362 HOME SERVICES 220 - PHYSICAL THERAPY 340 S PARK STREET WALLA WALLA WA 99362 SPECIALTY CARE PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. 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 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, AND HOLY FAMILY 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.IN 2019, COMMUNITY MEMBERS WERE INVITED TO ATTEND A WIDE VARIETY OF HEALTH EDUCATION CLASSES, TALKS, SCREENINGS AND SUPPORT GROUPS INCLUDING TOPICS LIKE DIABETES, SMOKING CESSATION, CARDIOPULMONARY RESUSCITATION, CHILDBIRTH, BREAST CANCER AND SLEEP DISORDERS. FREE SCREENINGS ALSO WERE CONDUCTED FOR SKIN AND PROSTATE CANCER IN COOPERATION WITH PROVIDENCE MEDICAL GROUP AND AN INDEPENDENT CLINIC, THE WALLA WALLA CLINIC. THE MEDICAL CENTER HOSTED IN 2019 A FREE, DRIVE-THROUGH COMMUNITY FLU CLINIC IN CONCERT WITH THE WALLA WALLA COUNTY HEALTH DEPARTMENT TO BOTH PREVENT THE FLU, AND STEM THE TIDE OF A WHOOPING COUGH EPIDEMIC.PEOPLE WERE ABLE TO BE VACCINATED WITHOUT LEAVING THEIR CARS, AND NEARLY 500 FLU SHOTS WERE GIVEN. THE MEDICAL CENTER ALSO HELPED FUND RESEARCH AND WORKED WITH A CONSORTIUM OF OTHER AGENCIES IN WALLA WALLA COUNTY SEEKING TO IDENTIFY WAYS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. PART III, LINE 3: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09 , THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.THE HEALTH SYSTEM PROVIDED FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATED THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. PART VI, LINE 2: NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIASEVERY THREE YEARS, PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ST. ELIAS CONDUCTED A CHNA FOR ANCHORAGE. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE ANCHORAGE COMMUNITY. PAMC CONDUCTS THE CHNA IN COLLABORATION WITH COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. THE RESULTS OF THE ASSESSMENT ARE USED BY PAMC AND AGENCIES ACROSS ANCHORAGE AND ALASKA IN THEIR EFFORTS TO ADDRESS COMMUNITY NEED.IN SPRING OF 2018, PAMC WITH ST. ELIAS INITIATED THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION.THE ADVISORY GROUP SELECTED THE KEY INDICATORS THAT WOULD COMPRISE THE DATA SET FOR THE 2018 ANCHORAGE CNHA. IN THE PROCESS OF SELECTING THE FINAL INDICATORS, THE ADVISORY GROUP GAVE CONSIDERATION TO A NUMBER OF GUIDING PRINCIPLES FOR DATA CHARACTERISTICS, WHICH INCLUDED:-INTEGRITY OF DATA SOURCE-MULTI-YEAR AVAILABILITY OF DATA TO BETTER UNDERSTAND PAST AND FUTURE TRENDS-BROAD COMMUNITY REPRESENTATION, ESPECIALLY TO ENSURE INCLUSION OF POOR, VULNERABLE AND UNDERSERVED POPULATIONS-CONTINUITY WITH PRIOR ASSESSMENT AND RESULTING PRIORITIES-ALIGNMENT WITH HEALTHY ALASKANS 2020 INITIATIVE TO THE EXTENT POSSIBLETHE DATA WAS COLLECTED FROM LOCAL, STATE AND FEDERAL DATA SOURCES INCLUDING:-ALASKA BUREAU OF VITAL STATISTICS-ALASKA DHSS OBESITY PREVENTION AND CONTROL PROGRAM-ANCHORAGE HOMELESS POINT IN TIME SURVEY-ANCHORAGE SCHOOL DISTRICT-BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS)-COMMUNITY COMMONS-PROVIDENCE AK MED CTR EMERGENCY DEPARTMENT UTILIZATION DATA-UNITED STATES CENSUS BUREAU-U.S. DEPARTMENT OF LABOR-YOUTH RISK BEHAVIORAL SURVEY (YRBS)IN ADDITION TO SECONDARY DATA, COMMUNITY AND STAKEHOLDER INPUT WAS VIEWED AS IMPORTANT TO HELP ENSURE THAT THE BROAD INTERESTS OF THE COMMUNITY WERE REPRESENTED IN THE PROCESS, ESPECIALLY THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMUNITY AND STAKEHOLDER INPUT OPPORTUNITIES WERE MADE AVAILABLE AS FOLLOWS:-WRITTEN COMMENTS FROM THE GENERAL PUBLIC-CHNA ADVISORY GROUP PARTNER MEETINGS-PH&S ALASKA COMMUNITY MINISTRY BOARD MEETINGSPROVIDENCE ST. PETER HOSPITAL & CENTRALIA 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 REGIONAL MEDICAL CENTER COLBY & PACIFICWE 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 COMMUNITY 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, PRMCE HAS A COMMUNITY AND FOUNDATION BOARD. THE CIVIC LEADERS THAT SERVE ON THESE 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.PRMCE UTILIZED A THREE STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS THAT PROVIDENCE WILL ADDRESS IN THIS CHNA CYCLE. IN THE FIRST PHASE, BASELINE DATA FROM THE PREVIOUS ASSESSMENT WAS UPDATED AND EVALUATED BASED ON THE METHODOLOGY ADOPTED FROM THE SNOHOMISH HEALTH DISTRICT; COMPARING LOCAL DATA TO STATE AND NATIONAL DATA AS WELL AS HEALTHY PEOPLE 2020 GOALS; IDENTIFYING NEGATIVE TRENDS IN LOCAL DATA; AND EVALUATING THE SIZE AND SERIOUSNESS OF THE PROBLEM. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, THE 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. THROUGHOUT THE PROCESS WE UTILIZED A FRAMEWORK THAT EVALUATED HEALTH AND COMMUNITY NEED IN A HOLISTIC FRAMEWORK THAT INCLUDED SOCIAL DETERMINANTS OF HEALTH, LIFESTYLE CHOICES, AND CLINICAL CARE.PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC PARTICIPATED DURING 2017-2018 IN A COMMUNITY HEALTH PARTNERSHIP LED BY WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH (PUBLIC HEALTH) AND THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP). THE BMRCHP INCLUDES PARTICIPATION FROM A BROAD BASE OF SECTORS IMPORTANT TO OVERALL COMMUNITY HEALTH INCLUDING PUBLIC HEALTH, EDUCATION (INCLUDING PUBLIC SCHOOL DISTRICTS, LOCAL COLLEGES, AND PRE-SCHOOL EARLY LEARNING ADVOCATES), HEALTHCARE AGENCIES, PUBLIC SAFETY & LAW ENFORCEMENT, SOCIAL SERVICES AND MANAGED CARE, LONG-TERM HOUSING, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF THE PUBLIC. GEOGRAPHICAL REPRESENTATION INCLUDES MEMBERS FROM WALLA WALLA COUNTY, COLUMBIA COUNTY, AND THE MILTON-FREEWATER, OREGON COMMUNITIES WHICH ARE INCLUDED IN THE PRIMARY SERVICE AREA OF PSMMC. THE BMRCHP MEETS MONTHLY AND HAS UTILIZED FACILITATED GROUP PROCESSES TO IDENTIFY NEEDS AND PRIORITIZE HEALTH INDICATORS AMONG COMMUNITY STAKEHOLDERS AT SEVERAL WORK SESSIONS INCLUDING A SERIES OF OPEN MEETINGS IN 2018 WHERE THE PUBLIC WAS INVITED. THE GOAL OF THIS PARTNERSHIP IS TO CREATE A HEALTHIER COMMUNITY THROUGH CROSS-SECTOR COLLABORATION WITH PROVIDERS, PARTNERS, AND ORGANIZATIONS THROUGHOUT THE BLUE MOUNTAIN REGION TO ENSURE RESIDENTS IN THE BLUE MOUNTAIN REGION HAVE ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE AND RESOURCES TO SUSTAIN A HEALTHY LIFESTYLE. 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 ALASKA MEDICAL CENTER AND ST. ELIASTHE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE. TOTAL ANCHORAGE POPULATION IS 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 DISTRICTTHERE ARE FIVE OTHER HOSPITALS SERVING THE PROVIDENCE ALASKA MEDICAL CENTER AND ST. ELIAS COMMUNITY.PROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALTHE 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. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES. MANY SOUTHWEST WASHINGTON COMMUNITIES RETAIN A SMALL-TOWN FEEL BUT BOAST THE RESOURCES AND AMENITIES OF MUCH LARGER POPULATIONS. HOUSING COSTS ARE REASONABLE, PARTICULARLY IN COMPARISON TO OTHER CITIES ON THE WEST COAST. WASHINGTON SCORES FAVORABLY IN NATIONAL TAX-IMPACT SURVEYS. RESIDENTS ENJOY NO STATE INCOME TAX, A MODEST PROPERTY TAX AND A SALES TAX WITH GENEROUS EXEMPTIONS. IT IS HARD TO ENVISION A BETTER PLACE TO RAISE FAMILIES THAN SOUTHWEST WASHINGTON - MOST SCHOOLS HAVE AN EXCELLENT REPUTATION, THE PACE OF LIFE IS SLOWER, STREETS ARE SAFE, AND THE COMMUNITIES ARE CLOSE KNIT.TOTAL POPULATION FOR THE PSA IS 346,611. IN 2010, THE CENSUS COUNT IN THE AREA WAS 327,719. THE RATE OF CHANGE SINCE 2010 WAS 0.90 PERCENT ANNUALLY. AGE DEMOGRAPHICS SHOW ABOUT 79 PERCENT OF THE POPULATION IS AGE 18 YEARS OR OLDER AND THE MEDIAN AGE FOR THE PSA IS 40.1, COMPARED TO U.S. MEDIAN AGE OF 38.0. IN 2016 THE POPULATION COMPRISED:- 11.8 PERCENT CHILDREN (0-9 YEARS)- 6.2 PERCENT ADOLESCENTS (10-14 YEARS)- 6.1 PERCENT TEENS (15-19 YEARS)- 25.9 PERCENT YOUNG ADULT (20-39 YEARS)- 33.5 PERCENT OLDER ADULT (40-64 YEARS)- 16.7 PERCENT SENIORS (65 YEARS AND OLDER)ABOUT 90 PERCENT OF POPULATION IN THE PSA, ACROSS ALL AGE GROUPS, SPEAK ENGLISH ONLY. ACCORDING TO THE 2010-2014 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, ABOUT 2 PERCENT OF HOUSEHOLDS IN LEWIS (2.1 PERCENT) AND THURSTON COUNTY (2.3 PERCENT) ARE LIVING IN LIMITED ENGLISH-SPEAKING HOUSEHOLDS. A LIMITED ENGLISH-SPEAKING HOUSEHOLD" IS ONE IN WHICH NO MEMBER 14 YEARS OLD AND OVER: 1) SPEAKS ONLY ENGLISH AT HOME; OR 2) SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAKS ENGLISH "VERY WELL." COMPARATIVELY, 4 PERCENT OF HOUSEHOLDS ACROSS WASHINGTON STATE WOULD BE CONSIDERED A LIMITED ENGLISH-SPEAKING HOUSEHOLD". IN ADDITION, ABOUT 4 PERCENT OF HOUSEHOLDS IN LEWIS (4.2 PERCENT) AND THURSTON COUNTIES (4.4 PERCENT) ARE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY. THOSE WHO HAVE LIMITED ENGLISH PROFICIENCY ARE TYPICALLY DEFINED AS PERSONS AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL." COMPARATIVELY, 8 PERCENT OF THE POPULATION ACROSS WASHINGTON STATE WOULD BE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY." ETHNICITYAMONG RESIDENTS OF OUR PRIMARY SERVICE AREA, IN 2016, 81 PERCENT WERE WHITE, 5 PERCENT ASIAN, 2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 3 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 3 PERCENT WERE OF SOME OTHER RACE, 6 PERCENT WERE OF TWO OR MORE RACES, AND 9 PERCENT WERE HISPANIC OR LATINO (ANY RACE). INCOME LEVELS AND HOUSINGIN 2016, THE MEDIAN HOUSEHOLD INCOME FOR THE PSA WAS $59,321, AND THE AVERAGE HOUSEHOLD INCOME WAS $76,508. COMPARATIVELY, THE MEDIAN HOUSEHOLD INCOME FOR ALL U.S. HOUSEHOLDS WAS $54,149 AND THE AVERAGE HOUSEHOLD INCOME WAS $77,008. THE FOLLOWING TABLE GIVES ADDITIONAL ESTIMATES FOR THE PRIMARY AND SECONDARY SERVICE AREAS AND FOR WASHINGTON STATE. THE NUMBER OF HOUSEHOLDS IN THE PSA HAS GROWN FROM 130,393 IN 2010 TO 137,219 IN 2016, WITH A CHANGE OF 0.82 PERCENT ANNUALLY. THE AVERAGE HOUSEHOLD SIZE IS CURRENTLY 2.49, COMPARED TO 2.47 IN 2010. THE MAJORITY OF HOMES IN THE PSA ARE OWNER OCCUPIED (66 PERCENT), WITH A SMALLER PERCENTAGE OF RENTERS (34 PERCENT). THE MEDIAN HOME VALUE IN THE PSA IS $251,474. THE TABLE BELOW GIVES ADDITIONAL ESTIMATES FOR THE SSA AND WASHINGTON STATE. THERE ARE FIVE OTHER HOSPITALS SERVING THE PROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITAL COMMUNITY.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICAS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN AND SNOHOMISH COUNTIES. HOWEVER, THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY (MORE THAN 75 PERCENT) OF PRMCE'S PATIENT POPULATION RESIDES IS 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 BETWEEN PUGET SOUND ON THE WEST AND THE CASCADE MOUNTAINS TO THE EAST, AND BETWEEN SKAGIT COUNTY TO THE NORTH AND KING COUNTY TO THE SOUTH. 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 802,148 (20187). THE COUNTY IS EXPECTED TO SEE A POPULATION INCREASE OF 7.6% BY 2023. AMONG SNOHOMISH COUNTY RESIDENTS, 1.3% ARE AMERICAN INDIAN/ALASKA NATIVE, 11.0% ASIAN, 3.5% BLACK/AFRICAN AMERICAN, 4.4% OTHER, 0.6% PACIFIC ISLANDER, 74% WHITE AND 5.3% ONE OR MORE RACES.THE MEDIAN AGE FOR MALES IS 39 AND 40.1 FOR FEMALES. TWENTY FIVE PERCENT OF THE POPULATION IS UNDER THE AGE OF 19, 16% OVER THE AGE OF 65 AND 59% BETWEEN THE AGE OF 19 AND 64.THE AVERAGE HOUSEHOLD INCOME WAS $98,577. TWELVE PERCENT OF HOUSEHOLDS HAD AN INCOME LESS THAN $25,000. THE UNEMPLOYMENT RATE WAS 3.8% IN 2018, TRENDING DOWN FROM A HIGH OF 10.7% IN 2010.THE SHARE OF SNOHOMISH COUNTY RESIDENTS WHO WERE UNINSURED WAS 5%, 14% MEDICAID AND 10% MEDICARE.THERE ARE FOUR OTHER HOSPITALS SERVING THE PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFIC COMMUNITY. PART VI, LINE 5: PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - WASHINGTON IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. AS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE HEALTH &SERVICES EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO ACCESS CAPITAL TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET.HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOST HUMAN AND INTIMATE NEEDS OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. THIS CRITICAL DIFFERENCE IS WHY WE SHOULD WORK TOGETHER TO PRESERVE AND STRENGTHEN THE NOT-FOR-PROFIT SECTOR IN HEALTH CARE. PART VI, LINE 6: PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST.TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. PART VI, LINE 7, REPORTS FILED WITH STATES WA,OR,CA,MT,AK 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) PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALPROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL ARE LOCATED IN SPOKANE COUNTY, THE FOURTH-LARGEST COUNTY IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BORDERING IDAHO.TOTAL POPULATION IS ABOUT 485,000, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.9 PERCENT IN 2014.AGE DEMOGRAPHICS ARE FAIRLY EVENLY DISTRIBUTED, WITH THE OLDEST AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2013 THE POPULATION COMPRISED:-22.9 PERCENT YOUTH (0-17 YEARS)-24.6 PERCENT YOUNG ADULTS (18-39 YEARS)-38.4 PERCENT OLDER ADULTS (40-64 YEARS)-14.1 PERCENT SENIORS (65 YEARS AND OLDER)AMONG SPOKANE COUNTY RESIDENTS IN 2013, 90 PERCENT WERE WHITE, 2.2 PERCENT AFRICAN AMERICAN, 1 PERCENT AMERICAN INDIAN, 2.8 PERCENT ASIAN/PACIFIC ISLANDER, AND 4.5 PERCENT WERE OF TWO OR MORE RACES.IN 2013, THE MEDIAN HOUSEHOLD INCOME FOR SPOKANE COUNTY WAS $47,576, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 7.8 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN SPOKANE COUNTY WAS 15.9 PERCENT IN 2012. IN THE SAME TIME FRAME, 19 PERCENT OFSPOKANE COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FPL. THIS REPRESENTS AN INCREASE OF 1.6 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE BUT LOWER THAN THE NATIONAL AVERAGE.THE ZIP CODES WITH THE LOWEST COMMUNITY NEEDS INDEX ARE 99201, 99202, AND 99207. THESE ALL HAVE A TOTAL CNI OF FOUR. WITHIN THESE ZIP CODES THERE IS A HIGH OF 38.68 PERCENT OF YOUTH IN POVERTY AND 60.55 PERCENT OF SINGLE PARENTS IN POVERTY. IN THIS POPULATION AREA, 18.9 PERCENT ARE UNEMPLOYED, 42.99 PERCENT ARE UNINSURED AND 74.52 PERCENT ARE RENTING. THE 2014 SPOKANE REGIONAL POINT-IN-TIME COUNT FOUND 1,149 HOMELESS PERSONS, INCLUDING 146 FAMILIES WITH CHILDREN. THE 2012-13 SCHOOL YEAR COUNTED 3,148 SCHOOL-AGED CHILDREN AS HOMELESS IN SPOKANE COUNTY.THE SHARE OF SPOKANE COUNTY RESIDENTS WHO ARE AGES 64 AND YOUNGER AND UNINSURED WAS 16.5 PERCENT IN 2012. THE TOP THREE CAUSES OF DEATH IN SPOKANE COUNTY WERE HEART DISEASE AT 23 PERCENT, CANCER AT 20.1 PERCENT, AND STROKE AT 4.4 PERCENT. HEART DISEASE AND STROKES ARE ON A DECREASING TREND WHILE CANCER IS INCREASING. AVOIDABLE HOSPITAL ADMISSIONS IN SPOKANE COUNTY HAVE DECREASED TO 8.8 PERCENT IN 2012.THERE ARE EIGHT OTHER HOSPITALS SERVING THE PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL COMMUNITY.PROVIDENCE ST. MARY MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR PROVIDENCE ST. MARY MEDICAL CENTER INCLUDES WALLA WALLA COUNTY AND FIVE ZIP CODES IN NORTHEAST OREGON WHICH INCLUDE THE NEARBY CITY OF MILTONFREEWATER AS WELL AS COLUMBIA COUNTY. TOTAL POPULATION OF THE PROVIDENCE ST. MARY MEDICAL CENTER SERVICE AREA IS 61,800.RACE DISTRIBUTION:- WHITE: 72.2%- HISPANIC/LATINO: 21.2%- BLACK/AFRICAN AMERICAN: 2.2%- ASIAN/PACIFIC ISLANDER: 1.93%- AMERICAN INDIAN/ALASKA NATIVE: 1.3%THE 2017 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $54,157 COMPARED TO STATE RATE OF $70,979 AND 2013 RATE OF $47,758. HOWEVER, FOR HISPANICS IN 2017 IT WAS $45,900. HOUSEHOLDS (HOME OWNERS) SPENDING 30% OR MORE OF INCOME ON HOUSING HAS SIGNIFICANTLY DECREASED FROM 40% IN 2012 TO 17% IN 2016 COMPARED TO A STATE AVERAGE OF 24%. OVERALL THE GENERAL ECONOMIC INDICATORS ARE IMPROVING.THERE ARE THREE OTHER HOSPITALS SERVING THE PROVIDENCE ST. MARY MEDICAL CENTER COMMUNITY.PROVIDENCE MT. CARMEL & ST. JOSEPH'S 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 44,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.3 PERCENT IN 2015. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED:- 21.5 PERCENT YOUTH (0-17 YEARS)- 16.9 PERCENT YOUNG ADULTS (18-39 YEARS)- 41.1 PERCENT OLDER ADULTS (40-64 YEARS)- 20.5 PERCENT SENIORS (65 YEARS AND OLDER)AMONG STEVENS COUNTY RESIDENTS IN 2013, 90.8 PERCENT WERE WHITE, 4.4 PERCENT AFRICAN AMERICAN, 0.6 PERCENT NATIVE AMERICAN, 0.4 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.8 PERCENT WERE OF TWO OR MORE RACES.IN 2014, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $43,876, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 9.3 PERCENT. THE WASHINGTON STATE MEDIAN HOUSEHOLD INCOME WAS $58,686 WITH AN UNEMPLOYMENT RATE OF 5.7 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN STEVENS COUNTY WAS 19.3 PERCENT IN 2014. IN 2013, 26.9 PERCENT OF STEVENS COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FEDERAL POVERTY LEVEL. THIS REPRESENTS AN INCREASE OF 3.1 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE.IN STEVENS COUNTY DURING 2014, RESIDENTS AGES 64 AND YOUNGER WHO WERE UNINSURED COMPRISED 11.6 PERCENT OF THE POPULATION. THE STATE AVERAGE WAS 8.3 PERCENT. THE TOP FOUR CAUSES OF DEATH IN STEVENS COUNTY THAT YEAR WERE: CANCER AT 22.2 PERCENT; HEART DISEASE AT 21.4 PERCENT; STROKE AT 6.8 PERCENT; AND ALZHEIMER'S DISEASE AT 4.8 PERCENT. TRENDING IS UP FOR INCIDENCES OF CANCER AND STROKE, BUT IS DOWN FOR HEART DISEASE AND ALZHEIMER'S. OUT OF ALL HOSPITAL ADMISSIONS IN STEVENS COUNTY, AVOIDABLE ADMISSIONS WERE CALCULATED AT 13 PERCENT WHILE THE WASHINGTON STATE AVERAGE WAS 9.1 PERCENT.IN STEVENS COUNTY, 24 PERCENT OF STUDENTS AND 30 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. THIS TREND IS WORSENING AND IS ALSO WORSE THAN THE WASHINGTON STATE AVERAGE OF 27 PERCENT FOR ADULTS.THERE ARE TWO OTHER HOSPITALS SERVING THE PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITAL COMMUNITY.PROVIDENCE KODIAK ISLAND MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS DEFINED AS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES. PKIMC IS THE ONLY HOSPITAL FACILITY ON THE ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISES 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.POPULATION AND AGE DEMOGRAPHICS THE 2015 CENSUS ESTIMATE OF THE POPULATION FOR THE KODIAK ISLAND BOROUGH IS 13,889, WITH 45 PERCENT OF THOSE RESIDENTS LIVING IN THE CITY OF KODIAK. THE BOROUGH AGE DISTRIBUTION IS:- 28.6 PERCENT YOUTH (0-18 YEARS)- 64.7 PERCENT YOUNG ADULTS (18-64 YEARS)- 6.7 PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITY- 57.2 PERCENT WERE WHITE- 20.6 PERCENT WERE ASIAN- 12.9 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 9.2 PERCENT WERE HISPANIC OR LATINO- 1.5 PERCENT WERE AFRICAN AMERICAN OR BLACK- PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOME- $70,529 = MEDIAN HOUSEHOLD INCOME- $29,993 = PER CAPITA INCOME- 26 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $40,000 (UP 7% FROM 2013) - 11 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $20,000 (UP 8% FROM 2013)-11 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 8.3 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING$972 = MEDIAN GROSS RENT- 5,329 HOUSING UNITS- 59.7 PERCENT OF HOUSING UNITS/HOMES ARE OWNER OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)THERE IS ONE OTHER HOSPITAL SERVING THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER COMMUNITY. 1 PROVIDENCE GENERAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911041617 501(C)(3) 914053 MONTHLY FOUNDATION SUPPORT PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911097056 501(C)(3) 696481 OPERATIONAL SUPPORT PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 452841492 501(C)(3) 325386 FOUNDATION OPERATIONS SUPPORT PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 320014330 501(C)(3) 230643 OPERATIONAL SUPPORT PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 272552749 501(C)(3) 226991 SUBSIDIZE FOUNDATION EXPENSES PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912077378 501(C)(3) 164000 SUBSIDIZE FOUNDATION EXPENSES PROVIDENCE HEALTH CARE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911433382 501(C)(3) 120287 OPERATIONAL SUPPORT PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 931554288 501(C)(3) 78000 SUBSIDIZE FOUNDATION EXPENSES PROVIDENCE MT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911188119 501(C)(3) 10000 SUBSIDIZE FOUNDATION EXPENSES PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 920093565 501(C)(3) 5250 COMMUNITY SUPPORT CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON 1133 RAILROAD AVE STE 100 BELLINGHAM WA 98225 911585652 501(C)(3) 402000 OPERATIONAL SUPPORT CATHOLIC CHARITIES OF SPOKANE PO BOX 2253 SPOKANE WA 99210 910569880 501(C)(3) 355000 OPERATIONAL SUPPORT WHOLE PERSON CARE INITIATIVE 1215 K STREET 2000 SACAMENTO CA 95814 821005805 501(C)(3) 250000 OPERATIONAL SUPPORT VOLUNTEERS OF AMERICA 525 W 2ND SPOKANE WA 99201 582043747 501(C)(3) 230400 OPERATIONAL SUPPORT EVERETT GOSPEL MISSION PO BOX 423 EVERETT WA 98203 910780146 501(C)(3) 200435 OPERATIONAL SUPPORT UNITED STATES OF CARE CAMPAIGN 1110 VERMONT AVE WASHINGTON DC 20005 822860302 501(C)(3) 200000 OPERATIONAL SUPPORT SPOKANE PARKS FOUNDATION 222 W MISSION STE 10 SPOKANE WA 99201 916033504 501(C)(3) 200000 OPERATIONAL SUPPORT WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVENUE NE SHORELINE WA 98155 911698851 501(C)(3) 195000 OPERATIONAL SUPPORT STEVENS COUNTY SHERIFF 215 S OAK STREET COLVILLE WA 99114 916001372 GOVERNMENT 192100 OPERATIONAL SUPPORT INLAND NORTHWEST HEALTH SERVICES PO BOX 469 SPOKANE WA 99210 911307555 501(C)(3) 165396 OPERATIONAL SUPPORT COMMUNITY HEALTH ASSOCIATION OF SPOKANE 203 N WASHINGTON STE 300 SPOKANE WA 99201 911641797 501(C)(3) 148000 OPERATIONAL SUPPORT EXCELSIOR YOUTH CENTER 3754 W INDIAN TRAIL RD SPOKANE WA 99208 911189908 501(C)(3) 125000 OPERATIONAL SUPPORT FRONTIER BEHAVIORAL HEALTH SPOKANE MENTAL HEALTH 107 S DIVISION ST SPOKANE WA 99202 910853801 501(C)(3) 107000 OPERATIONAL SUPPORT NORTHWEST JUSTICE PROJECT 1702 W BROADWAY AVE SPOKANE WA 99201 911687791 501(C)(3) 105000 OPERATIONAL SUPPORT PARTNERS WITH FAMILIES AND CHILDREN SPOKANE 1321 W BROADWAY SPOKANE WA 99201 680576560 501(C)(3) 105000 OPERATIONAL SUPPORT EVERETT COMMUNITY COLLEGE 2000 TOWER ST EVERETT WA 98201 910759103 GOVERNMENT 100000 OPERATIONAL SUPPORT GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND STREET SEATAC WA 98188 273133200 501(C)(3) 100000 OPERATIONAL SUPPORT RENTON ECUMENICAL ASSOCIATION OF CHURCHES 3604 NE 10TH CT RENTON WA 98056 461187669 501(C)(3) 100000 OPERATIONAL SUPPORT INTERFAITH HOSPITALITY NETWORK OF SPOKANE 904 E HARTSON AVE SPOKANE WA 99202 911707988 501(C)(3) 99000 OPERATIONAL SUPPORT YWCA SPOKANE 930 N MONROE ST SPOKANE WA 99210 910565025 501(C)(3) 97100 OPERATIONAL SUPPORT COMMUNITY DETOX SERVICES OF SPOKANE PO BOX 2845 SPOKANE WA 99220 911108762 501(C)(3) 91250 OPERATIONAL SUPPORT SPOKANE REGIONAL HEALTH DISTRICT 1101 W COLLEGE AVE SPOKANE WA 99201 911527532 GOVERNMENT 87500 OPERATIONAL SUPPORT PIONEER HUMAN SERVICES 7440 W MARGINAL WAY S SEATTLE WA 98108 910791552 501(C)(3) 84300 OPERATIONAL SUPPORT INNOVIA FOUNDATION 421 W RIVERSIDE AVE 606 SPOKANE WA 99201 910941053 501(C)(3) 70000 OPERATIONAL SUPPORT NATIONAL ALLIANCE FOR MENTAL NAMI SPOKANE 10 N POST ST SUITE 638 SPOKANE WA 99201 911153510 501(C)(3) 70000 OPERATIONAL SUPPORT SEED GLOBAL HEALTH 20 ASHBURTON PLACE 6TH FL BOSTON MA 02108 453064098 501(C)(3) 60000 OPERATIONAL SUPPORT PRESCRIPTION DRUG ASSISTANCE FOUNDATION PO BOX 9658 SPOKANE WA 99209 331134368 501(C)(3) 60000 OPERATIONAL SUPPORT SECOND HARVEST INLAND 1234 E FRONT AVE SPOKANE WA 99202 237173826 501(C)(3) 60000 OPERATIONAL SUPPORT PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 510216587 501(C)(3) 55172 OPERATIONAL SUPPORT SPOKANE REGIONAL CHAMBER OF COMMERCE PO BOX 2555 SPOKANE WA 99220 910418800 501(C)(6) 51435 OPERATIONAL SUPPORT AMERICAN NATIONAL RED CROSS 2025 E STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 50695 OPERATIONAL SUPPORT MEDIC ONE FOUNDATION 11747 NE 1ST ST SUITE 310 BELLEVUE WA 98005 916183158 501(C)(3) 50000 OPERATIONAL SUPPORT MERCY HOUSING NW 6930 MLK JR WAY S SEATTLE WA 98118 911546525 501(C)(3) 50000 OPERATIONAL SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 45000 OPERATIONAL SUPPORT LUMEN PUBLIC SCHOOL 10713 N NELSON RD SPOKANE WA 99218 832652406 501(C)(3) 45000 OPERATIONAL SUPPORT SPOKANE TREATMENT AND RECOVERY SERVICES 312 W 8TH AVE SPOKANE WA 99204 911108762 501(C)(3) 43750 OPERATIONAL SUPPORT THE WATERFALL FOUNDATION PO BOX 70049 FAIRBANKS AK 99707 541980898 501(C)(3) 43500 OPERATIONAL SUPPORT GREATER SEATTLE PARTNERS 1301 5TH AVE SUITE 1500 SEATTLE WA 98101 825212762 501(C)(3) 40000 OPERATIONAL SUPPORT PLYMOUTH HOUSING GROUP 2113 THIRD AVENUE SEATTLE WA 98121 911122621 501(C)(3) 40000 OPERATIONAL SUPPORT STUDENT HEALTH OPTION PO BOX 1075 WALA WALA WA 99362 270401462 501(C)(3) 39000 OPERATIONAL SUPPORT PROVIDENCE NORTHEAST WA HUNGER COALITION 986 S MAIN ST STE D COLVILLE WA 99114 463051292 501(C)(3) 35920 OPERATIONAL SUPPORT UNITED WAY OF ANCHORAGE 701 W 8TH AVE SUITE 230 ANCHORAGE AK 99501 920027948 501(C)(3) 35003 OPERATIONAL SUPPORT THE FORAKER GROUP 3201 C ST STE 110 ANCHORAGE AK 99503 920177787 501(C)(3) 35000 OPERATIONAL SUPPORT RURAL RESOURCES COMMUNITY ACTION 956 S MAIN STREET COLVILLE WA 99114 910793447 501(C)(3) 35000 OPERATIONAL SUPPORT ECONOMIC ALLIANCE SNOHOMISH CITY 808 134TH ST SW SUITE 101 EVERETT WA 98204 910647005 501(C)(3) 30000 OPERATIONAL SUPPORT NORTHPORT SCHOOL DISTRICT PO BOX 1280 NORTHPORT WA 99157 911086089 GOVERNMENT 30000 OPERATIONAL SUPPORT SEATTLE REPERTORY THEATRE PO BOX 900923 SEATTLE WA 98109 910756535 501(C)(3) 30000 OPERATIONAL SUPPORT PROVIDENCE HEALTH SYSTEM- SOUTHERN CA (PROVIDENCE HIGH SCHOOL) 511 S BUENA VISTA ST BURBANK CA 91505 510216589 501(C)(3) 28324 OPERATIONAL SUPPORT AMERICAN FOUNDATION FOR SUICIDE PREVENTION 120 WALL STREET 29TH FLOOR NEW YORK NY 10005 133393329 501(C)(3) 25750 OPERATIONAL SUPPORT PARTNERS IN CARE FOUNDATION 732 MOTT ST SUITE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 25000 OPERATIONAL SUPPORT FAITH IN PRACTICE 7500 BEECHNUT STREET SUITE 208 HOUSTON TX 77074 760415986 501(C)(3) 25000 OPERATIONAL SUPPORT FUSE EDUCATION FUND 1402 3RD AVE SUIT 406 SEATTLE WA 98101 870800705 501(C)(3) 25000 OPERATIONAL SUPPORT JUBILEE WOMEN'S CENTER 620 18TH AVENUE EAST SEATTLE WA 98112 911539920 501(C)(3) 25000 OPERATIONAL SUPPORT PACIFIC NORTHWEST BALLET ASSOCIATION 301 MERCER STREET SEATTLE WA 98109 910897129 501(C)(3) 25000 OPERATIONAL SUPPORT SPOKANE NEIGHBORHOOD ACTION PARTNERS 3102 W FT GEORGE DRIVE SPOKANE WA 99224 911311127 501(C)(3) 25000 OPERATIONAL SUPPORT WALLA WALLA YMCA 340 S PARK ST WALA WALA WA 99362 910580856 501(C)(3) 21000 OPERATIONAL SUPPORT ALASKA SPORTS HALL OF FAME INC 14815 ECHO CANYON RD ANCHORAGE AK 99516 810649085 501(C)(3) 20000 OPERATIONAL SUPPORT BEANS CAF THE CHILDRENS LUNCH BOX PO BOX 100940 ANCHORAGE AK 99510 920072522 501(C)(3) 20000 OPERATIONAL SUPPORT LET EVERY WOMAN KNOW ALASKA 3851 PIPER STREET STE U264 ANCHORAGE AK 99508 461861913 501(C)(3) 20000 OPERATIONAL SUPPORT THE DEMOCRACY COLLABORATIVE 1422 EUCLID AVE SUITE1652 CLEVELAND OH 44115 200387511 501(C)(3) 20000 OPERATIONAL SUPPORT UNITED WAY OF SPOKANE COUNTY 920 N WASHINGTON ST STE 100 SPOKANE WA 99201 910606058 501(C)(3) 20000 OPERATIONAL SUPPORT WOMEN & CHILDREN'S FREE RESTAURANT & COMMUNITY KITCHEN 1408 N WASHINGTON ST SPOKANE WA 99201 911399742 501(C)(3) 20000 OPERATIONAL SUPPORT A CHILDS HOPE 723 W INDIANA SPOKANE WA 99205 814953438 501(C)(3) 15100 OPERATIONAL SUPPORT BLUE MOUNTAIN ACTION COUNCIL INC 1520 KELLY PLACE STE 140 WALLA WALLA WA 99362 910793597 501(C)(3) 15000 OPERATIONAL SUPPORT TRILOGY RECOVERY COMM 120 E BIRCH STE 14 WALLA WALLA WA 99362 320303794 501(C)(3) 15000 OPERATIONAL SUPPORT WASHINGTON POISON CENTER 155 NE ST SUITE 100 SEATTLE WA 98125 943214597 501(C)(3) 15000 OPERATIONAL SUPPORT SENIOR SERVICES FOR SOUTH SOUND 222 COLUMBIA ST NW OLYMPIA WA 98501 910907573 501(C)(3) 11000 OPERATIONAL SUPPORT SOUTHEAST WASHINGTON OFFICE OF AGING AND LONG TERM CARE ADVISORY 1222 N POST ST SPOKANE WA 99201 943207378 501(C)(3) 10945 OPERATIONAL SUPPORT YOUNG MENS CHRISTIAN ASSOCIATION OF SNOHOMISH COUNTY 2720 ROCKEFELLER AVE EVERETT WA 98206 910565561 501(C)(3) 10250 OPERATIONAL SUPPORT ALL ALASKA PEDIATRIC PARTNERSHIP P O BOX 230567 ANCHORAGE AK 99523 473428822 501(C)(3) 10000 OPERATIONAL SUPPORT THE VALLEY HOSPITAL ASSOCIATION INC 777 N CRUSEY ST STE A201 WASILLA AK 99654 920019395 501(C)(3) 10000 OPERATIONAL SUPPORT MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501(C)(3) 10000 OPERATIONAL SUPPORT NATIONAL PSORIASIS FOUNDATION 6600 SW 92ND AVE 300 PORTLAND OR 97223 930571472 501(C)(3) 10000 OPERATIONAL SUPPORT TENET HEALTHCARE FOUNDATION 1445 ROSS AVE DALLAS TX 75202 742873537 501(C)(3) 10000 OPERATIONAL SUPPORT CHILDRENS HOME SOCIETY OF WA 2323 N DISCOVERY PLACE SPOKANE VALLEY WA 99216 910575955 501(C)(3) 10000 OPERATIONAL SUPPORT FAILSAFE FOR LIFE 15615 N MEADOWGLEN CT SPOKANE WA 99208 813525568 501(C)(3) 10000 OPERATIONAL SUPPORT SAFE CROSSING FOUNDATION 1402 3RD AVENUE SUITE 1430 SEATTLE WA 98101 752992774 501(C)(3) 10000 OPERATIONAL SUPPORT SOUTHWEST YOUTH AND FAMILY SERVICES 4555 DELRIDGE WAY SW SEATTLE WA 98106 911117862 501(C)(3) 10000 OPERATIONAL SUPPORT SPOKANE HEARING ORAL PROGRAM OF EXCELLENCE HOPE 205 E 5TH AVE STE A SPOKANE WA 99202 201535497 501(C)(3) 10000 OPERATIONAL SUPPORT WASHINGTON STEM CENTER 210 S HUDSON ST SEATTLE WA 98134 272133169 501(C)(3) 10000 OPERATIONAL SUPPORT TRANSITIONAL PROGRAMS FOR WOMEN 3128 N HEMLOCK SPOKANE WA 99205 911307272 501(C)(3) 10000 OPERATIONAL SUPPORT MARCH FOR MOMS ASSOCIATION 119000 W 87TH ST PKWY LENEXA KS 66215 814352543 501(C)(3) 10000 OPERATIONAL SUPPORT PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW RENTON WA 98057 311744654 501(C)(3) 8500 OPERATIONAL SUPPORT PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVE SW RENTON WA 98057 912171539 501(C)(3) 8500 OPERATIONAL SUPPORT GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 201910170 501(C)(3) 8500 OPERATIONAL SUPPORT STREET WISE 733 W GARLAND AVE SPOKANE WA 99205 800726907 501(C)(3) 8400 OPERATIONAL SUPPORT ANNA SCHINDLER FOUNDATION 6700 S STATELINE RD POST FALLS ID 83854 274692053 501(C)(3) 7500 OPERATIONAL SUPPORT LIFE SUPPORT PO BOX 264 SOUTH CLE ELUM WA 98943 200413954 501(C)(3) 7500 OPERATIONAL SUPPORT OUR LADY OF GUADALUPE RADIO INC 700 35TH AVE SEATTLE WA 98126 571237114 501(C)(3) 7500 OPERATIONAL SUPPORT MEAD SCHOOL DISTRICT 2323 E FAREWELL RD MEAD WA 99021 GOVERNMENT 7133 OPERATIONAL SUPPORT MEDICAL TEAMS INTERNATIONAL PO BOX 10 PORTLAND OR 97207 930878944 501(C)(3) 7100 OPERATIONAL SUPPORT AMERICAN CANCER SOCIETY 3120 MCDOUGAL AVENUE SUITE 100 EVERETT WA 98201 131788491 501(C)(3) 7000 OPERATIONAL SUPPORT HISPANIC BUSINESS PROFESSIONAL ASSOCIATION PO BOX 3661 SPOKANE WA 99220 911645322 501(C)(3) 7000 OPERATIONAL SUPPORT ST BENEDICTS CORPORATION PO BOX 810 CEDAR BLUFF VA 24609 540976559 501(C)(3) 7000 OPERATIONAL SUPPORT SOS HEALTH SERVICES OF WALLA WALLA 1200 SE 12TH ST COLLEGE PLACE WA 99324 731626280 501(C)(3) 6941 OPERATIONAL SUPPORT REACH OUT AND READ INC 89 SOUTH STREET SUITE 201 BOSTON MA 02111 043481253 501(C)(3) 6500 OPERATIONAL SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION 407 GERBERDING HALL SEATTLE WA 98195 943079432 501(C)(3) 6000 OPERATIONAL SUPPORT UNITED WAY OF THURSTON COUNTY 1211 FOURTH AVE EAST OLYMPIA WA 98506 910713462 501(C)(3) 5500 OPERATIONAL SUPPORT ROTARY CLUB OF COLVILLE PO BOX 281 COLVILLE WA 99114 237447193 501(C)(3) 5500 OPERATIONAL SUPPORT 108 1 TUITION AND MEDICAL ASSISTANCE, EDUCATION AND SUPPORT 7 153502 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG 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 X X 1 1 1 1 0 0 0 0 0 1 0 ROD F HOCHMAN MD FORMER PRESIDENT/CEO 0 2116529 0 6126469 0 1454493 0 1187824 0 29527 0 10914842 0 3819383 MIKE BUTLER PRESIDENT 0 1445448 0 1133982 0 841673 0 571275 0 26545 0 4018923 0 1472737 ERIK WEXLER CHIEF EXECUTIVE, SOUTHERN CA 977457 0 874244 0 472120 0 263235 0 20600 0 2607656 0 710614 0 DEBRA CANALES FORMER EVP/CAO 0 893126 0 651636 0 659325 0 336204 0 17333 0 2557624 0 929511 RHONDA MEDOWS MD FORMER EVP/POPULATION HEALTH 0 941139 0 618340 0 329359 0 254421 0 20033 0 2163292 0 577152 CINDY STRAUSS SECRETARY 0 823797 0 528043 0 383169 0 321803 0 25430 0 2082242 0 640817 AMY COMPTON-PHILLIPS MD FORMER EVP/CHIEF CLINICAL OFFICER 0 800363 0 630228 0 271234 0 219836 0 28629 0 1950290 0 608504 VENKAT BHAMIDIPATI EVP/TREASURER 0 1050394 0 523975 0 41123 0 280148 0 24654 0 1920294 0 319593 MICHAEL COTTON PRESIDENT/CEO - HEALTH PLANS 836268 0 453858 0 222060 0 227707 0 23141 0 1763034 0 387548 0 ELAINE COUTURE EVP CHIEF EXECUTIVE WA AND MT 819654 0 515865 0 147383 0 237523 0 24661 0 1745086 0 416851 0 DALE SUROWITZ CHIEF EXEC PROV TARZANA MED CN 628210 0 285964 0 596075 0 182038 0 18867 0 1711154 0 700702 0 ATUL THAKKER PHYSICIAN 1199679 0 0 0 318963 0 151189 0 21776 0 1691607 0 118540 0 LISA VANCE FORMER SVP/CLINICAL PROGRAM SRVCS 0 783943 0 383946 0 146106 0 220810 0 24842 0 1559647 0 282049 BRUCE LAMOUREUX FORMER CE/AK REGION 246562 0 342604 0 943080 0 1332 0 17528 0 1551106 0 230981 0 JOEL GILBERTSON EVP COMMUNITY PARTNERSHIPS 556867 0 551880 0 206393 0 175653 0 28137 0 1518930 0 319671 0 HECTOR BOIRIE SVP/SUPPLY CHAIN MGMT (PART YEAR) 290432 0 373647 0 819449 0 12600 0 13442 0 1509570 0 654001 0 AARON MARTIN FORMER SVP/STRATEGY & INNOVATION 0 677199 0 396342 0 228732 0 188750 0 5562 0 1496585 0 430874 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 722963 0 270658 0 195289 0 209155 0 8669 0 1406734 0 427495 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 24798 0 219548 0 1112292 0 29571 0 16441 0 1402650 0 644223 0 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 0 0 272921 0 1091341 0 5620 0 31007 0 1400889 0 771066 0 GREG TILL CHIEF PEOPLE OFFICER 588318 0 457763 0 120432 0 169131 0 27836 0 1363480 0 199046 0 PRESTON SIMMONS SVP CHIEF EXEC AK REGION 594520 0 199342 0 245239 0 214728 0 21760 0 1275589 0 300317 0 MIKE WATERS EVP AMBULATORY CARE NETWORK 538503 0 255592 0 255618 0 148230 0 11503 0 1209446 0 290614 0 JOHN WHIPPLE ASSISTANT SECRETARY 470433 0 259537 0 175676 0 210397 0 25434 0 1141477 0 300654 0 JANICE NEWELL FORMER SVP/CHIEF INFORMATION OFFICER 0 0 325436 0 746440 0 17430 0 1310 0 1090616 0 426198 0 OREST HOLUBEC FORMER SVP/CHIEF COMM/EXT AFF OFF 0 467371 0 231245 0 193343 0 141823 0 27155 0 1060937 0 260468 JIM WATSON ESQ ASSISTANT SECRETARY 0 467350 0 370314 0 5830 0 103753 0 34057 0 981304 0 0 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 461694 0 221414 0 118613 0 143504 0 23757 0 968982 0 190925 0 DAVID BROWN SVP CAO AMBULATORY CARE 400767 0 231141 0 165206 0 137229 0 27115 0 961458 0 251637 0 MEDRICE COLUCCIO CHIEF EXEC ST. PETER HOSPITAL 471811 0 289753 0 158607 0 7193 0 11104 0 938468 0 213831 0 PEG CURRIE CHIEF EXEC SACRED HEART MEDICAL CTR 448043 0 160879 0 142427 0 145573 0 18891 0 915813 0 229797 0 KIM WILLIAMS CHIEF EXEC PRMCE 423895 0 154682 0 143225 0 145285 0 23820 0 890907 0 230792 0 DEBBIE BURTON SVP CHIEF NURSING OFFICER 397242 0 224453 0 88397 0 141638 0 28649 0 880379 0 158120 0 JACK MUDD FORMER SVP/MISSION LEADERSHIP 6684 0 80840 0 714634 0 5550 0 902 0 808610 0 112956 0 HELEN ANDRUS CFO WA AND MT REGION 344545 0 95578 0 188203 0 76819 0 17995 0 723140 0 261232 0 SCOTT O'BRIEN COO WA AND MT REGION 426546 0 82404 0 22716 0 132419 0 12231 0 676316 0 85114 0 ELLA GOSS CHIEF EXEC ALASKA MEDICAL CENTER 332495 0 44266 0 20843 0 115912 0 25432 0 538948 0 44266 0 AMY MILLER CFO AK REGION 234484 0 19597 0 763 0 18088 0 26622 0 299554 0 19597 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 200073 0 22110 0 560 0 10673 0 9318 0 242734 0 22110 0 TERRY SMITH FORMER SVP/MANAGEMENT SVCS 0 114323 0 36002 0 6295 0 8227 0 5612 0 170459 0 0 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 115500 0 0 0 17965 0 12772 0 12122 0 158359 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. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. THESE EXPENSES MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W-2. 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, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: TOM MCDONAGH - $491,471 SHARON TONCRAY - $421,300 JANICE NEWELL - $330,112 BRUCE LAMOUREUX - $268,306 HECTOR BOIRIE - $253,699 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 - $1,378,122 MIKE BUTLER - $795,755 SHARON TONCRAY - $636,374 DEBRA CANALES - $613,775 DALE SUROWITZ - $572,173 TOM MCDONAGH - $561,877 HECTOR BOIRIE - $499,870 ERIK WEXLER - $364,484 CINDY STRAUSS - $344,018 JANICE NEWELL - $289,417 RHONDA MEDOWS, MD - $283,794 AMY COMPTON-PHILLIPS, MD - $227,086 PRESTON SIMMONS - $209,739 AARON MARTIN - $206,029 MICHAEL COTTON - $182,323 JOEL GILBERTSON - $169,849 HELEN ANDRUS - $165,654 JO ANN ESCASA-HAIGH - $156,837 OREST HOLUBEC - $156,821 MIKE WATERS - $155,073 JOHN WHIPPLE - $146,592 DAVID BROWN - $143,978 BRUCE LAMOUREUX - $125,969 ELAINE COUTURE - $120,859 ATUL THAKKER - $118,540 KIM WILLIAMS - $117,471 PEG CURRIE - $116,406 LISA VANCE - $103,747 GREG TILL - $83,902 MARY CRANSTOUN - $79,124 MEDRICE COLUCCIO - $76,740 DEBBIE BURTON - $57,156 JACK MUDD - $32,116 SCOTT O'BRIEN - $2,710 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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS 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. 39241377 TECH SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 15831922 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 9132477 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 7631522 TECH SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 6594867 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 5356145 MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 4684993 TECH SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 4443637 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 3565170 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 3279759 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 2287473 LEASE 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 2254021 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 2055153 MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 950943 MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 896167 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 805315 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 372567 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 254652 LEGAL SVCS. 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PRIMARY CARE A CLINICAL SIMULATION LAB ON THE PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL CAMPUS ENABLES MEDICAL STAFF AND STUDENTS TO EXPERIENCE LIFELIKE MEDICAL SITUATIONS THROUGH THE USE OF ROBOTIC MANNEQUINS. PROVIDENCE HEALTH CARE'S TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM WAS PRESENTED WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) ACHIEVEMENT CITATION. THE ACHIEVEMENT CITATION IS ONE OF CHA'S HIGHEST HONORS RESERVED FOR OUTSTANDING PROGRAMS THAT TRANSFORM LIVES. THE TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM PROVIDES A POST-DISCHARGE ENVIRONMENT FOR PEOPLE WHO ARE HOMELESS TO RECUPERATE, AND WOULD OTHERWISE RETURN TO LIFE OF THE STREETS BEFORE THEY ARE FULLY HEALED. IT RECEIVED THIS PREMIER AWARD FOR ORIGINAL, BOLD, INNOVATIVE PROGRAMMING THAT DELIVERS MEASURABLE RESULTS FOR COMMUNITIES IT SERVES IN SPOKANE. THE PROGRAM IS REDUCING THE DEMAND ON EMERGENCY SERVICES, SAVING RESOURCES THAT ARE BEING REDISTRIBUTED FOR IMPORTANT SERVICES, AND HELPING IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. AS HEALTH CARE CONTINUES TO EVOLVE TO MEET THE NEEDS OF CONSUMERS, PROVIDENCE IS USING TECHNOLOGY TO INVITE MORE PEOPLE THROUGH THE FRONT DOORS OF OUR CLINICS - THIS CAN BE A VIRTUAL INVITATION IN THE FORM OF AN ONLINE VISIT VIA CELLPHONE OR LAPTOP, OR IN PERSON AT A RETAIL EXPRESS CARE SITE IN WALGREENS. AT THE SAME TIME, WE RECOGNIZE THAT THE REAL BENEFIT OF PRIMARY CARE IS THE LONG TERM RELATIONSHIP THAT PATIENTS DEVELOP WITH THEIR PHYSICIAN AND CARE TEAM. IT'S THIS RELATIONSHIP THAT ALLOWS US TO ADDRESS THE ONGOING HEALTH AND WELLNESS OF OUR PATIENTS AND COMMUNITIES. THE MORE WE CAN USE DIGITAL TECHNOLOGY TO CONNECT PATIENTS TO THEIR CARE TEAM, THE BETTER WE WILL BE AT TAKING CARE OF ENTIRE POPULATIONS OVER TIME. OUR MEDICAL GROUP LEADERS HAVE PARTNERED WITH THE DIGITAL INNOVATION GROUP TO TEST NEW, PATIENT-CENTRIC TECHNOLOGY AND TOOLS THAT TRANSFORM THE WAY CARE IS DELIVERED AND CEMENT THE RELATIONSHIP BETWEEN CARE TEAMS AND PATIENTS AFTER THEY HAVE CHOSEN TO WALK THROUGH THE DOORS OF A PROVIDENCE CLINIC. THE ON DEMAND HEALTH PLATFORM, OPEN NOTES AND THE CIRCLE APP FOR NEW MOMS ARE THREE NEW TOOLS WE ARE EXPLORING TO CONNECT WITH PATIENTS AND BUILD ENDURING RELATIONSHIPS. CURRENTLY ONLY PATIENTS WHO HAVE A MYCHART ACCOUNT ARE ABLE TO SCHEDULE APPOINTMENTS ONLINE. SOON, WITH A NEW SCHEDULING TOOL CALLED THE ON DEMAND HEALTH PLATFORM, ANYONE WILL BE ABLE TO SCHEDULE AN APPOINTMENT ONLINE. THE TOOL PROVIDES CONSUMERS WITH MORE OPTIONS FOR ACCESSING CARE WHEN AND WHERE THEY NEED IT. CIRCLE IS ANOTHER NEW TOOL THAT IS IMPROVING THE CONNECTION BETWEEN PATIENTS AND PROVIDERS. CIRCLE IS A FREE SMARTPHONE APP BY PROVIDENCE AND SWEDISH FOR EXPECTANT AND NEW MOMS IN PORTLAND, EVERETT, AND SEATTLE; EXPANDING TO OTHER SERVICE AREAS IN 2018. PATIENTS CAN GET PERSONALIZED PREGNANCY AND NEWBORN INFORMATION, CHECK OFF WEEKLY TO-DOS, CONNECT WITH MYCHART, AND FIND AFTER-HOURS CARE AND BREAST FEEDING SUPPORT THROUGH SECURE VIDEO CHAT WITH EXPRESS CARE VIRTUAL. NEW MOMS LOVE THE APP BECAUSE IT PUTS THE INFORMATION THEY WANT AT THEIR FINGERTIPS - FROM BOTH A MEDICAL AND A NON-MEDICAL PERSPECTIVE. PROVIDERS LOVE THE APP BECAUSE IT HELPS THEM STAY IN TOUCH WITH THEIR PATIENTS OUTSIDE OF TRADITIONAL OFFICE VISITS. ANOTHER PATIENT-CENTRIC TOOL THAT ENCOURAGES PATIENTS TO BE MORE ENGAGED IN THEIR CARE IS OPEN NOTES. IT GIVES PATIENTS THE ABILITY TO VIEW THEIR ENTIRE MEDICAL RECORD - FROM PROBLEM LISTS TO PROGRESS NOTES - ONLINE. THE EXPANDED ACCESS ALLOWS PATIENTS TO BE FULLER PARTNERS IN THEIR HEALTH CARE AND ENABLES THEM TO HAVE BETTER, MORE INFORMED CONVERSATIONS WITH THEIR PROVIDER. OUR EMPLOYED PROVIDERS ARE LEADING THE WAY FORWARD AS WE MEET OUR CONSUMERS' DEMAND FOR CONVENIENT ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE FROM A PROVIDER THEY KNOW AND TRUST. TRADITIONALLY, OUR INDUSTRY HAS MAINLY RELIED ON TWO WAYS FOR PATIENTS TO ACCESS OUR SERVICES WHEN THEY ARE NEEDED. ONE, PRIMARY/URGENT CARE IN DOCTOR OFFICES, OR TWO, EMERGENCY ROOMS IN HOSPITALS. ACROSS OUR ORGANIZATION, OUR PROVIDERS ARE MAKING REMARKABLE CHANGES FOR THE ON-DEMAND EXPERIENCE IN HEALTH CARE, SO THAT MAKING A DIAGNOSIS AND PROVIDING TREATMENT IS AS QUICK, SIMPLE AND CONVENIENT AS ORDERING A PIZZA OR CATCHING A RIDE ACROSS TOWN. IN FACT, WE BELIEVE OUR HEALTH SYSTEM IS THE ONLY ONE IN THE NATION CURRENTLY OFFERING AN ENTIRE SUITE OF ON-DEMAND SERVICES, WHICH INCLUDE: 1. WALK-IN CLINICS AT FREESTANDING LOCATIONS AND WALGREENS STORES 2. OFFERING INSTANT ONLINE VISITS 3. BRINGING BACK THE HOUSE CALL THE MAIN REASON WE ARE ABLE TO OFFER THESE THREE ALTERNATIVES IS BECAUSE OUR OWN PROVIDERS ARE BOLD ENOUGH TO PRACTICE MEDICINE IN A DIFFERENT WAY WITHIN THE NEW ERA. EXPRESS CARE CLINICS AS AN ALTERNATIVE TO BEING SEEN IN A DOCTOR'S OFFICE, OUR PATIENTS NOW HAVE THE OPTION OF BEING SEEN 7 DAYS PER WEEK, 12 HOURS A DAY ON THE SAME DAY, BY EITHER WALKING IN OR SCHEDULING ON LINE. OUR EXPRESS CARE WALK-IN CLINICS ARE STAFFED BY HIGHLY QUALIFIED NURSE PRACTITIONERS INSIDE WALGREENS STORES OR AT STANDALONE EXPRESS CARE CLINIC SITES. THIS OFFERS THE BEST OF BOTH WORLDS: CONVENIENCE AND CARE YOU CAN TRUST. EXPRESS CARE AT HOME TODAY, OUR PROVIDERS ARE DRIVING TO HOMES, OFFICES OR HOTEL ROOMS TO TREAT COMMON CONDITIONS SUCH AS HEADACHES, SPRAINS AND ALLERGIES. CONSUMERS CAN ALSO GET A ROUTINE PHYSICAL BY PAYING $199 A VISIT, OR THE COST OF THEIR COPAY OR COINSURANCE. THIS COST IS UPFRONT AND TRANSPARENT. EXPRESS CARE VIRTUAL THIS ALLOWS OUR PROVIDERS TO CONNECT WITH CONSUMERS IN THE PALM OF THEIR HANDS VIA A SMARTPHONE, TABLET OR COMPUTER AND IS AVAILABLE SEVEN DAYS A WEEK, 8 A.M. TO MIDNIGHT. THESE SECURE, ONLINE VISITS COST $39 AND ARE OFTEN COVERED BY INSURANCE. A THERAPY DOG, SIMILAR TO A GUIDE OR SERVICE DOG IS TRAINED TO ASSIST TRAUMA VICTIMS THROUGH THE INVESTIGATION AND PROSECUTION OF CRIMES. HE HELPS CHILDREN COPE BY PROVIDING A REASSURING PRESENCE DURING INTERVIEWS, MEDICAL EXAMS AND THERAPY SESSIONS AT THE PROVIDENCE ST. PETER SEXUAL ASSAULT CLINIC AND CHILD MALTREATMENT CENTER IN LACEY, WASH. THE CENTER IS THE ONLY ONE OF ITS KIND IN THE FIVE-COUNTY AREA. WHAT MAKES IT SO UNIQUE IS THAT COMMUNITY AGENCIES AND SERVICES ARE ALL CO-LOCATED AT THE CLINIC, INCLUDING LEGAL RESOURCES THROUGH MONARCH CHILDREN'S JUSTICE AND ADVOCACY CENTER. THIS COLLABORATION PROVIDES YOUNG VICTIMS AND FAMILIES ONE LOCATION TO RECEIVE CARE AND SERVICES, PREVENTING REPEATED TRAUMA FROM HAVING TO SHARE THEIR STORY MULTIPLE TIMES. EACH YEAR, THE CENTER SERVES MORE THAN 350 PATIENTS AND THEIR FAMILIES, THANKS TO A $1 MILLION COMMUNITY INVESTMENT BY PROVIDENCE. SADLY, STATISTICS SHOW THAT ONE IN FIVE CHILDREN WILL BE SEXUALLY ABUSED BY THE AGE OF 18, AND MOST ARE VICTIMS OF SOMEONE THEY KNOW AND TRUST. TO PROTECT VULNERABLE CHILDREN, THE CENTER PROVIDES FREE EDUCATION WORKSHOPS WITH SUPPORT FROM THE PROVIDENCE ST. PETER FOUNDATION. SINCE 2008, MORE THAN 800 COMMUNITY MEMBERS HAVE BEEN TRAINED TO RECOGNIZE AND RESPOND TO SIGNS OF ABUSE. PROVIDENCE'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED POVERTY AND RELATED ISSUES SUCH AS ADEQUATE HOUSING AS AN AREA OF GREAT NEED. WITHOUT A WARM BED TO RECUPERATE, VULNERABLE PATIENTS RETURNING TO LIFE ON THE STREETS WOULD FACE A HIGH RISK FOR RE-HOSPITALIZATION. ABOUT 450 NIGHTS OF SHELTER HAVE BEEN PROVIDED THROUGH THIS PROGRAM SINCE IT BEGAN IN 2015 THANKS TO PROVIDENCE'S $500,000 COMMUNITY INVESTMENT. THE PROGRAM IS STARTING SMALL WITH TWO TO FOUR BEDS SO IT CAN BE DEVELOPED PROPERLY AND LINK PARTICIPANTS TO SOCIAL AND BEHAVIORAL HEALTH SERVICES THAT CHANGE LIVES FOR THE BETTER. IN PARTNERSHIP WITH DAYBREAK YOUTH SERVICES, ACCESS TO INPATIENT AND OUTPATIENT CARE IS PROVIDED FOR FREE TO CHILDREN AND FAMILIES IN THEIR TIME OF NEED. ONCE THE YOUTH'S CONDITION WAS STABILIZED AT THE HOSPITAL, THEY WENT DIRECTLY TO THE DAYBREAK FACILITY WHERE SHE RECEIVED TREATMENT FOR ADDICTION AND THERAPY TO OVERCOME THE EMOTIONAL PAIN OF THEIR PAST. PROVIDENCE HAS PROVIDED MORE THAN 200 RAPID RESPONSE REFERRALS TO TREATMENT AND 90 PERCENT OF THE YOUNG PATIENTS HAVE COMPLETED OR ARE STILL ENGAGED IN TREATMENT. THE PROGRAM FULFILLS IMPORTANT NEEDS IN THE SPOKANE COUNTY, WASH. COMMUNITY FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. PROVIDENCE'S ANNUAL COMMUNITY INVESTMENT OF $50,000 MAKES POSSIBLE THE CRITICAL COORDINATION OF CARE AND SERVICES ESSENTIAL TO THE SUCCESS AND SOBRIETY FOR TEENS IN RECOVERY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): LONG-TERM CARE, HOMECARE, HOSPICE CARE, HOUSING, HEALTHCARE JOINT VENTURES, PHARMACY SERVICES PROVIDED TO PATIENTS, AND MANY OTHER PROGRAM SERVICE ACCOMPLISHMENTS. LTC/HOSPICE/HOUSING & ASSISTED LIVING PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY HAS A 16-BED INPATIENT HOSPICE CARE CENTER TO MEET THE COMMUNITY'S GROWING NEED FOR COMPASSIONATE, HIGHLY-SKILLED, 24/7 NURSING CARE FOR TERMINALLY ILL ADULTS AND CHILDREN. THE CARE CENTER IS VERY DIFFERENT FROM A TYPICAL HOSPITAL ENVIRONMENT AND WAS SPECIALLY-DESIGNED TO LOOK AND FEEL LIKE HOME. IT INCLUDES COMFORTABLE FURNITURE, A SOOTHING NEUTRAL COLOR SCHEME AND WARM DETAILS LIKE WOOD FLOORING AND NATURAL LIGHTING IN EVERY PATIENT ROOM. THE CARE CENTER IS DESIGNED TO ENCOURAGE FAMILIES TO SPEND QUALITY TIME TOGETHER FOR AS LONG AS THEY WISH. EACH PRIVATE ROOM HAS A COMFORTABLE CHAIR THAT PULLS OUT INTO A BED SO LOVED ONES CAN SPEND THE NIGHT. IN ADDITION, THERE IS A COZY LIVING ROOM, A LARGE DINING ROOM AND A FULL KITCHEN WHERE FAMILY MEMBERS AND GUESTS CAN PREPARE THE PATIENT'S FAVORITE FOODS. GRANT & ALLOCATIONS - SEE SCHEDULES F & I 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 DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD. ALL DIRECTOR 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 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 EMPLOYEES 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 PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020. 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 GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 313,610,079. MANAGEMENT AND GENERAL EXPENSES 369,423,784. FUNDRAISING EXPENSES 240,087. TOTAL EXPENSES 683,273,950. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 61,637,658. MANAGEMENT AND GENERAL EXPENSES 163,449,259. FUNDRAISING EXPENSES 79,118. TOTAL EXPENSES 225,166,035. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 104,437,316. MANAGEMENT AND GENERAL EXPENSES 14,276,443. FUNDRAISING EXPENSES 41,728. TOTAL EXPENSES 118,755,487. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 97,527,864. MANAGEMENT AND GENERAL EXPENSES 909,123. FUNDRAISING EXPENSES 34,601. TOTAL EXPENSES 98,471,588. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 29,445,964. MANAGEMENT AND GENERAL EXPENSES 25,148,532. FUNDRAISING EXPENSES 19,523. TOTAL EXPENSES 54,614,019. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 27,457. MANAGEMENT AND GENERAL EXPENSES 9,545,127. FUNDRAISING EXPENSES 3,365. TOTAL EXPENSES 9,575,949. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 2,090,332,504. CHANGE IN EQUITY RELATED TO INVESTMENTS -30,696. OTHER -9,979,278. EXPRESS CARE LLC 800 FIFTH AVE STE 1200 SEATTLE WA 98104 831518217 HEALTHCARE WA 0 129271 PROVIDENCE HEALTH & SERVICES - WASHINGTON HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 271698016 A/R & COLLECTIONS WA 4113941 1491739 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY LLC PO BOX 196606 ANCHORAGE AK 99519 320252199 REAL ESTATE AK 3049571 37781943 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 HEALTHCARE WA PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE DOLORES HOUSE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 825497218 SUPPORTIVE HOUSING WA 9550 3845395 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE HOUSE OAKLAND GP LLC 540 23RD ST OAKLAND CA 94612 811481031 SUPPORTIVE HOUSING CA 0 4727122 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE JOHN GABRIEL HOUSE GP LLC 8632 160TH AVE NE REDMOND WA 98052 SUPPORTIVE HOUSING WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE JOSEPH HOUSE GP LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 273678218 SUPPORTIVE HOUSING WA 213449 8502790 PROVIDENCE HEALTH & SERVICES - WASHINGTON PSJ PROVIDER RECRUITMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 RECRUITING WA 24260456 13208999 PROVIDENCE HEALTH & SERVICES - WASHINGTON ST ELIAS SPECIALTY HOSPITAL LLC 4800 CORDOVA ST ANCHORAGE AK 99503 260115489 HEALTHCARE AK 26392574 9531965 PROVIDENCE HEALTH & SERVICES - WASHINGTON COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12,III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911082119 UNEMPLOYMENT WA 501(C)(3) 12,I PHS WA 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. 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HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12,III KRMC 1 KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY 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