PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201923199349305562
Schema version: 2018v3.1
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T10:02:47-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510216586	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH & SERVICES -	BusinessNameLine1Txt
Business Name Line2	WASHINGTON	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JO ANN ESCASA-HAIGH	PersonNm
Person Title	EVP/ASST. TREASURER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.187.159.70	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-15	IPDt
IP Tm	10:02:24	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	03333E4B0684ADD489F38648AD786F05819FFCF0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MIKE BUTLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,971,426,240	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WASHINGTON.PROVIDENCE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1859	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	37910	TotalEmployeeCnt
Total Volunteers	3708	TotalVolunteersCnt
Total Gross UBI	$6,628,743	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,552,261	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$36,437,262	PYContributionsGrantsAmt
CY Contributions Grants	$35,193,386	CYContributionsGrantsAmt
PY Program Service Revenue	$6,484,242,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,390,838,771	CYProgramServiceRevenueAmt
PY Investment Income	$272,377,260	PYInvestmentIncomeAmt
CY Investment Income	$76,734,504	CYInvestmentIncomeAmt
PY Other Revenue	$259,492,820	PYOtherRevenueAmt
CY Other Revenue	$586,475,712	CYOtherRevenueAmt
PY Total Revenue	$7,052,549,601	PYTotalRevenueAmt
CY Total Revenue	$5,089,242,373	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,568,235	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,417,585	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,990,772,792	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,490,134,606	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,505,472	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,729,316,243	PYOtherExpensesAmt
CY Other Expenses	$2,625,889,226	CYOtherExpensesAmt
PY Total Expenses	$8,740,657,270	PYTotalExpensesAmt
CY Total Expenses	$7,130,441,417	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,688,107,669	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,041,199,044	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,238,634,539	TotalAssetsBOYAmt
Total Assets EOY	$15,777,348,778	TotalAssetsEOYAmt
Total Liabilities BOY	$10,782,480,326	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,635,224,708	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,456,154,213	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,142,124,070	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,707,430,341	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,711,113,364	RevenueAmt
Desc	SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, 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, 829 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	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$860,695,454	ExpenseAmt
Grant	$14,417,585	GrantAmt
Revenue	$679,725,407	RevenueAmt
Desc	SEE SCHEDULE OLONG-TERM CARE, HOMECARE, HOSPICE CARE, HOUSING, HEALTHCARE JOINT VENTURES, PHARMACY SERVICES PROVIDED TO PATIENTS, AND MANY OTHER PROGRAM SERVICE ACCOMPLISHMENTS. LTC/HOSPICE/HOUSING & ASSISTED LIVINGPROVIDENCE 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	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,568,125,795	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	Yes (1)	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2301	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	37910	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JO ANN ESCASA-HAIGH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9493814000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DRIVE SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAROLINA REYES MD
DIRECTOR	4.60	0.10	Yes (X)	$30,360	$0	$0
DAVE OLSEN
BOARD VICE CHAIR	5.50	0.10	Yes (X)	$30,360	$0	$0
DICK P ALLEN
DIRECTOR	2.00	0.10	Yes (X)	$30,360	$0	$0
ISIAAH CRAWFORD PHD
DIRECTOR	4.10	0.10	Yes (X)	$30,360	$0	$0
MARY LYONS PHD
DIRECTOR	1.50	0.10	Yes (X)	$30,360	$0	$0
MICHAEL HOLCOMB
DIRECTOR	5.30	0.10	Yes (X)	$30,360	$0	$0
PHOEBE YANG
DIRECTOR	2.00	0.10	Yes (X)	$25,360	$0	$0
RICHARD BLAIR
BOARD CHAIR	4.60	0.10	Yes (X)	$60,360	$0	$0
SALLYE LINER MSN RN
DIRECTOR	4.70	0.10	Yes (X)	$25,360	$0	$0
SR DIANE HEJNA CSJ RN
DIRECTOR	1.90	0.10	Yes (X)	$0	$0	$0
SR LUCILLE DEAN SP
DIRECTOR	2.10	0.10	Yes (X)	$0	$0	$0
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR	5.00	0.10	Yes (X)	$0	$0	$0
WALTER NOCE JR
DIRECTOR	2.00	0.10	Yes (X)	$30,360	$0	$0
CINDY STRAUSS
SECRETARY	39.00	21.00		$0	$1,884,790	$690,548	Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	39.00	21.00		$210,649	$0	$37,871	Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY	33.00	27.00		$0	$576,188	$65,143	Yes (X)
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	33.00	27.00		$0	$1,110,835	$527,424	Yes (X)
JOHN WHIPPLE
ASSISTANT SECRETARY	33.00	17.00		$1,029,547	$0	$345,689	Yes (X)
MIKE BUTLER
PRESIDENT	39.00	21.00		$0	$4,583,366	$968,461	Yes (X)
VENKAT BHAMIDIPATI
EVP/TREASURER	39.00	21.00		$0	$1,227,009	$673,841	Yes (X)
AARON MARTIN
SVP/STRATEGY & INNOVATION	47.00	23.00		$0	$1,196,074	$435,284		Yes (X)
AMY COMPTON-PHILLIPS
EVP/CHIEF CLINICAL OFFICER	36.00	19.00		$0	$1,654,073	$667,254		Yes (X)
BRUCE LAMOUREUX
CE/AK REGION	42.00	23.00		$1,041,300	$0	$245,054		Yes (X)
DAVID BROWN
VP/STRATEGY & BIZ DVLPMT	36.00	19.00		$1,450,101	$0	$280,369		Yes (X)
DEBBIE BURTON
SVP/CHIEF NRSG. OFFICER	39.00	21.00		$752,349	$0	$219,917		Yes (X)
DEBRA CANALES
EVP/CAO	39.00	21.00		$0	$2,732,103	$724,111		Yes (X)
ELAINE COUTURE
CE/PHC/EASTERN WA. REGION	39.00	21.00		$1,291,466	$0	$466,696		Yes (X)
GREG TILL
VP/CHIEF TALENT OFFICER	42.00	23.00		$963,974	$0	$295,508		Yes (X)
JANICE NEWELL
SVP/CHIEF INFORMATION OFFICER	39.00	21.00		$1,512,913	$0	$154,123		Yes (X)
JOEL GILBERTSON
SVP/COMMUNITY PARTNERSHIPS	39.00	21.00		$1,606,496	$0	$361,983		Yes (X)
LISA VANCE
SVP/CLINICAL PROGRAM SRVCS	39.00	21.00		$1,110,575	$265,260	$351,383		Yes (X)
MARY CRANSTOUN
VP/TOTAL REWARDS	39.00	21.00		$874,811	$0	$290,673		Yes (X)
MEDRICE COLUCCIO
CE/SOUTHWEST WA. REGION	39.00	21.00		$840,271	$0	$252,176		Yes (X)
MIKE WATERS
VP, CAO/PHYSICIAN SERVICES	0.00	65.00		$863,546	$0	$295,528		Yes (X)
OREST HOLUBEC
SVP/CHIEF COMM/EXT AFF OFF	36.00	19.00		$0	$1,111,242	$274,690		Yes (X)
PRESTON SIMMONS
CE/NORTHWEST WA. REGION	42.00	23.00		$1,464,460	$0	$359,641		Yes (X)
RHONDA MEDOWS MD
EVP/POPULATION HEALTH	39.00	21.00		$0	$2,024,470	$605,869		Yes (X)
SHARON TONCRAY
SVP/CHIEF LABOR EE COUNSEL	39.00	21.00		$1,423,352	$0	$178,439		Yes (X)
TOM MCDONAGH
VP/CHIEF INVESTMENT OFFICER	37.00	21.00		$1,103,684	$0	$122,850		Yes (X)
ATUL THAKKER
PHYSICIAN	50.00	5.00		$2,156,827	$0	$160,380			Yes (X)
BRANDEN REYNOLDS
PHYSICIAN	45.00	5.00		$1,650,104	$0	$118,406			Yes (X)
DAVID YAM
NEUROSURGEON	55.00	0.00		$2,497,372	$0	$154,546			Yes (X)
JASON DREYER
NEUROSURGEON	50.00	0.00		$2,866,204	$0	$192,681			Yes (X)
NEIL WORRALL
PHYSICIAN	48.00	2.00		$1,581,645	$0	$126,305			Yes (X)
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO	0.00	60.00		$0	$6,569,155	$4,266,266				Yes (X)
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	33.00	17.00		$122,692	$0	$24,264				Yes (X)
TODD HOFHEINS
FORMER EVP/CFO/TREAS.	0.00	60.00		$0	$820,571	$35,946				Yes (X)
HARVEY SMITH
FORMER SVP/CHIEF CUSTOMER SVC. OFF	0.00	0.00		$0	$583,049	$16,156				Yes (X)
JACK MUDD
FORMER SVP/MISSION LEADERSHIP	0.00	29.00		$477,056	$0	$124,468				Yes (X)
TERRY SMITH
FORMER SVP/MANAGEMENT SVCS	0.00	0.00		$0	$232,094	$21,187				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$29,214,994	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$26,570,279	TotReportableCompRltdOrgAmt
Total Other Compensation	$15,131,130	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6587	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE & LICENSE	$29,343,717
THE EVERETT CLINIC
3901 HOYT AVENUE	EVERETT	WA	98201	MEDICAL SERVICES	$23,179,043
INLAND NORTHWEST HEALTH SVC
PO BOX 2185	SPOKANE	WA	99210	STAFFING SERVICES	$19,306,682
WESTERN WASHINGTON MEDICAL
12728 19TH AVE SE STE 300	EVERETT	WA	98201	MEDICAL SERVICES	$13,169,512
CROSS COUNTRY STAFFING INC
LA LOCKBOX FILE 50941	LOS ANGELES	CA	90074	STAFFING SERVICES	$12,982,806

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	898	CntrctRcvdGreaterThan100KCnt
Fundraising	$996,107	FundraisingAmt
Related Organizations	$17,227,039	RelatedOrganizationsAmt
Government Grants	$13,952,201	GovernmentGrantsAmt
All Other Contributions	$3,018,039	AllOtherContributionsAmt
Noncash Contributions	$633,619	NoncashContributionsAmt
Total Contributions	$35,193,386	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ACUTE CARE	900099	$2,847,221,469	$2,847,221,469
PRIMARY CARE	621110	$472,358,190	$472,358,190
LTC/HOMECARE/HOSPICE	621110	$416,678,985	$416,678,985
LAB REVENUE	621500	$391,533,685	$389,927,924	$1,605,761
PHARMACY REVENUE	446110	$263,046,442	$261,004,220	$2,042,222

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,390,838,771	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,693,805	TotalRevenueColumnAmt
Exclusion	$58,693,805	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$28,552,025	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,889,317	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$16,662,708	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,662,708	TotalRevenueColumnAmt
Exclusion	$16,662,708	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$852,530,124	SecuritiesAmt
Other	$33,888,776	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$808,629,699	SecuritiesAmt
Other	$59,748,502	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$43,900,425	SecuritiesAmt
Other	-$25,859,726	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,040,699	TotalRevenueColumnAmt
Exclusion	$18,040,699	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$249,506	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$996,107	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$514,389	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$264,883	TotalRevenueColumnAmt
Exclusion	-$264,883	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$25,025	GamingGrossIncomeAmt
Gaming Direct Expenses	$8,143	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,882	TotalRevenueColumnAmt
Exclusion	$16,882	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,361,077	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,393,817	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$967,260	TotalRevenueColumnAmt
Exclusion	$967,260	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
COST RECOVERY	900099	$31,657,107	$80,752	$31,576,355
CAFETERIA REVENUE	722210	$21,391,367		$21,350,554	$40,813
HEALTHCARE JVS	900099	$20,503,204	$20,338,057		$165,147

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$495,542,067	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,313,636	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,774,800	UnrelatedBusinessRevenueAmt
Exclusion	$479,453,631	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$569,093,745	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,089,242,373	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,420,923,233	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,628,743	UnrelatedBusinessRevenueAmt
Exclusion	$626,497,011	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,996,515	TotalAmt
Program Services	$12,996,515	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$590,761	TotalAmt
Program Services	$590,761	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$830,309	TotalAmt
Program Services	$830,309	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$27,353,620	TotalAmt
Program Services	$4,923,651	ProgramServicesAmt
Management And General	$22,429,969	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,654,655,003	TotalAmt
Program Services	$1,824,541,834	ProgramServicesAmt
Management And General	$829,655,945	ManagementAndGeneralAmt
Fundraising	$457,224	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$357,288,921	TotalAmt
Program Services	$38,093,521	ProgramServicesAmt
Management And General	$319,188,438	ManagementAndGeneralAmt
Fundraising	$6,962	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,255,787,013	TotalAmt
Program Services	$31,885,614	ProgramServicesAmt
Management And General	$1,223,889,692	ManagementAndGeneralAmt
Fundraising	$11,707	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$195,050,049	TotalAmt
Program Services	$124,614,383	ProgramServicesAmt
Management And General	$70,395,361	ManagementAndGeneralAmt
Fundraising	$40,305	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$30,074,917	TotalAmt
Program Services	$191,588	ProgramServicesAmt
Management And General	$29,883,329	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,496,939	TotalAmt
Program Services	$1,500	ProgramServicesAmt
Management And General	$4,495,439	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$674,000	TotalAmt
Management And General	$674,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,797,464	TotalAmt
Management And General	$8,797,464	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$740,444,752	TotalAmt
Program Services	$369,981,657	ProgramServicesAmt
Management And General	$368,666,558	ManagementAndGeneralAmt
Fundraising	$1,796,537	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,085,099	TotalAmt
Program Services	$156,317	ProgramServicesAmt
Management And General	$13,928,782	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$157,359,799	TotalAmt
Program Services	$69,142,528	ProgramServicesAmt
Management And General	$88,185,633	ManagementAndGeneralAmt
Fundraising	$31,638	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,930,755	TotalAmt
Program Services	$2,951,707	ProgramServicesAmt
Management And General	$5,979,048	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$119,758,237	TotalAmt
Program Services	$28,004,991	ProgramServicesAmt
Management And General	$91,753,246	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$27,331,685	TotalAmt
Program Services	$7,675,070	ProgramServicesAmt
Management And General	$19,586,953	ManagementAndGeneralAmt
Fundraising	$69,662	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$14,949,464	TotalAmt
Program Services	$4,817,818	ProgramServicesAmt
Management And General	$10,092,110	ManagementAndGeneralAmt
Fundraising	$39,536	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$166,811,045	TotalAmt
Program Services	$162,587,542	ProgramServicesAmt
Management And General	$4,223,503	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$310,808	TotalAmt
Program Services	$44	ProgramServicesAmt
Management And General	$310,764	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$345,899,206	TotalAmt
Program Services	$108,877,826	ProgramServicesAmt
Management And General	$237,021,380	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$26,301,755	TotalAmt
Management And General	$26,301,755	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$653,058,714	$653,230,638	-$171,924
PROF. LIAB. TRUST	$92,273,667		$92,273,667
BAD DEBT	$41,210,319	$39,628,751	$1,581,568
UBI TAXES	-$1,104		-$1,104

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$173,121,705	TotalAmt
Program Services	$82,401,230	ProgramServicesAmt
Management And General	$90,668,574	ManagementAndGeneralAmt
Fundraising	$51,901	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,130,441,417	TotalAmt
Program Services	$3,568,125,795	ProgramServicesAmt
Management And General	$3,559,810,150	ManagementAndGeneralAmt
Fundraising	$2,505,472	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$95,099,086	BOYAmt
EOY	$24,559,192	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$896,519,378	BOYAmt
EOY	$1,143,192,186	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,276,534	BOYAmt
EOY	$1,659,312	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$571,307,721	BOYAmt
EOY	$668,153,057	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,723,326	BOYAmt
EOY	$8,392,388	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$78,480,664	BOYAmt
EOY	$85,800,507	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$63,339,580	BOYAmt
EOY	$60,155,246	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,105,047,819	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,480,246,448	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,727,365,709	BOYAmt
EOY	$2,624,801,371	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,570,019,760	BOYAmt
EOY	$2,504,643,581	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$240,722,986	BOYAmt
EOY	$273,482,833	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$163,107,955	BOYAmt
EOY	$156,095,552	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,821,671,840	BOYAmt
EOY	$8,226,413,553	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,238,634,539	BOYAmt
EOY	$15,777,348,778	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$689,323,147	BOYAmt
EOY	$1,048,997,077	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$31,487,150	BOYAmt
EOY	$65,784,016	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,728,313,042	BOYAmt
EOY	$3,962,314,335	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$285,920,191	BOYAmt
EOY	$97,353	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,047,436,796	BOYAmt
EOY	$7,558,031,927	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,782,480,326	BOYAmt
EOY	$12,635,224,708	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,394,671,605	BOYAmt
EOY	$3,084,096,445	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,541,233	BOYAmt
EOY	$50,977,709	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,941,375	BOYAmt
EOY	$7,049,916	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,456,154,213	BOYAmt
EOY	$3,142,124,070	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,238,634,539	BOYAmt
EOY	$15,777,348,778	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,041,199,044	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$204,038,188	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,931,207,089	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$346,198	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$674,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$1,020,198	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	OUR 2018 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	ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Assets Included	$20,000	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	0	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,202,915	BeginningYearBalanceAmt
Contributions	$113,806	ContributionsAmt
Investment Earnings Or Losses	$204,390	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$193,582	GrantsOrScholarshipsAmt
Administrative Expenses	$53,686	AdministrativeExpensesAmt
End Year Balance	$4,273,843	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,758,083	BeginningYearBalanceAmt
Contributions	$110,125	ContributionsAmt
Investment Earnings Or Losses	$480,178	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$145,471	GrantsOrScholarshipsAmt
End Year Balance	$4,202,915	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,867,662	BeginningYearBalanceAmt
Contributions	$81,983	ContributionsAmt
Investment Earnings Or Losses	$169,113	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$360,675	GrantsOrScholarshipsAmt
End Year Balance	$3,758,083	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,666,745	BeginningYearBalanceAmt
Contributions	$87,481	ContributionsAmt
Investment Earnings Or Losses	$185,739	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$72,303	GrantsOrScholarshipsAmt
End Year Balance	$3,867,662	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,623,076	BeginningYearBalanceAmt
Contributions	$81,777	ContributionsAmt
Investment Earnings Or Losses	$150,368	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$188,476	GrantsOrScholarshipsAmt
End Year Balance	$3,666,745	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00470	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.99530	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$511,310,221	OtherCostOrOtherBasisAmt
Book Value	$511,310,221	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,038,422,374	OtherCostOrOtherBasisAmt
Depreciation	$985,804,921	DepreciationAmt
Book Value	$1,052,617,453	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,665,379	OtherCostOrOtherBasisAmt
Depreciation	$254,342,861	DepreciationAmt
Book Value	$150,322,518	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,041,936,847	OtherCostOrOtherBasisAmt
Depreciation	$2,240,098,666	DepreciationAmt
Book Value	$801,838,181	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,712,998	OtherCostOrOtherBasisAmt
Book Value	$108,712,998	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,624,801,371	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$7,749,095,939
TRUSTEE HELD FUNDS	$376,954,138
UNAMORTIZED FINANCING COSTS	$29,218,298
INV PEND SALES SYS POOLED NT	$26,650,708
THIRD PARTY SETTLEMENTS	$13,905,719
OTHER LONG-TERM RECEIVABLES	$9,054,644
ACCRUED REBATES	$10,811,160
DEFERRED COMPENSATION 457F	$6,125,269
PROVIDER TAX	$4,489,785
CHARITABLE TRUSTS & GIFT ANNUITIES	$87,893
ARTWORK	$20,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,226,413,553	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$5,059,914,976
I/C - TAX-EXEMPT BOND LIABILITIES	$543,157,468
ACCRUED PENSION COSTS	$943,948,842
OTHER LONG-TERM PAYABLES	$444,076,900
NON-TRUST WORKERS COMP	$281,381,234
THIRD PARTY SETTLEMENTS	$64,677,229
ASSET RETIREMENT OBLIGATION - FIN 47	$194,601,395
BANK LOAN RESERVE	$25,153,406
SELF INSURED TRUSTS	$42,428
PROVIDER TAX PAYABLE	$80,033
PENDING INVESMENT PURCHASES - NT	$998,016

Field	Value	IRS element (for citing)
Total Liability	$7,558,031,927	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING	$705,187
NORTH AMERICA	0	0	GRANTMAKING	$125,122

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$830,309	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$830,309	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (4 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Description Of Non Cash AsstDescriptionOfNonCashAsstTxt	Valuation Method UsedValuationMethodUsedDesc	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	$102,583	HEALTH CARE PROJECTS FOR THE COMMUNITY	FMV
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS				$602,604	CHECK
NORTH AMERICA	HOUSING PROJECTS				$81,573	CHECK
NORTH AMERICA	HOUSING PROJECTS	$43,549	HOUSING PROJECTS	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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/BENEFIT FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED.
Part I, Line 3, Column (f)	THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	PROVIDENCE O'CHRISTMAS TREES	Event1Nm
Gross Receipts Event1	$1,120,158	GrossReceiptsEvent1Amt
Charitable Contri Event1	$902,037	CharitableContriEvent1Amt
Gross Revenue Event1	$218,121	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$18,605	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$181,129	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$232,963	OtherDirectExpensesEvent1Amt
Event2	GOLF CLASSIC	Event2Nm
Gross Receipts Event2	$73,750	GrossReceiptsEvent2Amt
Charitable Contri Event2	$50,750	CharitableContriEvent2Amt
Gross Revenue Event2	$23,000	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$1,440	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$18,825	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$12,700	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$26,256	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$51,705	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$43,320	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$8,385	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$9	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$8,015	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$105	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$14,342	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,245,613	GrossReceiptsTotalAmt
Charitable Contributions Tot	$996,107	CharitableContributionsTotAmt
Gross Revenue Total Events	$249,506	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,449	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$45,445	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$193,934	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$273,561	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$514,389	DirectExpenseSummaryEventsAmt
Net Income Summary	-$264,883	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$25,025	GrossRevenueOtherGamingAmt
Rent Fclty Costs Other Gaming	$1,973	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$6,170	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$25,025	GrossRevenueTotalGamingAmt
Rent Fclty Costs Total Gaming	$1,973	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$6,170	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$8,143	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$16,882	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WA	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	PATRICIA L SZABO	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	4831 35TH AVENUE SW	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98126	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	PATRICIA L SZABO	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	PROVIDED OVERSIGHT OF SALE OF RAFFLE TICKETS AND ACCOUNTING FOR PROCEEDS RECEIVED.	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,895,699	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,895,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$956,076,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$693,131,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$262,944,702	NetCommunityBenefitExpnsAmt
Total Expense	0.03730	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$617,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$323,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$293,305	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,023,589,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$693,455,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$330,133,706	NetCommunityBenefitExpnsAmt
Total Expense	0.04680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,486,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$733,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,752,164	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,928,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,188,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,739,755	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,394,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,594,561	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,127,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,049,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,077,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,248,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,024	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,243,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,184,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,572,138	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,812,599	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,086,773,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$730,027,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$379,946,305	NetCommunityBenefitExpnsAmt
Total Expense	0.05390	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,859	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,859	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,926	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$41,210,319	BadDebtExpenseAmt
Reimbursed By Medicare	$1,550,989,801	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,956,618,122	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$405,628,321	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	13	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
PROVIDENCE ALASKA MEDICAL CENTER
1	3200 PROVIDENCE DRIVE	ANCHORAGE	AK	99508	ALASKA.PROVIDENCE.ORG/	GACH-007	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
PROVIDENCE SHMC & CHILDREN'S HOSPITAL
2	101 WEST 8TH AVENUE	SPOKANE	WA	99204	WASHINGTON.PROVIDENCE.ORG/	00000162	Yes (X)	Yes (X)	Yes (X)		Yes (X)	C
PROVIDENCE ST PETER HOSPITAL
3	413 LILLY ROAD NE	OLYMPIA	WA	98506	WASHINGTON.PROVIDENCE.ORG/	00000159	Yes (X)	Yes (X)			Yes (X)	A
PROVIDENCE REGIONAL MED CTRCOLBY
4	1321 COLBY AVENUE	EVERETT	WA	98201	WASHINGTON.PROVIDENCE.ORG/	00000084	Yes (X)	Yes (X)			Yes (X)	B
PROVIDENCE REGIONAL MED CTRPACIFIC
5	916 PACIFIC AVENUE	EVERETT	WA	98208	WASHINGTON.PROVIDENCE.ORG/	00000084	Yes (X)	Yes (X)			Yes (X)	B
PROVIDENCE HOLY FAMILY HOSPITAL
6	5633 NORTH LIDGERWOOD STREET	SPOKANE	WA	99208	WASHINGTON.PROVIDENCE.ORG/	00000139	Yes (X)	Yes (X)			Yes (X)	C
PROVIDENCE CENTRALIA HOSPITAL
7	914 S SCHEUBER ROAD	CENTRALIA	WA	98531	WASHINGTON.PROVIDENCE.ORG/	00000191	Yes (X)				Yes (X)	A
PROVIDENCE ST MARY MEDICAL CENTER
8	401 W POPLAR STREET	WALLA WALLA	WA	99362	WASHINGTON.PROVIDENCE.ORG/	00000050	Yes (X)	Yes (X)			Yes (X)
PROVIDENCE MT CARMEL HOSPITAL
9	982 EAST COLUMBIA	COLVILLE	WA	99114	WASHINGTON.PROVIDENCE.ORG/	00000030	Yes (X)	Yes (X)			Yes (X)	C	Yes (X)
PROVIDENCE ST JOSEPH'S HOSPITAL
10	500 EAST WEBSTER STREET	CHEWELAH	WA	99109	WASHINGTON.PROVIDENCE.ORG/	00000194	Yes (X)	Yes (X)			Yes (X)	C
PROVIDENCE KODIAK IS MEDICAL CENTER
11	1915 REZANOF DRIVE	KODIAK ISLAND	AK	99615	ALASKA.PROVIDENCE.ORG/	GACH-008	Yes (X)						Yes (X)
PROVIDENCE SEWARD MEDICAL & CARE CENTER
12	417 1ST AVENUE	SEWARD	AK	99664	ALASKA.PROVIDENCE.ORG/	RPCH-001	Yes (X)				Yes (X)
PROVIDENCE VALDEZ MEDICAL CENTER
13	911 MEALS AVENUE	VALDEZ	AK	99686	ALASKA.PROVIDENCE.ORG/	CAH-002	Yes (X)						Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
PROVIDENCE ALASKA MEDICAL CENTER (1)
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	18	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE ST MARY MEDICAL CENTER (8)
8	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	18	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE KODIAK IS MEDICAL CNT (11)
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	17	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE SEWARD MED & CARE CNT (12)
12	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	18	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE VALDEZ MEDICAL CENTER (13)
13	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	18	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)	Yes (X)
PHS - WASHINGTON (GROUP A - 3 & 7)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		17	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	17	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - WASHINGTON (GROUP B - 4 & 5)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	16	Yes (1)	WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)		0	Yes (1)		Yes (X)
PHS - WASHINGTON (GROUP C-2 6 9 & 10)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	16	Yes (1)	HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (49 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROVIDENCE ALASKA MEDICAL CENTER (1)	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 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 SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 5: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS 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
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 SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-CAROL SOUZA - COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER-CRAIG AMBROSIANI, EXECUTIVE DIRECTOR - SEWARD COMMUNITY HEALTH CENTER -DANA PAPERMAN, EXECUTIVE DIRECTOR - SEWARD SENIOR CENTER-DAVE PAPERMAN, LEAD DEPARTMENT OF RESIDENCE LIFE - ALASKA'S INSTITUTE OF TECHNOLOGY -DOUG CAPRA, CHAIR - PROVIDENCE REGION COMMUNITY MINISTRY BOARD AND SEWARD HEALTH ADVISORY COUNCIL MEMBER-JERRY FLYNN, PHYSICIAN - LACUNA FAMILY MEDICINE AND PROVIDENCE SEWARD MEDICAL AND CARE CENTER-JIM DOEPKEN, PASTOR - UNITED METHODIST CHURCHES OF SEWARD AND MOOSE PASS-JOE FONG, ADMINISTRATOR (PROVIDENCE SEWARD MEDICAL & CARE CENTER)-JOHN (CRAIG) WILLIAMSON, LICENSED ALASKA PSYCHOLOGIST AND MEMBER OF THE PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL. -KARIN STURDY, DIRECTOR CITY OF SEWARD PARKS AND RECREATION DEPARTMENT AND SEWARD PARKING DEPARTMENT -KATIE CORNWELL, EXECUTIVE DIRECTOR - SEWARD PREVENTION COALITION-KRIS ERCHINGER, FINANCE DIRECTOR - CITY OF SEWARD-LESLIE FELTS, PUBLIC HEALTH NURSE STATE OF ALASKA, DIVISION OF PUBLIC HEALTH-LINDA LYNCH COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER, SEWARD VOLUNTEER AMBULANCE CORPS-LOIS DAUBNEY, RN, BSN COMMUNITY MEMBER AND RETIRED STATE OF ALASKA PUBLIC HEALTH NURSE-MAYA MORIARTY, BUSINESS MANAGER SEWARD FAMILY DENTISTRY-MICHAEL MORIARTY, DENTIST SEWARD FAMILY DENTISTRY-MELODY WALLACE, REGIONAL OFFICE MANAGER - CHUGACHMIUT NORTH STAR HEALTH CENTER-TARA RIEMER, PRESIDENT AND CEO ALASKA SEA LIFE CENTER-TOMMY GLANTON, BEHAVIORAL HEALTH DIRECTOR - SEAVIEW COMMUNITY SERVICES-TREVAN WALKER, PRINCIPAL - SEWARD HIGH SCHOOL
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE VALDEZ MEDICAL CENTER (PVMC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-JEREMY O'NEIL ADMINISTRATOR/ PVMC - PVMC HAC - SWAN CORE TEAM MEMBER-JOHN CULLEN, M.D. PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC - PVMC HAC MEMBER-DOUG DESORCIE FORMER PRESIDENT/ DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE - PVMC-HAC MEMBER-PAULINE DOUCET ASSISTANT ADMINISTRATOR-DIRECTOR OF CLINICAL SERVICES/PVMC-HEIDI FOX DIRECTOR/PVMC COUNSELLING CENTER-LINDSIE KING FINANCE MANAGER/ PVMC-RUTHIE KNIGHT TEACHER/ VALDEZ CITY SCHOOLS MAYOR,CITY OF VALDEZ - PVMC HAC MEMBER-NANCY LETHCOE PVMC HAC MEMBER AND VALDEZ FOOD BANK VOLUNTEER-EDMORE MANGENA MISSION INTEGRATION AND SPIRITUAL CARE LEADER, PVMC-LON NEEDLES CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-JIM NYGAARD SUPERINTENDENT/VALDEZ CITY SCHOOLS - PVMC HAC MEMBER-DAN O'CONNOR DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE CAMPUS - PVMC HAC MEMBER-DARREN REESE CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-CINDY RYMER PUBLIC WORKS/CITY OF VALDEZ - PVMC HAC MEMBER-SAMUEL SHIRK, M.D. PHYSICIAN-CHIEF OF STAFF/PVMC- PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC -PVMC HAC MEMBER-PAM SHIRRELL RETIRED PUBLIC HEALTH NURSE/STATE OF ALASKA - PVMC HAC MEMBER-TODD WEGNER ASSISTANT CITY MANAGER/ CITY OF VALDEZ PVMC HAC MEMBER
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 6b: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER 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
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 ALASKA MEDICAL CENTER (1)	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) PROVIDED ROUGHLY $2.5 MILLION COMMUNITY BENEFIT FUNDING AND RESOURCES TO ADDRESS HOMELESSNESS AND FOOD INSECURITY IN 2018 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.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 11: 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.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 CARE3. 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
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 11: IN THE FALL OF 2016, 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) WILL PROVIDE SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICES -PKICC WILL ADDRESS 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 WILL ADDRESS 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 WILL ADDRESS 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 WILL CONTINUE 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 WILL CONTINUE 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. SOCIO ECONOMIC DETERMINANTS OF HEALTHCULTURE AND LANGUAGE BARRIERS, HOMELESSNESS/HOUSING ISSUES, LOW INCOME AND THE CHALLENGES OF HOLDING MULTIPLE JOBS TO AFFORD THE COST OF LIVING IN KODIAK WERE FREQUENTLY NOTED IN THE STAKEHOLDER INTERVIEWS AND THE COMMUNITY SURVEY AS SIGNIFICANT CHALLENGES TO THE WELL-BEING OF MANY IN THE KODIAK COMMUNITY. -PKIMC WILL CONTINUE TO PROVIDE FINANCIAL ASSISTANCE TO LOW-INCOME PATIENTS TO REMOVE COST AS A BARRIER FOR NEEDED CARE. FROM 2013-2015, PKIMC PROVIDED ABOUT $4.2 MILLION A YEAR IN CHARITY CARE3. PRIMARY CARE UTILIZATION AND ACCESSTHE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS SIGNIFICANT ISSUES.-PKIMC WILL NOT BE DIRECTLY ADDRESSING THIS NEED BECAUSE PKIMC DOES NOT OFFER PRIMARY CARE SERVICES AND KODIAK CURRENTLY HAS SUFFICIENT PRIMARY CARE CAPACITY TO MEET COMMUNITY NEED. PKIMC WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN IMPROVING PRIMARY CARE UTILIZATION AS OPPORTUNITIES EMERGE.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 11: IN THE FALL OF 2018, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY VARIABLES, INCLUDING: SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE CONVENED AFTER INDIVIDUALLY RATING THE HEALTH ISSUES TO COME UP WITH THE TOP PRIORITIES AS A GROUP. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE PRIORITIES.1 & 2. POOR MENTAL HEALTH AND LACK OF ACCESS TO MENTAL HEALTH SERVICE AND ALCOHOL AND SUBSTANCE MISUSE:THIS SECTION OUTLINES PROVIDENCE'S PLAN TO ADDRESS POOR MENTAL HEALTH, ALCOHOL/SUBSTANCE MISUSE AND ACCESS TO SERVICES RELATED TO THOSE NEEDS. THESE ARE COMBINED UNDER ONE PLAN BECAUSE THE ACTIVITIES AND COLLABORATIONS PSMCC WILL ENGAGE IN TO ADDRESS THE NEEDS WILL BE SUBSTANTIALLY THE SAME FOR BOTH NEEDS.-SEWARD CLINICAL COLLABORATIVE - PSMCC WILL CONTINUE TO BE A CO-SPONSOR AND CO-CONVENER OF THE MONTHLY SEWARD CLINICAL COLLABORATIVE, WHICH IS A COMMUNITY PROVIDER COLLABORATIVE OF PHYSICAL AND MENTAL HEALTH PROVIDERS THAT SHARE INFORMATION AND SEEK SHARED SOLUTIONS TO COMMUNITY HEALTH RELATED NEEDS. -RECOVER ALASKA - PROVIDENCE WILL CONTINUE TO COLLABORATE WITH AND SUPPORT RECOVER ALASKA, A MULTI-SECTOR ACTION GROUP WORKING TO INCREASE AWARENESS AND SUBSTANCE MISUSE PREVENTION EFFORTS IN THE COMMUNITY, ADVOCATE FOR EFFECTIVE SUBSTANCE USE-RELATED POLICY AND INCREASE ACCESS TO SUBSTANCE USE DISORDER SERVICES. PROVIDENCE LEADERSHIP WILL CONTINUE TO PARTICIPATE ON THE RECOVER ALASKA BOARD. -SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) - PSMCC IS WORKING COLLABORATION WITH THE STATE OF ALASKA DEPARTMENT OF BEHAVIORAL HEALTH TO PROVIDE TRAINING TO PROVIDENCE STAFF AND PROVIDERS COMMUNITY-WIDE ON THE USE OF THE SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL. SBIRT IS AN EVIDENCE-BASED APPROACH TO IDENTIFYING PATIENTS WHO USE ALCOHOL AND OTHER DRUGS AT RISKY LEVELS WITH THE GOAL OF REDUCING AND PREVENTING RELATED HEALTH CONSEQUENCES, DISEASE, ACCIDENTS AND INJURIES. RISKY SUBSTANCE USE IS A HEALTH ISSUE AND OFTEN GOES UNDETECTED.-TELEHEALTH/TELEPSYCH - PROVIDENCE IS INCREASING REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY ADDING TELE- PSYCHIATRY TO PROVIDENCE ALASKA MEDICAL CENTER EMERGENCY ROOM IN SEWARD, PROVIDENCE VALDEZ MEDICAL CENTER, PROVIDENCE SEWARD MEDICAL CENTER, SEWARD MOUNTAIN HAVEN LONG TERM CARE FACILITY, PROVIDENCE TRANSITIONAL CARE CENTER, AND PROVIDENCE EXTENDED CARE CENTER. THESE SERVICES HELP TO IMPROVE CARE IN THE EMERGENCY ROOM AND HELP PATIENTS TO RECEIVE PSYCHIATRIC MEDICATIONS, TREAT PSYCHIATRIC DISORDERS AND HELP WITH ACUTE INTOXICATION AND WITHDRAWAL BY PROVIDING REMOTE DELIVERY OF SUBSTANCE ABUSE AND BEHAVIORAL HEALTH COUNSELING AS WELL AS REMOTE DELIVERY OF EMERGENCY DE-ESCALATION PSYCHIATRIC CONSULT. THESE SERVICES ARE SCHEDULED TO GO-LIVE AT PROVIDENCE SEWARD MEDICAL AND CARE CENTER AND SEWARD MOUNTAIN HAVEN APRIL OF 2019.3 & 4. PREVENTIVE CARE AND OBESITY AND CHRONIC CONDITIONS:PROVIDENCE SEWARD MEDICAL AND CARE CENTER IS AN ACUTE CARE HOSPITAL AND NO LONGER PROVIDES PREVENTIVE SERVICES SINCE IT TRANSITIONED ITS PRIMARY CARE CLINIC AND RELATED SERVICES TO THE NEW SEWARD COMMUNITY HEALTH CENTER, A SEPARATE NON-PROFIT THAT IS CO-LOCATED WITH PSMCC. BECAUSE OF THIS, THE PRIMARY MEANS AVAILABLE TO PSMCC TO ADDRESS THESE NEEDS IS THROUGH ITS EMERGENCY DEPARTMENT AND ITS COLLABORATION WITH COMMUNITY PRIMARY CARE PROVIDERS IN PROMOTING PREVENTION (SEE BELOW).EMERGENCY DEPARTMENT PRIMARY CARE PROMOTION:-PROVIDENCE WILL MONITOR AMBULATORY CARE SENSITIVE CONDITIONS* USE OF THE EMERGENCY DEPARTMENT AND COLLABORATE WITH SEWARD COMMUNITY HEALTH CENTER IN THE EFFORT TO GET PEOPLE THE CARE THEY NEED AT THE RIGHT TIME AND RIGHT SETTING TO AVOID UNNECESSARY ED UTILIZATION.-PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT WILL BE SCREENED TO DETERMINE IF THEY HAVE A PRIMARY CARE PROVIDER OR PRIMARY CARE HOME. IF THEY DO NOT CURRENTLY HAVE A PRIMARY CARE HOME, THEY WILL BE EDUCATED ON AVAILABLE PRIMARY CARE SERVICES IN THE COMMUNITY AND DIRECTLY CONNECTED WITH A PRIMARY CARE PROVIDER WHEN POSSIBLE. *AMBULATORY CARE SENSITIVE CONDITIONS ARE MEDICAL PROBLEMS THAT ARE POTENTIALLY PREVENTABLE OR CONDITIONS THAT COULD HAVE BEEN TREATED IN A LESS ACUTE, AND THUS LESS COSTLY MEDICAL SETTING. FOR EXAMPLE, HYPERTENSION (HIGH BLOOD PRESSURE) IS A CONDITION THAT CAN BE TREATED OUTSIDE OF A HOSPITAL.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 11: LEVERAGING COMMUNITY ASSETS THROUGH COLLABORATIVE EFFORTS IS THE MOST EFFECTIVE AND SUSTAINABLE WAY TO ADDRESS COMMUNITY PROBLEMS. RATHER THAN ESTABLISH ISOLATED INITIATIVES TO ADDRESS COMMUNITY NEED, PVMC CHOSE STRATEGIES THAT INVOLVED COLLABORATION WITH OTHER KEY COMMUNITY STAKEHOLDERS TO ADDRESS NEEDS IDENTIFIED IN THE VALDEZ NEEDS ASSESSMENT.1) LOCAL HEALTHCARE PROVIDER WORKFORCE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE VALDEZ MEDICAL CLINIC TO ARRIVE AT IDEAL PROVIDER LEVELS AND TO EXPLORE DEVELOPING A RURAL HEALTH INTENSIVE ROTATION FOR MED STUDENTS / RESIDENTS-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS PRIMARY CARE SPACE NEEDS-JOIN WITH OTHER RURAL AND SIMILARLY IMPACTED FACILITIES TO LOBBY THE STATE OF ALASKA FOR RELIEF AROUND THE HIGH COST OF ENTRY INTO MEDICAL AND OTHER HEALTHCARE PROFESSIONS2) MENTAL HEALTH / SUBSTANCE ABUSE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE COMMUNITY TO REDUCE ABUSE AND DOMESTIC VIOLENCE AMONG ADULTS AND CHILDREN THROUGH COMMUNITY EDUCATION AND OUTREACH. -PARTNER WITH LOCAL AGENCIES AND STATE OFFICIALS TO REDUCE THE INCIDENCE OF OPIOID ADDICTION IN VALDEZ-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS COUNSELING CENTER SPACE NEEDS-PARTNER WITH THE SOUND WELLNESS ALLIANCE NETWORK AND OTHER AGENCIES TO CAMPAIGN AGAINST SUBSTANCE ABUSE, VIOLENCE, DEPRESSION, ETC.3) ACCESS TO SPECIALTY CARE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-CONTINUE TO EXPLORE VIABLE TELEMEDICINE OPPORTUNITIES.-LEVERAGE NURSE SPECIALTIES WHEN POSSIBLE I.E. WOUND CARE, LACTATION, CHEMOTHERAPY, ETC.-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS SPECIALTY CLINIC SPACE NEEDS-CONTINUE TO SEEK OUT ENDURING RELATIONSHIPS WITH SPECIALTY PROVIDERS WHO ARE WILLING TO PROVIDE CARE ON-SITE IN VALDEZ. 4) HEALTHY LIFESTYLE / CHRONIC DISEASE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL-COORDINATE WITH COMMUNITY PARTNERS TO ENCOURAGE INVESTMENT IN AND MULTI-AGENCY EFFORTS AROUND HEALTH AND WELLBEING PROGRAMING IN VALDEZ-EXEMPLIFY CORPORATE WELLNESS THROUGH WELLNESS COMMITTEE SPONSORED ACTIVITIES THAT EXTEND TO OUTSIDE ORGANIZATIONS-CHAMPION THE HRSA POPULATION HEALTH PILOT PROJECT THAT SEEKS TO LEVERAGE A MULTI-COMMUNITY NETWORK AROUND CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH IMPROVEMENT.PVMC'S IMPLEMENTATION PLAN INCLUDES ELEMENTS THAT ADDRESS ALL OF THE TOP HEALTH PRIORITIES IDENTIFIED BY THE VALDEZ CHNA ADVISORY GROUP AND THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B, Line 9	PROVIDENCE ALASKA MEDICAL CENTER (1)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 27, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE SEWARD MED. & CARE CNT (12)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON FEBRUARY 26, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE VALDEZ MEDICAL CENTER (13)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 17, 2018, 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:	FOLLOWING THE PRIOR CHNA, PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE NEEDS IDENTIFIED BELOW. THE TOP HEALTH ISSUES FOR THE 2014 CHNA/CHIP WERE: 1. ADVANCE CARE PLANNING2. CHILDHOOD OBESITY3. ACCESS TO MENTAL HEALTH SERVICES THE FOLLOWING IS AN OVERVIEW THAT EVALUATES OUR CHIP OUTCOMES AND IMPACT ON THE IDENTIFIED NEEDS.PRIORITIZED NEED #1: ADVANCE CARE PLANNINGPROVIDENCE SOUTHWEST WASHINGTON REGION BEGAN ITS ADVANCE CARE PLANNING INITIATIVE IN MID-2015 WITH FUNDING FROM PROVIDENCE ST. PETER FOUNDATION. THIS INITIATIVE HELPS INDIVIDUALS PLAN FOR FUTURE HEALTH CARE AND IDENTIFY A PERSON TO SPEAK FOR THEM IF THEY CANNOT. IT ALSO HELPS HEALTH SYSTEMS PROVIDE CARE THAT HONORS PERSONAL GOALS, VALUES, AND PREFERENCES. THE REGION IS ON TRACK TO REACH ALL OF THE INITIATIVE'S TARGETS ALIGNED WITH ITS GOALS. PRIORITIZED NEED #2: CHILDHOOD OBESITYPROVIDENCE SOUTHWEST WASHINGTON REGION PARTNERED WITH NORTH THURSTON AND CENTRALIA SCHOOL DISTRICTS AND SQORD, A MANUFACTURER OF WEARABLE ACTIVITY TRACKERS DESIGNED FOR YOUTH, TO DESIGN AND IMPLEMENT A PROGRAM THAT DIRECTLY RESPONDS TO THIS NEED.SQORD DEVICES WERE DISTRIBUTED TO 616 KIDS FOR THE 2015-16 SCHOOL YEAR, AND 674 DEVICES FOR THE 2016-17 SCHOOL YEAR. AS OF JUNE 2017, REPORTS SHOW THAT 51% OF NORTH THURSTON STUDENTS IN THE PROGRAM AND 61% OF CENTRALIA STUDENTS IN THE PROGRAM HAD AN AVERAGE OF 45 MINUTES OR MORE MODERATE TO VIGOROUS PHYSICAL ACTIVITY (MVPA) PER DAY. PROVIDENCE CONTINUES TO PARTNER WITH BOTH SCHOOL DISTRICTS AND SQORD TO MEASURE IMPACT AND DETERMINE NEXT STEPS.PRIORITIZED NEED #3: ACCESS TO MENTAL HEALTH SERVICESPROVIDENCE CONTINUES TO EVALUATE WAYS TO MEET THE ONGOING AND PROFOUND MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS OF THE COMMUNITIES WE SERVE. A DEDICATED RECOVERY CARE UNIT WAS ESTABLISHED AT PROVIDENCE CENTRALIA HOSPITAL FROM JUNE 2015 TO SEPTEMBER 2016, WHICH SERVED 674 PATIENTS DURING THAT TIME. THE DETOX UNIT SUPPORTED PATIENTS IN THEIR READINESS FOR CHANGE, ENGAGED THEM IN TREATMENT, AND CONNECTED THEM WITH RESOURCES IN A PEACEFUL ENVIRONMENT THAT ALLOWED THEM TO CONCENTRATE ON HEALING. BEGINNING OCTOBER 1, 2016, THE UNIT WAS TRANSITIONED TO AN 18-BED MEDICAL UNIT. MEDICAL DETOX SERVICES CONTINUE TO BE AVAILABLE AT THE HOSPITAL FOR THOSE WITH A MEDICAL NECESSITY. IN ADDITION, BENZODIAZEPINE AND OPIOIDS DETOXIFICATION STANDARD OF CARE IS PROVIDED AT A LEVEL OF INTENSIVE OUTPATIENT CARE AT THE PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER.PROVIDENCE WILL EXPLORE FURTHER OPPORTUNITIES TO MEET MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS AS A KEY PRIORITY IDENTIFIED IN OUR CURRENT CHNA.SEE THE FULL CHNA FOR MORE DETAILED INFORMATION.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 16j:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - Facility 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 3j:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS 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 CHOSE THE THREE INDICATORS DESCRIBED BELOW AS THE SIGNIFICANT FOCUS FOR THE 2017-2019 NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.ACCESS TO PRIMARY CAREINCREASE THE PROPORTION OF ADULT RESIDENTS IN SNOHOMISH COUNTY WHO HAVE ONE PERSON THEY THINK OF AS THEIR PERSONAL DOCTOR OR HEALTH CARE PROVIDER.-IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS-INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS PER 1,000 POPULATION-INCREASE AWARENESS ABOUT PRIMARY CARE SERVICES AVAILABLEOPIOID ABUSEREDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE ABUSE OF OPIOID MEDICATIONS AND ILLEGAL OPIOIDS.-INCREASE AWARENESS OF AND ACCESS TO TREATMENT OPTIONS-EDUCATE ABOUT OPIOID ABUSE-DEVELOP EVIDENCE-BASED COMMUNITY STANDARDS AND PROTOCOLS.HOMELESSNESSIMPROVE THE OVERALL HEALTH AND WELL-BEING OF OUR PATIENTS BY CONNECTING THEM TO STABLE HOUSING.-IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE HOMELESS POPULATION POST DISCHARGE-EXPAND PARTICIPATION IN COMMUNITY EFFORTS TO DIRECTLY ADDRESS HOMELESSNESSGIVEN 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:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B	Facility Reporting Group C
Facility Reporting Group C consists of:	- Facility 9: PROVIDENCE MT. CARMEL HOSPITAL, - Facility 6: PROVIDENCE HOLY FAMILY HOSPITAL, - Facility 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - Facility 10: PROVIDENCE ST. JOSEPH'S HOSPITAL
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) 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. THE STEVENS COUNTY NEEDS ASSESSMENT WAS IN 2016 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 C-2, 6, 9 & 10) 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 PARIL 2018 UNTIL A FINAL COMMUNITY PRIORITIZATION VOTE IN MAY. PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL SOUGHT INPUT FORM THE COMMUNITY THROUGH FOCUS GROUPS IN THE MONTH OF APRIL 2016.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 11:	AFTER PRIORITIZING THE TOP ISSUES FROM THE NEEDS ASSESSMENTS, COMMUNITY SURVEYS AND GAPS, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHOSE TO FOCUS ON THE FOLLOWING AREAS IN THE HEALTH IMPROVEMENT PLAN: 1. EARLY CHILDHOOD SUPPORT - IMPROVE EARLY CHILDHOOD SUPPORT BY DECREASING THE PERCENTAGE OF CHILDREN LIVING IN POVERTY, BABIES BORN WITH LOW BIRTH WEIGHTS, MATERNAL SMOKING RATES AND THE INFANT MORTALITY RATE, WHILE INCREASING THE NUMBER OF PREGNANT MOTHERS WHO HAVE A PRENATAL VISIT IN THEIR FIRST TRIMESTER THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE OPTIONS FOR SUPPORT OF INFANT DEVELOPMENT- IDENTIFY PARTNERS WHO SUPPORT EARLY CHILDHOOD DEVELOPMENT- EXPLORE OPTIONS AND PARTNERS TO IDENTIFY AND REDUCE CHILD ABUSE AND NEGLECT- EXPLORE PROGRAM TO ADDRESS AND REDUCE MATERNAL SMOKING RATES- EXPLORE BEST PRACTICES TO INCREASE PRENATAL VISITS2. BASIC FOOD/NUTRITION - IMPROVE BASIC FOODS/NUTRITION BY INCREASING ADULT FRESH FRUIT AND VEGETABLE CONSUMPTION AND EXERCISE AND DECREASING DIABETES AND OBESITY IN ADULTS AND OVERWEIGHT YOUTH THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND UNDERSTAND THE EFFECTIVENESS OF THE HUNGER COALITION- ASSESS THE SUSTAINABILITY PLAN FOR HUNGER COALITION- EXPLORE OPTIONS FOR EDUCATION OF NUTRITION WITH EARLY CHILD DEVELOPMENT PARTNERS3. BEHAVIORAL HEALTH - IMPROVE BEHAVIORAL HEALTH BY DECREASING POOR MENTAL HEALTH REPORTED DAYS IN ADULTS AND FEELINGS OF SADNESS OR HOPELESSNESS IN TEENS, AND ALSO DECREASING ADULT BINGE DRINKING AND TEEN ALCOHOL USE TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH NORTHPORT SCHOOL DISTRICT AND EXPLORE PARTNERSHIPS WITH OTHER SCHOOL DISTRICTS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH RURAL RESOURCES- EXPLORE POTENTIAL PARTNERSHIPS TO ADDRESS THE NEEDS4. ACCESS TO CARE - IMPROVE ACCESS TO CARE BY INCREASING ADULTS WITH A PRIMARY CARE PROVIDER, DENTAL CHECK-UPS, AND PREVENTATIVE CANCER SCREENINGS, ESPECIALLY BREAST CANCER SCREENINGS, AND DECREASING THE UNINSURED ADULT POPULATION TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOAL.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE AND ASSESS OPTIONS FOR COUNTY AMBULANCE SERVICE- EXPLORE OPTIONS TO EXPAND AND SUSTAIN AMBULANCE SERVICE IN STEVENS COUNTY- EXPLORE SUPPORT FOR AND POTENTIAL TO EXPAND RURAL RESIDENCY PROGRAM- EXPLORE OPTIONS FOR ADVOCACY OF EXPANDED FIBER OPTIC AND INTERNET IN THE RURAL COMMUNITIESOUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 16j:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

Field	Value	IRS element (for citing)
Facility	198	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (198 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
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 HOSPICE OF SEATTLE
425 PONTIUS AVE N STE 300	SEATTLE	WA	98109	IN-HOME SERVICES
6 - PROVIDENCE INFUSION AND PHARMACY SERVICE
3333 SOUTH 120TH PLACE SUITE 100	TUKWILA	WA	98168	IN-HOME SERVICES
7 - PROVIDENCE VNA HOME HEALTH
1000 N ARGONNE	SPOKANE VALLEY	WA	99212	IN-HOME SERVICES
8 - SOUNDHOMECARE AND HOSPICE
3432 SOUTH BAY ROAD NE	OLYMPIA	WA	98506	IN-HOME SERVICES
9 - ST MARY HOME HEALTH
380 CHASE STREET	WALLA WALLA	WA	99362	IN-HOME SERVICES
10 - PROVIDENCE FAMILY MEDICINE CENTER
1201 EAST 36TH AVENUE	ANCHORAGE	AK	99508	PRIMARY CARE
11 - CHEHALIS FAMILY MEDICINE
931 S MARKET BLVD	CHEHALIS	WA	98532	PRIMARY CARE
12 - EAST OLYMPIA FAMILY MEDICINE
525 LILLY RD NE SUITE 250	OLYMPIA	WA	98506	PRIMARY CARE
13 - FAMILY MEDICINE
2902 164TH ST SW	LYNNWOOD	WA	98087	PRIMARY CARE
14 - FAMILY MEDICINE
4112 HARBOUR POINTE BLVD SW SUITE	MUKILTEO	WA	98275	PRIMARY CARE	100
15 - FAMILY MEDICINE - INDIAN TRAIL
5011 W LOWELL AVE SUITE 100	SPOKANE	WA	99208	PRIMARY CARE
16 - FAMILY MEDICINE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	PRIMARY CARE	160
17 - FAMILY MEDICINE - MILL CREEK COMMONS
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	PRIMARY CARE	201
18 - FAMILY MEDICINE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	PRIMARY CARE
19 - FAMILY MEDICINE - NORTH
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	PRIMARY CARE
20 - FAMILY MEDICINE - NORTHPOINTE
9911 N NEVADA STREET SUITE 200	SPOKANE	WA	99218	PRIMARY CARE
21 - FAMILY MEDICINE - SPOKANE VALLEY
13102 E MISSION AVENUE	SPOKANE VALLEY	WA	99216	PRIMARY CARE
22 - HAWKS PRAIRIE FAMILY MEDICINE
2555 MARVIN RD NE	LACEY	WA	98516	PRIMARY CARE
23 - NORTHEAST WASHINGTON MEDICAL GROUP - COL
1200 EAST COLUMBIA AVE	COLVILLE	WA	99114	PRIMARY CARE
24 - NORTHEAST WASHINGTON MEDICAL GROUP - FAM
100 W SOUTH AVE	CHEWELAH	WA	99109	PRIMARY CARE
25 - NORTHEAST WASHINGTON MEDICAL GROUP - GAR
143 GARDEN HOMES DRIVE	COLVILLE	WA	99114	PRIMARY CARE
26 - NORTHEAST WASHINGTON MEDICAL GROUP - KET
840 S MEYERS STREET	KETTLE FALLS	WA	99141	PRIMARY CARE
27 - PROVIDENCE FAMILY MEDICINE
380 CHASE AVENUE	WALLA WALLA	WA	99362	PRIMARY CARE
28 - PROVIDENCE FAMILY MEDICINE RESIDENCY CLI
624 E FRONT AVE	SPOKANE	WA	99202	PRIMARY CARE
29 - PROVIDENCE MEDICAL GROUP-BATTLE GROUND F
101 NW 12TH AVE SUITE 107	BATTLE GROUND	WA	98604	PRIMARY CARE
30 - PROVIDENCE MEDICAL GROUP-CAMAS
3101 SE 192ND AVE	VANCOUVER	WA	98683	PRIMARY CARE
31 - PROVIDENCE MEDICAL GROUP-MILL PLAIN
315 SE STONEMILL DRIVE SUITE 102	VANCOUVER	WA	98684	PRIMARY CARE
32 - ROCHESTER FAMILY MEDICINE
18313 PAULSON ST SW STE A	ROCHESTER	WA	98579	PRIMARY CARE
33 - ST PETER FAMILY MEDICINE
525 LILLY RD NE	OLYMPIA	WA	98506	PRIMARY CARE
34 - VALLEY FAMILY PHYSICIANS
16528 E DESMET COURT SUITE B3100	SPOKANE VALLEY	WA	99216	PRIMARY CARE
35 - WEST OLYMPIA FAMILY MEDICINE
1620 COOPER POINT ROAD SW	OLYMPIA	WA	98502	PRIMARY CARE
36 - PROVIDENCE REHABILITATION SERVICES
4411 BUSINESS PARK BLVD BUILDING	ANCHORAGE	AK	99503	REHAB & PHYSICAL THERAPY	M-20
37 - CENTRALIA PHYSICAL MEDICINE
1800 COOKS HILL ROAD SUITE E	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
38 - CENTRALIA PHYSICAL THERAPY
1900 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
39 - OLYMPIA PHYSICAL MEDICINE
410 PROVIDENCE LANE NE BUILDING 2	OLYMPIA	WA	98506	REHAB & PHYSICAL THERAPY
40 - PHYSICAL AND AQUATIC THERAPY
1809 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
41 - PROVIDENCE CHEHALIS PHYSICAL THERAPY
91 SW CHEHALIS AVE SUITE 104	CHEHALIS	WA	98532	REHAB & PHYSICAL THERAPY
42 - PROVIDENCE PHYSICAL MEDICINE AND REHABIL
301 W POPLAR STREET	WALLA WALLA	WA	99362	REHAB & PHYSICAL THERAPY
43 - TUMWATER VALLEY PHYSICAL THERAPY
4833 TUMWATER VALLEY DR STE 150	TUMWATER	WA	98501	REHAB & PHYSICAL THERAPY
44 - PROVIDENCE EXTENDED CARE
920 COMPASSION CIR	ANCHORAGE	AK	99504	SENIOR CARE
45 - PROVIDENCE HORIZON HOUSE
4140 FOLKER STREET	ANCHORAGE	AK	99508	SENIOR CARE
46 - PROVIDENCE MEDICAL GROUP SENIOR CARE
3300 PROVIDENCE DRIVE B TOWER SUITE	ANCHORAGE	AK	99508	SENIOR CARE	314
47 - PROVIDENCE TRANSITIONAL CARE CENTER
910 COMPASSION CIRCLE	ANCHORAGE	AK	99504	SENIOR CARE
48 - PROVIDENCE SEWARD MOUNTAIN HAVEN
2203 OAK STREET	SEWARD	AK	99664	SENIOR CARE
49 - ELDERPLACE FULL LIFE
7829 S 180TH STREET	KENT	WA	98032	SENIOR CARE
50 - EMILIE COURT
34 E 8TH AVENUE	SPOKANE	WA	99202	SENIOR CARE
51 - HERITAGE HOUSE AT THE MARKET
1533 WESTERN AVENUE	SEATTLE	WA	98101	SENIOR CARE
52 - PROVIDENCE ADULT DAY HEALTH
6018 N ASTOR STREET	SPOKANE	WA	99208	SENIOR CARE
53 - PROVIDENCE ELDERPLACE
4515 MARTIN LUTHER KING JR WAY S	SEATTLE	WA	98108	SENIOR CARE	SUITE 1
54 - PROVIDENCE ELDERPLACE WEST
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
55 - PROVIDENCE MARIANWOOD
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	98029	SENIOR CARE
56 - PROVIDENCE MOTHER JOSEPH CARE CENTER
3333 ENSIGN ROAD NE	OLYMPIA	WA	98506	SENIOR CARE
57 - PROVIDENCE MOUNT ST VINCENT
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
58 - PROVIDENCE ST JOSEPH CARE CENTER
17 E 8TH AVENUE	SPOKANE	WA	99202	SENIOR CARE
59 - VASHON COMMUNITY CARE
15333 VASHON HIGHWAY SW	VASHON ISLAND	WA	98070	SENIOR CARE
60 - PALLIATIVE CARE CLINIC
3851 PIPER STREET TOWER U STE LL002	ANCHORAGE	AK	99508	SPECIALTY CLINIC
61 - PROVIDENCE ALASKA NEUROSCIENCE CENTER
3851 PIPER STREET	ANCHORAGE	AK	99508	SPECIALTY CLINIC
62 - PROVIDENCE MEDICAL GROUP BEHAVIORAL HEAL
3760 PIPER STREET SUITE 1108	ANCHORAGE	AK	99508	SPECIALTY CLINIC
63 - PROVIDENCE MEDICAL GROUP MATERNAL-FETAL
3260 PROVIDENCE DRIVE SUITE C-522	ANCHORAGE	AK	99508	SPECIALTY CLINIC
64 - PROVIDENCE MEDICAL GROUP PEDIATRIC GASTR
3340 PROVIDENCE DRIVE SUITE A-567	ANCHORAGE	AK	99508	SPECIALTY CLINIC
65 - PROVIDENCE MEDICAL GROUP PEDIATRIC PULMO
3200 PROVIDENCE DRIVE SUITE D-338	ANCHORAGE	AK	99508	SPECIALTY CLINIC
66 - PROVIDENCE MEDICAL GROUP PEDIATRIC SUBSP
3340 PROVIDENCE DRIVE SUITE A-351	ANCHORAGE	AK	99508	SPECIALTY CLINIC
67 - PROVIDENCE MEDICAL GROUP PEDIATRIC SURGE
3340 PROVIDENCE DRIVE SUITE A-565	ANCHORAGE	AK	99508	SPECIALTY CLINIC
68 - PROVIDENCE MEDICAL GROUP U-MED
3260 PROVIDENCE DRIVE C TOWER SUITE	ANCHORAGE	AK	99508	SPECIALTY CLINIC	436
69 - PROVIDENCE PEDIATRIC ONCOLOGY & INFUSION
3851 PIPER ST SUITE U1-213	ANCHORAGE	AK	99508	SPECIALTY CLINIC
70 - PROVIDENCE EAGLE RIVER MEDICAL OFFICE BU
17101 SNOWMOBILE LANE	EAGLE RIVER	AK	99577	SPECIALTY CLINIC
71 - PROVIDENCE MEDICAL GROUP MAT-SU BEHAVIOR
2250 S WOODWORTH LOOP SUITE 202	PALMER	AK	99645	SPECIALTY CLINIC
72 - PROVIDENCE MEDICAL OFFICE BUILDING MAT-S
2250 SOUTH WOODWORTH LOOP	PALMER	AK	99645	SPECIALTY CLINIC
73 - ANTICOAGULATION - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	160
74 - ANTICOAGULATION - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
75 - AUDIOLOGY - NORTON BUILDING
3216 NORTON AVE SUITE 102	EVERETT	WA	98201	SPECIALTY CLINIC
76 - CANCER CARE - PROVIDENCE REGIONAL CANCER
1717 13TH ST	EVERETT	WA	98201	SPECIALTY CLINIC
77 - CARDIAC AND THORACIC SURGERY - COLBY CAM
1330 ROCKEFELLER SUITE 400	EVERETT	WA	98201	SPECIALTY CLINIC
78 - CARDIOLOGY - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 310	EVERETT	WA	98201	SPECIALTY CLINIC
79 - CARDIOLOGY - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
80 - CARDIOLOGY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
81 - CARDIOLOGY ASSOCIATES - ABERDEEN
1921 SUMNER AVE	ABERDEEN	WA	98520	SPECIALTY CLINIC
82 - CARDIOLOGY ASSOCIATES - CENTRALIA
1800 COOKS HILL ROAD SUITE K	CENTRALIA	WA	98531	SPECIALTY CLINIC
83 - CARDIOLOGY ASSOCIATES - SHELTON
939 MOUNTAIN VIEW DR	SHELTON	WA	98584	SPECIALTY CLINIC
84 - CARDIOLOGY ASSOCIATES - YELM
201 TAHOMA BLVD SE SUITE 204	YELM	WA	98597	SPECIALTY CLINIC
85 - CENTRALIA GENERAL SURGERY
1720 COOKS HILL ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
86 - CENTRALIA INTERNAL MEDICINE
1010 SOUTH SCHEUBER ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
87 - CENTRALIA UROLOGY
1800 COOKS HILL ROAD SUITE F	CENTRALIA	WA	98531	SPECIALTY CLINIC
88 - CENTRALIA WOMEN'S CENTER
1000 S SCHEUBER ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
89 - CLINIC AT PANORAMA
1450 NORTHWEST LANE SE SUITE A	LACEY	WA	98503	SPECIALTY CLINIC
90 - CRANIAL SPINE AND JOINT
1717 13TH ST SUITE 401	EVERETT	WA	98201	SPECIALTY CLINIC
91 - EAR NOSE AND THROAT - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
92 - EAR NOSE AND THROAT - MILL CREEK CAMPU
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	110
93 - EAR NOSE AND THROAT - NORTON BUILDING
3216 NORTON AVE SUITE 102	EVERETT	WA	98201	SPECIALTY CLINIC
94 - ENDOCRINOLOGY - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 210	EVERETT	WA	98201	SPECIALTY CLINIC
95 - ENDOCRINOLOGY - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
96 - ENDOCRINOLOGY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
97 - EPILEPSY CENTER - SACRED HEART DOCTORS B
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
98 - EVERETT HEALTHCARE CLINIC
930 NORTH BROADWAY	EVERETT	WA	98201	SPECIALTY CLINIC
99 - FAMILY MEDICINE & MATERNITY CARE SOUTH
2020 E 29TH AVE	SPOKANE	WA	99203	SPECIALTY CLINIC
100 - GENERAL SURGERY - NORTON BUILDING
3216 NORTON AVE SUITE 202	EVERETT	WA	98201	SPECIALTY CLINIC
101 - GENETICS CLINIC
105 W 8TH AVE SUITE 454E	SPOKANE	WA	99204	SPECIALTY CLINIC
102 - GYNECOLOGIC ONCOLOGY
1717 13TH ST SUITE 300	EVERETT	WA	98201	SPECIALTY CLINIC
103 - HAWKS PRAIRIE INTERNAL MEDICINE
2555 MARVIN RD NE	LACEY	WA	98516	SPECIALTY CLINIC
104 - INFECTIOUS DISEASE - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 520	EVERETT	WA	98201	SPECIALTY CLINIC
105 - INTERNAL MEDICINE
820 S MCCLELLAN STREET SUITES 200	SPOKANE	WA	99204	SPECIALTY CLINIC	500
106 - INTERNAL MEDICINE - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 210	EVERETT	WA	98201	SPECIALTY CLINIC
107 - INTERNAL MEDICINE - FIFTH AVENUE
910 W 5TH AVE SUITE 701	SPOKANE	WA	99204	SPECIALTY CLINIC
108 - INTERNAL MEDICINE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	180
109 - INTERNAL MEDICINE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
110 - MARYSVILLE CLINIC
11603 STATE AVE SUITE G	MARYSVILLE	WA	98271	SPECIALTY CLINIC
111 - MIDWIFERY - MILL CREEK COMMONS
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	SPECIALTY CLINIC	201
112 - MIDWIFERY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
113 - MIDWIFERY - PAVILION FOR WOMEN & CHILDRE
900 PACIFIC AVE SUITE 501	EVERETT	WA	98201	SPECIALTY CLINIC
114 - MINIMALLY INVASIVE HEART SURGERY
122 W 7TH AVENUE	SPOKANE	WA	99204	SPECIALTY CLINIC
115 - MULTIPLE SCLEROSIS CENTER
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
116 - NEPHROLOGY - HYPERTENSION KIDNEY CARE &
105 W 8TH AVE SUITE 7060	SPOKANE	WA	99204	SPECIALTY CLINIC
117 - NEUROLOGY NEUROSURGERY & SPINE
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
118 - NORTHWEST HEART & LUNG SURGICAL ASSOCIAT
122 W 7TH AVE SUITE 110	SPOKANE	WA	99204	SPECIALTY CLINIC
119 - OBSTETRICS AND GYNECOLOGY - MILL CREEK C
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	SPECIALTY CLINIC	201
120 - OBSTETRICS AND GYNECOLOGY - MONROE CLINI
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
121 - OBSTETRICS AND GYNECOLOGY - PAVILLION FO
900 PACIFIC AVE SUITE 501	EVERETT	WA	98201	SPECIALTY CLINIC
122 - OCCUPATIONAL MEDICINE - DOWNTOWN
421 S DIVISION ST SUITE 2	SPOKANE	WA	99202	SPECIALTY CLINIC
123 - OCCUPATIONAL MEDICINE - NORTH
551 E HAWTHORNE ROAD	SPOKANE	WA	99218	SPECIALTY CLINIC
124 - OCCUPATIONAL MEDICINE - SPOKANE VALLEY
16528 E DESMET COURT SUITE A1600	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
125 - OLYMPIA CARDIAC SURGERY
525 LILLY RD NE SUITE 200	OLYMPIA	WA	98506	SPECIALTY CLINIC
126 - OLYMPIA ENDOCRINOLOGY
2555 MARVIN RD NE	LACEY	WA	98516	SPECIALTY CLINIC
127 - OLYMPIA INFECTIOUS DISEASE CLINIC
3525 ENSIGN RD NE SUITE R	OLYMPIA	WA	98506	SPECIALTY CLINIC
128 - OLYMPIA UROLOGY
149 LILLY ROAD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
129 - ORTHOPEDICS
820 S MCCLELLAN ST SUITE 300	SPOKANE	WA	99204	SPECIALTY CLINIC
130 - ORTHOPEDICS - NORTH
212 E CENTRAL AVE SUITE 245	SPOKANE	WA	99208	SPECIALTY CLINIC
131 - PEDIATRIC ASSOCIATES - NORTHPOINTE
9911 N NEVADA ST SUITE 200	SPOKANE	WA	99218	SPECIALTY CLINIC
132 - PEDIATRIC GASTROENTEROLOGY - SACRED HEAR
105 W 8TH AVE SUITE 150E	SPOKANE	WA	99204	SPECIALTY CLINIC
133 - PEDIATRIC PULMONOLOGY & CYSTIC FIBROSIS
105 W 8TH AVE SUITE 660E	SPOKANE	WA	99204	SPECIALTY CLINIC
134 - PEDIATRIC UROLOGY
315 W 9TH AVE SUITE 200	SPOKANE	WA	99204	SPECIALTY CLINIC
135 - PEDIATRICS
2902 164TH ST SW	LYNNWOOD	WA	98087	SPECIALTY CLINIC
136 - PEDIATRICS
4112 HARBOUR POINTE BLVD SW SUITE	MUKILTEO	WA	98275	SPECIALTY CLINIC	100
137 - PEDIATRICS - INDIAN TRAIL
5011 W LOWELL AVE SUITE 100	SPOKANE	WA	99208	SPECIALTY CLINIC
138 - PEDIATRICS - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	190
139 - PEDIATRICS - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
140 - PEDIATRICS - NORTH
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
141 - PHYSIATRY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
142 - PLASTIC AND RECONSTRUCTIVE SURGERY - MIL
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	260
143 - PROVIDENCE CARDIOLOGY ASSOCIATES
500 LILLY RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
144 - PROVIDENCE EAR NOSE & THROAT
301 W POPLAR STREET SUITE 210	WALLA WALLA	WA	99362	SPECIALTY CLINIC
145 - PROVIDENCE GASTROENTEROLOGY
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
146 - PROVIDENCE GASTROENTEROLOGY
301 W POPLAR STREET SUITE 210	WALLA WALLA	WA	99362	SPECIALTY CLINIC
147 - PROVIDENCE GENERAL SURGERY
380 CHASE AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
148 - PROVIDENCE HIV CLINIC
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
149 - PROVIDENCE IN HOME PRIMARY CARE
1830 BICKFORD AVENUE	SNOHOMISH	WA	98290	SPECIALTY CLINIC
150 - PROVIDENCE INTERNAL MEDICINE
16528 E DESMET COURT SUITE B2100	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
151 - PROVIDENCE INTERNAL MEDICINE
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
152 - PROVIDENCE INTERNAL MEDICINE RESIDENCY C
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
153 - PROVIDENCE LIVER AND PANCREAS
105 W 8TH AVE SUITE 7050	SPOKANE	WA	99204	SPECIALTY CLINIC
154 - PROVIDENCE MEDICAL PARK
16528 E DESMET COURT	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
155 - PROVIDENCE NEPHROLOGY
301 W POPLAR STREET SUITE 100	WALLA WALLA	WA	99362	SPECIALTY CLINIC
156 - PROVIDENCE NEUROLOGY
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
157 - PROVIDENCE OCCUPATIONAL HEALTH
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
158 - PROVIDENCE ORTHOPEDIC SURGERY
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
159 - PROVIDENCE ORTHOPEDICS - SPOKANE VALLEY
16528 E DESMET COURT SUITE A2200	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
160 - PROVIDENCE REGIONAL CANCER CENTER
105 W 8TH AVE SUITE 550E	SPOKANE	WA	99204	SPECIALTY CLINIC
161 - PROVIDENCE REGIONAL CANCER SYSTEM
4525 THIRD AVENUE SE STE 200	LACEY	WA	98503	SPECIALTY CLINIC
162 - PROVIDENCE REGIONAL CANCER SYSTEM - ABER
954 ANDERSON DRIVE STE 102	ABERDEEN	WA	98520	SPECIALTY CLINIC
163 - PROVIDENCE REGIONAL CANCER SYSTEM - CENT
2015 COOKS HILL RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
164 - PROVIDENCE REGIONAL CANCER SYSTEM - SHEL
2026 OLYMPIC HIGHWAY N SUITE 203	SHELTON	WA	98584	SPECIALTY CLINIC
165 - PROVIDENCE REGIONAL CANCER SYSTEM - YELM
201 TAHOMA BLVD SE STE 204	YELM	WA	98597	SPECIALTY CLINIC
166 - PROVIDENCE SPOKANE CARDIOLOGY
122 W 7TH AVE SUITE 450	SPOKANE	WA	99204	SPECIALTY CLINIC
167 - PROVIDENCE SPOKANE HEART INSTITUTE
122 W 7TH AVENUE	SPOKANE	WA	99204	SPECIALTY CLINIC
168 - PROVIDENCE ST PETER CHEMICAL DEPENDENCY
4800 COLLEGE STREET SE	LACEY	WA	98503	SPECIALTY CLINIC
169 - PROVIDENCE ST MARY NEUROSCIENCE INSTITU
301 W POPLAR STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
170 - PROVIDENCE ST PETER OUTPATIENT ORTHOPED
410 PROVIDENCE LANE NE 2ND FLOOR	OLYMPIA	WA	98506	SPECIALTY CLINIC
171 - PROVIDENCE UROLOGY
301 W POPLAR STREET SUITE 50	WALLA WALLA	WA	99362	SPECIALTY CLINIC
172 - PULMONARY AND SLEEP DISORDER CLINIC
212 E CENTRAL AVE SUITE 315	SPOKANE	WA	99208	SPECIALTY CLINIC
173 - PULMONARY ONCOLOGY - SACRED HEART DOCTOR
105 W 8TH AVE SUITE 550E	SPOKANE	WA	99204	SPECIALTY CLINIC
174 - SEXUAL ASSAULT CLINIC
420 GOLF CLUB ROAD SUITE 203	LACEY	WA	98503	SPECIALTY CLINIC
175 - SLEEP CENTER FOR SOUTHWEST WASHINGTON
500 LILLY RD NE SUITE 110	OLYMPIA	WA	98605	SPECIALTY CLINIC
176 - SLEEP HEALTH - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	160
177 - SLEEP HEALTH - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
178 - SLEEP LAB - PAVILION FOR WOMEN & CHILDRE
900 PACIFIC AVE 2ND FLOOR	EVERETT	WA	98201	SPECIALTY CLINIC
179 - SNOHOMISH CLINIC
1830 BICKFORD AVENUE SUITE 211	SNOHOMISH	WA	98290	SPECIALTY CLINIC
180 - SOUTH SOUND INTERNAL MEDICINE
3425 ENSIGN ROAD NE SUITE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
181 - SOUTH SOUND PULMONARY AND SLEEP MEDICINE
500 LILLY RD NE SUITE 201	OLYMPIA	WA	98506	SPECIALTY CLINIC
182 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU
2555 MARVIN RD NE LACEY	LACEY	WA	98516	SPECIALTY CLINIC
183 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU
1010 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
184 - SOUTHWEST WASHINGTON NEUROSURGERY
615 LILLY ROAD SUITE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
185 - ST PETER OUTPATIENT PEDIATRIC THERAPIES
410 PROVIDENCE LANE NE 2ND FLOOR	OLYMPIA	WA	98506	SPECIALTY CLINIC
186 - TRAVEL MEDICINE CLINIC
525 LILLY ROAD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
187 - VALLEY YOUNG PEOPLE'S CLINIC
1414 NORTH VERCLER ROAD 1	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
188 - VASCULAR INSTITUTE - PROVIDENCE SPOKANE
122 W 7TH AVENUE SUITE 420	SPOKANE	WA	99204	SPECIALTY CLINIC
189 - VASCULAR SURGERY - COLBY CAMPUS MOB
1330 ROCKEFELLER AVE SUITE 520	EVERETT	WA	98201	SPECIALTY CLINIC
190 - VEIN CENTER
1923 S GRAND BLVD	SPOKANE	WA	99203	SPECIALTY CLINIC
191 - VEIN CENTER - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
192 - WALK-IN CARE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	110
193 - WALK-IN CARE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
194 - PROVIDENCE URGENT CARE
380 CHASE AVE	WALLA WALLA	WA	99362	URGENT CARE
195 - URGENT CARE - 5TH & DIVISION
421 S DIVISION STREET	SPOKANE	WA	99202	URGENT CARE
196 - URGENT CARE - HAWTHORNE
551 E HAWTHORNE ROAD	SPOKANE	WA	99218	URGENT CARE
197 - URGENT CARE - SPOKANE VALLEY
16528 E DESMET COURT SUITE A1200	SPOKANE VALLEY	WA	99216	URGENT CARE
198 - WEST OLYMPIA IMMEDIATE CARE
1620 COOPER POINT ROAD SW	OLYMPIA	WA	98502	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 I, Ln 7 Col(f):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $41,210,319.
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. PROVIDENCE ALSO MAKES COMMUNITY INVESTMENTS AND OFFERS FUNDING SUPPORT TO ORGANIZATIONS KNOWN TO HAVE ONGOING, POSITIVE COMMUNITY OUTCOMES. A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES - LIVEWELL CENTER CONNECTS PEOPLE WITH A CLEARINGHOUSE TO ENABLE USERS TO MORE EASILY FIND AND ACCESS HEALTH AND WELL BEING INFORMATION AND TOOLS, AND CONNECTS THEM WITH THE MANY COMMUNITY ASSETS THROUGHOUT THE COUNTY.CHRONIC UTILIZER ALTERNATIVE RESPONSE TEAM - PROVIDENCE JOINED THIS TEAM, WHICH INCLUDES THE EVERETT POLICE DEPARTMENT, EVERETT FIRE DEPARTMENT, SNOHOMISH COUNTY DEPARTMENT OF HUMAN SERVICES, SNOHOMISH COUNTY JAIL, THE CITY OF EVERETT AND OTHERS. THE PROGRAM IS DESIGNED TO IDENTIFY CHRONICALLY HOMELESS PEOPLE AND CONNECT THEM WITH SERVICES.EVERETT GOSPEL MISSION - PROVIDENCE ENGAGED IN A VARIETY OF COMMUNITY ACTIVITIES TO ADDRESS HOMELESSNESS, INCLUDING COLLABORATION WITH THE EVERETT GOSPEL MISSION IN A PROGRAM THAT PROVIDES EMERGENT, TEMPORARY AND SOME EXTENDED-TERM HOUSING FOR HOMELESS INDIVIDUALS WHO HAVE A MEDICAL NEED FOR REST. HOMELESS PATIENTS THAT ARE DISCHARGED FROM PROVIDENCE THAT NEED MEDICAL REST ARE CONNECTED WITH THE EVERETT GOSPEL MISSION FOR ASSIGNMENT TO ONE OF EIGHT MEDICAL REST BEDS. A PROVIDENCE GRANT COVERS A PORTION OF THE COST OF THESE BEDS.UNITED WAY OF SNOHOMISH COUNTY POVERTY SIMULATION - STAFF AT PROVIDENCE ATTENDED THE EVENT TO LEARN ABOUT AND UNDERSTAND THE SITUATIONS SOME OF THE MOST VULNERABLE IN OUR COMMUNITY EXPERIENCE EVERY DAY. UNITED WAY PROJECT HOMELESS CONNECT - STAFF PARTICIPATE IN THIS COMMUNITY EVENT TO PROVIDE MEDICAL SCREENING, DENTAL CARE AND OTHER SERVICES FOR HOMELESS INDIVIDUALS.PROJECT ACCESS NORTHWEST - PREMIUM ASSISTANCE PROGRAM TO PROVIDE SUPPORT TO THOSE THAT MAY NEED ASSISTANCE WITH PAYING INSURANCE PREMIUMS AS WELL AS ASSISTING LOW INCOME, UNINSURED PATIENTS WITH COORDINATION AND FOLLOW UP FOR PRIMARY CARE SERVICES.WORKPLACE HEALTH - PROVIDENCE PARTNERED WITH THE ECONOMIC ALLIANCE OF SNOHOMISH COUNTY TO LAUNCH A WORKPLACE HEALTH AND PRODUCTIVITY INITIATIVE AND AS THE FIRST STEP PRODUCED AN ECONOMIC REPORT SHOWING THE TOTAL BURDEN OF HEALTH ON EMPLOYERS.HEALTH AND WELL-BEING MONITOR - THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL NEEDS ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS.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.ECONOMIC ALLIANCE OF SNOHOMISH COUNTY - SERVES AS A CATALYST FOR ECONOMIC VITALITY THAT RESULTS IN STRONGER COMMUNITIES, INCREASED JOB CREATION, EXPANDED EDUCATIONAL OPPORTUNITIES, AND IMPROVED INFRASTRUCTURE. TRAINING AND EDUCATION - FUNDING TO ORGANIZATIONS SUCH AS EVERETT COMMUNITY COLLEGE, GREATER TRINITY ACADEMY, AND LEADERSHIP SNOHOMISH COUNTY TO PROVIDE EARLY EDUCATION, POST SECONDARY EDUCATION, TRAINING, AND DEVELOPMENT TO MEMBERS OF THE COMMUNITY.HOUSING, HOMELESSNESS AND EMERGENCY SHELTERS - FUNDING TO ORGANIZATIONS SUCH AS THE COCOON HOUSE, HOUSING HOPE, PEORIA HOME, AND DOMESTIC VIOLENCE SERVICES TO PROVIDE EMERGENCY SHELTER AND OTHER COMPREHENSIVE SERVICES TO VULNERABLE POPULATIONS.PRESCRIPTION DRUG ASSISTANCE FOUNDATION - ASSIST LOW TO MODERATE INCOME PEOPLE GAIN ACCESS TO PRESCRIBED MEDICATIONS THAT THEY OTHERWISE CANNOT AFFORD.GUN STORAGE - FUNDING AND VOLUNTEERS TO SUPPORT SEATTLE CHILDREN'S HOSPITAL GUN STORAGE EVENT TO PREVENT FIREARM TRAGEDIES.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. IN 2017, 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 2016 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 II, Community Building Activities:	PROVIDENCE 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 2018, 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 2016 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:	THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES 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 IDENTICY 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 CENTEREVERY THREE YEARS, PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS 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 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 LEAD 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 CENTERTHE 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 DISTRICTPROVIDENCE 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. 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.
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.
Part VI, Line 6:	ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, 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 AND OVER 829 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.IN DECEMBER 2015 REPRESENTATIVES FROM PROVIDENCE HEALTH CARE MET WITH STAFF FROM THE NORTHEAST TRI COUNTY HEALTH DISTRICT, EMPIRE HEALTH FOUNDATION AND EASTERN WASHINGTON UNIVERSITY TO BEGIN PLANNING FOR THE 2016 NEEDS ASSESSMENT. A PLAN WAS ESTABLISHED TO ENGAGE THE COMMUNITY IN A THOUGHT-PROVOKING PROCESS DURING A ONE-MONTH PERIOD. THE GROUP REVIEWED DATA TRACKED AVAILABLE FROM THE NORTHEAST WASHINGTON TRENDS WEBSITE, COUNTY HEALTH RANKINGS, AND PROVIDENCE EMERGENCY DEPARTMENT CARE. THIS DATA DESCRIBES MORE THAN 45 HEALTH MEASURES ON ACCESS, INFANT/MATERNAL HEALTH, MENTAL AND BEHAVIORAL HEALTH, SMOKING, HEALTHY BEHAVIORS, OUTCOMES, AND DENTAL. PARTICIPANTS THEN PARTICIPATED IN AT LEAST ONE OF THE FOUR FOCUS GROUP DISCUSSIONS AND EXPLORED DATA THAT MOST REFLECTED THE MISSION OR VISION OF THEIR ORGANIZATION AND CONCERN IN THE COMMUNITY.FOUR FOCUS GROUPS WERE HELD IN VARIOUS LOCATIONS THROUGHOUT STEVENS AND POND OREILLE COUNTIES. A FACILITATOR PRESENTED DATA AND ASKED QUESTIONS TO ENCOURAGE THE GROUPS TO COME TO A CONSENSUS ON THREE TOP PRIORITY HEALTH ISSUES BASED ON THE DATA AND THEIR EXPERIENCE AS AN ORGANIZATION AND WORKING WITH CLIENTS IN THEIR COMMUNITIES. FOCUS GROUPS WERE USED DUE TO THE RURAL NATURE OF THE REGION AND THE LIMITED QUANTITATIVE DATA AVAILABLE. IT IS ESSENTIAL TO GET THE VOICE OF THOSE IN THE COMMUNITY TO GIVE MORE DEPTH TO THE DATA.THE FOLLOWING DATA IS WHAT WAS PRESENTED TO THE FOCUS GROUP PARTICIPANTS:- THE COUNTY HEALTH RANKINGS IS SOURCED FROM THE UNIVERSITY OF WISCONSIN THROUGH A PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION TO RANK ALL COUNTIES ACROSS THE NATION ON SPECIFIC INDICATORS.- THE EXAMINATION OF KEY MEASURES OF HEALTH IN FERRY, STEVENS, AND PEND OREILLE COUNTIES PULLED SPECIFIC INDICATORS MEASURED IN VARIOUS FORMS, INCLUDING THE HEALTHY YOUTH SURVEY, BRFSS, CENSUS DATA AND OTHERS. THIS IS AMALGAMATED BY THE EASTERN WASHINGTON UNIVERSITY, INSTITUTE FOR PUBLIC POLICY AND ECONOMIC ANALYSIS. THESE INDICATORS WERE USED IN THE PREVIOUS NEEDS ASSESSMENT, AND WE CONTINUE TO MONITOR THEM FOR ANY TREND MOVEMENT.- THE STEVENS COUNTY HOMELESS AND LOW-INCOME EMERGENCY ROOM USAGE DATA WAS PULLED FROM PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ELECTRONIC MEDICAL RECORDS.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 2016, 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 SEWARD MEDICAL & CARE CENTEREVERY THREE YEARS, PROVIDENCE SEWARD MEDICAL AND CARE CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER SEWARD COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2015, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PROVIDENCE TO FACILITATE THE CHNA PROCESS ON BEHALF OF THE HOSPITAL.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PSMCC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES - ALASKA REGION AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXISTS WITHIN THE SEWARD 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, 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 VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE)PROGRAMKEY INFORMATIONAL INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PSMCC. 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.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. QUANTITATIVE INFORMATION FOR DEMOGRAPHIC AND HEALTH STATUS WAS AVAILABLE AT THE SERVICE AREA LEVEL FOR KENAI PENINSULA. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE KENAI PENINSULA BOROUGH AND THE COMMUNITY OF SEWARD, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY.
Part VI, Line 2 (Continued)	PROVIDENCE VALDEZ MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE VALDEZ MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER VALDEZ COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2017, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PVMC AND PROVIDENCE HEALTH SERVICES ALASKA TO FACILITATE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS ON BEHALF OF THE HOSPITAL. THE CHNA PROCESS UTILIZED TO CONDUCT THE ASSESSMENT HAS BEEN ADOPTED FROM SEVERAL OF THE LEADING SOURCES ON THE SUBJECT. THESE SOURCES INCLUDE:- ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT,- FLEX MONITORING TEAM, AND- RURAL HEALTH WORKS.THE SERVICE AREA FOR PVMC WAS CREATED WITH INPUT FROM THE PVMC AND PROVIDENCE LEADERSHIP TEAM. THE CHNA FOCUSED ON THE NEEDS OF THE GREATER VALDEZ COMMUNITY. WHILE EVERY EFFORT WAS TAKEN TO GATHER DETAILED DATA FOR THE VALDEZ COMMUNITY, IT WAS NECESSARY IN CERTAIN AREAS TO EXPAND THE DEFINITION OF THE SERVICE AREA TO THE VALDEZ- CORDOVA CENSUS AREA. THIS WAS DONE TO COLLECT CENSUS AND COUNTY HEALTH RANKINGS DATA THAT IS ONLY AVAILABLE FOR THE CENSUS AREA.KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PVMC. 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 PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. INTERVIEWEES WERE CONTACTED AND ASKED TO PARTICIPATE IN THE KEY INFORMATIONAL INTERVIEWS.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PVMC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES ALASKA AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXIST WITHIN THE VALDEZ COMMUNITY. ROUGHLY ONE IN FOUR ADULT VALDEZ RESIDENTS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY.SECONDARY DATA WAS COLLECTED FROM TWO MAJOR SOURCES:- ESRI (BASED ON US CENSUS DATA)- COUNTY HEALTH RANKINGSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS, 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 VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) PROGRAMTHIS REPORT PRESENTS A SUMMARY THAT HIGHLIGHTS THE DATA FINDINGS, PRESENTS KEY PRIORITIES IDENTIFIED THROUGH THE CHNA, AND PVMC BOARD-APPROVED IMPLEMENTATION PLAN.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. SECONDARY DATA (BRFSS, NVSS, SAHIE) IS ONLY AVAILABLE AT THE VALDEZ-CORDOVA CENSUS AREA LEVEL. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE VALDEZ-CORDOVA CENSUS AREA AND THE COMMUNITY OF VALDEZ, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY IN THE SECONDARY DATA SOURCES.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.PROVIDENCE VALDEZ MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE VALDEZ MEDICAL CENTER IS DEFINED AS THE CITY OF VALDEZ. VALDEZ IS LOCATED ON PRINCE WILLIAM SOUND AND SURROUNDED BY THE CHUGACH MOUNTAINS. THE CITY IS CONNECTED TO THE INTERIOR OF ALASKA BY THE RICHARDSON HIGHWAY AND IS ROUGHLY 300 MILES BY ROAD FROM ANCHORAGE. THE AREA SEES SIGNIFICANT ANNUAL PRECIPITATION WITH AN AVERAGE SNOWFALL OF NEARLY 300 INCHES PER YEAR. VALDEZ IS A FISHING PORT FOR BOTH COMMERCIAL AND SPORT FISHING. IT IS ALSO THE TERMINUS OF THE TRANS-ALASKA PIPELINE WHERE ALASKA NORTH SLOPE OIL IS LOADED ONTO SHIPS FOR TRANSPORT TO EXTERNAL MARKETS.POPULATION AND AGE DEMOGRAPHICSTHE 2015 U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ESTIMATES THE VALDEZ POPULATION IS 3,979.- 26% PERCENT YOUTH (0-18 YEARS)- 68% PERCENT YOUNG ADULTS (18-64 YEARS)- 5% PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITYTHE FOLLOWING DATA IS BASED ON THE 2010 CENSUS.- 81.5 PERCENT WERE WHITE- 1.9 PERCENT WERE ASIAN- 8.2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 4.7 PERCENT WERE HISPANIC OR LATINO- 0.6 PERCENT WERE AFRICAN AMERICAN OR BLACK- 0.8 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOMETHE FOLLOWING DATA IS BASED ON THE 2011-2015 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES:- $98,204 = MEDIAN HOUSEHOLD INCOME- 4.5 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 9.4 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING- MEDIAN GROSS RENT IS $1136- 67.2 PERCENT OF HOUSING UNITS/HOMES ARE OWNER-OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)
Part VI, Line 4 (Continued)	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.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.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 DEMOGRAPHICSTHE 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)PROVIDENCE SEWARD MEDICAL & CARE CENTERSEWARD IS LOCATED ON RESURRECTION BAY, A FJORD OF THE GULF OF ALASKA ON THE KENAI PENINSULA. SEWARD IS SITUATED ON ALASKA'S SOUTHERN COAST AND AT THE SOUTHERN TERMINUS OF THE SEWARD HIGHWAY, WHICH IS THE ONLY ROAD IN OR OUT OF SEWARD. THE GREATER SEWARD AREA INCLUDES NOT ONLY THE CITY OF SEWARD (POPULATION ~ 2,700), BUT THE COMMUNITIES OF BEAR CREEK (POPULATION ~ 1,950) AND MOOSE PASS (POPULATION ~ 220). BEAR CREEK IS LOCATED JUST NORTH OF AND ADJACENT TO THE CITY OF SEWARD. MOOSE PASS IS LOCATED 28 MILES NORTH OF SEWARD AND IS A VERY SMALL COMMUNITY THAT IS LARGELY RELIANT UPON THE SERVICES AVAILABLE IN SEWARD.POPULATION AND AGE DEMOGRAPHICS:TOTAL POPULATION OF THE PSMCC SERVICE AREA IS 4,932 - 18.6% YOUTH (0-19 YEARS)- 38.5% YOUNG ADULTS (20-44 YEARS)- 30.9% OLDER ADULTS (45-64 YEARS)- 12.0% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 75.9% WHITE/CAUCASIAN- 5.3% ASIAN - 3.1% WERE HISPANIC OR LATINO - 13.6% WERE ALASKA NATIVE OR AMERICAN INDIAN- 1.1 % WERE AFRICAN AMERICAN OR BLACK - 0.4% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER - 3.7% WERE OF TWO OR MORE RACES.INCOME AND HOUSING- $70,000 = MEDIAN HOUSEHOLD INCOME- 6.2% UNEMPLOYMENT- 8.7% BELOW POVERTY- 62.5% OF HOMES ARE OWNER-OCCUPIED- 2.5% ARE HOMELESS

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (115 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PHC FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	320014330	501(C)(3)	$1,449,812	OPERATIONAL SUPPORT
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	920093565	501(C)(3)	$1,341,457	COMMUNITY SUPPORT
SPOKANE TEACHING HEALTH CENTER
PO BOX 244	SPOKANE	WA	99210	464139065	501(C)(3)	$1,173,727	SUPPORT FOR OPERATIONS
PROVIDENCE GENERAL FOUNDATION
916 PACIFIC AVENUE BOX 1067	EVERETT	WA	98206	911041617	501(C)(3)	$790,939	MONTHLY FOUNDATION SUPPORT
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911097056	501(C)(3)	$687,061	OPERATIONAL SUPPORT
PROVIDENCE MT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911188119	501(C)(3)	$567,024	SUBSIDIZE FOUNDATION EXPENSES
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912077378	501(C)(3)	$545,043	SUBSIDIZE FOUNDATION EXPENSES
CATHOLIC CHARITIES
PO BOX 2253	SPOKANE	WA	99210	910569880	501(C)(3)	$512,000	COMMUNITY SUPPORT
YOUNG MEN'S CHRISTIAN ASSOCIATION
2720 ROCKEFELLER AVE	EVERETT	WA	98206	910565561	501(C)(3)	$350,000	SUPPORT AND SPONSORSHIP
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	452841492	501(C)(3)	$316,898	FOUNDATION OPERATIONS SUPPORT
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	272552749	501(C)(3)	$260,474	SUBSIDIZE FOUNDATION EXPENSES
WHOLE PERSON CARE INITIATIVE
1215 K STREET 2000	SACAMENTO	CA	95814	821005805	501(C)(3)	$250,000	COMMUNITY SUPPORT
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	931554288	501(C)(3)	$203,119	SUBSIDIZE FOUNDATION EXPENSES
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	501(C)(3)	$200,000	PROV HOSPITAL COMMUNITY CONTRIBUTION
UNITED STATES OF CARE CAMPAIGN
PO BOX 32025	WASHINGTON	DC	20007	822860302	501(C)(3)	$200,000	COMMUNITY SUPPORT
SPOKANE TREATMENT AND RECOVERY SERVICES
PO BOX 2845	SPOKANE	WA	99220	911108762	501(C)(3)	$175,000	COMMUNITY DETOX ENHANCEMENT PROGRAM
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911307555	501(C)(3)	$164,454	COMMUNITY HEALTH EDUCATION OUTREACH
CATHOLIC SOCIAL SERVICES INC
225 CORDOVA ST BLDG B	ANCHORAGE	AK	99501	920037322	501(C)(3)	$154,100	COMMUNITY SUPPORT
EXCELSIOR YOUTH CENTER
3754 W INDIAN TRAIL RD	SPOKANE	WA	99208	911189908	501(C)(3)	$150,000	OPERATIONAL SUPPORT
UNIVERSITY OF WASHINGTON FOUNDATION
MACKENZIE HALL BOX 3532000	SEATTLE	WA	98195	943079432	501(C)(3)	$155,000	COMMUNITY SUPPORT - SPONSORSHIP
VOLUNTEERS OF AMERICA
525 W 2ND	SPOKANE	WA	99201	582043747	501(C)(3)	$140,550	WOMENS HOMELESS RESPITE
COALITION TO PROTECT AMERICA'S HEALTHCARE
4600 EAST-WEST HIGHWAY SUITE 900	BETHESDA	MD	20814	522253225	501(C)(4)	$125,000	CONTRIBUTIONS
PROVIDENCE HEALTH CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911433382	501(C)(3)	$122,776	OPERATIONAL SUPPORT
PARTNERS WITH FAMILIES AND CHILDREN
1321 W BROADWAY	SPOKANE	WA	99201	680576560	501(C)(3)	$115,000	DONATION - COMMUNITY SUPPORT
CHRISTIAN HEALTH ASSOCIATES
1825 ACADEMY DRIVE	ANCHORAGE	AK	99507	920152088	501(C)(3)	$111,000	COMMUNITY SUPPORT
FRONTIER BEHAVIOR HEALTH
107 S DIVISION	SPOKANE	WA	99202	910853801	501(C)(3)	$107,322	DONATION - COMMUNITY SUPPORT
ALASKA SPORTS HALL OF FAME INC
14815 ECHO CANYON RD	ANCHORAGE	AK	99516	810649085	501(C)(3)	$100,000	COMMUNITY SUPPORT
EVERETT COMMUNITY COLLEGE
2000 TOWER ST	EVERETT	WA	98201	910759103	GOVERNMENT	$100,000	SUPPORT NURSE PROGRAM
INLAND NORTHWEST COMMUNITY FOUNDATION
PO BOX 173	SPOKANE	WA	99210	910941053	501(C)(3)	$80,500	HOMELESS STUDENTS PROGRAM
PIONEER HUMAN SERVICES
7440 W MARGINAL WAY S	SEATTLE	WA	98108	910791552	501(C)(3)	$76,917	COMMUNITY BENEFIT - SERVICE ENRICHED HOUSING
COMMUNITY ACTION COUNCIL OF LEWIS MASON AND THUSTON COUNTIES
420 GOLF CLUB RD SE SUITE 203	LACEY	WA	98503	910818368	501(C)(3)	$75,380	PROGRAM SUPPORT
FREEMAN SCHOOL DISTRICT
15001 S JACKSON RD	ROCKFORD	WA	99030	911126519	GOVERNMENT	$75,000	DONATION - COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 50085	PHOENIX	AZ	86304	135613797	501(C)(3)	$115,100	LIFE IS WHY SPONSORSHIP - COMMUNITY SUPPORT
PRESCRIPTION DRUG ASSISTANCE FOUNDATION
PO BOX 9658	SPOKANE	WA	99209	331134368	501(C)(3)	$60,000	PRESCRIPTION ASSISTANCE PROGRAM
BEAN'S CAF INC
P O BOX 100940	ANCHORAGE	AK	99510	920072522	501(C)(3)	$53,125	COMMUNITY SUPPORT
AFFORDABLE HOUSING NOW PROP 1
1787 TRIBUTE ROAD SUITE K	SACRAMENTO	CA	95815	824179512	501(C)(3)	$50,000	CONTRIBUTIONS
COMMONWEAL FOUNDATION
475 RIVERSIDE DR	NEW YORK	NY	10115	133174407	501(C)(3)	$50,000	CONTRIBUTIONS
CORPORATION OF GONZAGA UNIVERSITY
502 EAST BOONE AVE	SPOKANE	WA	99258	910236600	501(C)(3)	$50,000	DONATION - COMMUNITY SUPPORT
FOOD BANK OF ALASKA INC
2121 SPAR AVENUE	ANCHORAGE	AK	99501	920073175	501(C)(3)	$50,000	COMMUNITY SUPPORT
SECOND HARVEST INLAND NORTHWEST
1234 E FRONT AVE	SPOKANE	WA	99202	237173826	501(C)(3)	$50,000	COMMUNITY BENEFIT HEALTHY FOOD PANTY PROGRAM
THE STATE OF ALASKA
3601 C STREET STE 722	ANCHORAGE	AK	99503	926001185	GOVERNMENT	$50,000	COMMUNITY SUPPORT
WASHINGTON ALLIANCE FOR BETTER SCHOOLS
18560 1ST AVENUE NE	SHORELINE	WA	98155	911698851	501(C)(3)	$50,000	SPONSORSHIP
YWCA SPOKANE
930 N MONROE ST	SPOKANE	WA	99210	910565025	501(C)(3)	$42,500	COMMUNITY BENEFIT DIVERSIFICATION PROGRAM
RURAL RESOURCES COMMUNITY ACTION
956 S MAIN STREET	COLVILLE	WA	99114	910793447	501(C)(3)	$35,000	COMMUNITY BENEFIT FUNDS FOR SOLUTIONS PROGRAM
PROVIDENCE NEW HUNGER COALITION
PO BOX 46	LOON LAKE	WA	99148	463051292	501(C)(3)	$34,920	HUNGER COLLABORATIVE IN STEVENS COUNTY
FAITH IN PRACTICE
7500 BEECHNUT STREET SUITE 208	HOUSTON	TX	77074	760415986	501(C)(3)	$32,500	ANNUAL GALA HOUSTON
SEED GLOBAL HEALTH
20 ASHBURTON PLACE 6TH FL	BOSTON	MA	02108	453064098	501(C)(3)	$30,000	SPONSORSHIP
UNITED WAY OF SNOHOMISH COUNTY
3120 MCDOUGAL AVENUE SUITE 200	EVERETT	WA	98201	910606507	501(C)(3)	$30,000	ANNUAL SPONSORSHIP
AMERICAN FOUNDATION FOR SUICIDE PREV
120 WALL STREET 29TH FLOOR	NEW YORK	NY	10005	133393329	501(C)(3)	$29,000	CONTRIBUTION
THE WATERFALL FOUNDATION
PO BOX 70049	FAIRBANKS	AK	99707	541980898	501(C)(3)	$29,000	BREAST CANCER CHARITY EVENT
SISTERS OF ST JOSEPH HEALTHCARE FOUNDATION
480 S BATAVIA ST	ORANGE	CA	92868	330532423	501(C)(3)	$26,000	CONTRIBUTIONS
WOMEN HELPING WOMEN FUND
1325 W 1ST AVE	SPOKANE	WA	99201	911561874	501(C)(3)	$26,000	DONATION - COMMUNITY SUPPORT
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216589	501(C)(3)	$25,250	SONSORSHIP
ANCHORAGE SPORTSPLEX INC
6501 CHANGEPOINT DRIVE	ANCHORAGE	AK	99518	300274501	501(C)(3)	$25,000	COMMUNITY SUPPORT
CANCER CARE NORTHWEST
1204 N VERCLER RD	SPOKANE VALLEY	WA	99216	201453390	501(C)(3)	$25,000	DONATION - COMMUNITY SUPPORT
JUBILEE WOMEN'S CENTER
620 18TH AVENUE EAST	SEATTLE	WA	98112	911539920	501(C)(3)	$25,000	SPONSORSHIP
PACIFIC NORTHWEST BALLET
301 MERCER STREET	SEATTLE	WA	98109	910897129	501(C)(3)	$25,000	DISCOVER DANCE DONATION
UNITED WAY
920 N WASHINGTON ST STE 100	SPOKANE	WA	99201	910606058	501(C)(3)	$25,000	SUPPORT
REBUILDING TOGETHER SEATTLE
500 AURORA AVE N 305	SEATTLE	WA	98109	911606330	501(C)(3)	$24,000	CONTRIBUTION
FRIENDS OF KSPS
3911 S REGAL ST	SPOKANE	WA	99223	237203753	501(C)(3)	$24,000	DONATION - COMMUNITY SUPPORT
LUTHERAN COMMUNITY
210 W SPRAGUE AVE	SPOKANE	WA	99114	930386860	501(C)(3)	$22,650	COMMUNITY BENEFIT CRIME VICTIMS FOLLOW-UP OUTREACH PROGRAM
NETWORK FOR GOOD INC
5026 196TH ST SW	LYNWOOD	WA	98036	680480736	501(C)(3)	$22,450	SUPPORT
CITY OF COLVILLE RECREATION DEPT
356 E DOMINION AVE	COLVILLE	WA	99114	916001241	GOVERNMENT	$20,800	DONATION
PROV SENIOR CENTER SERV SPECIAL EVENTS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216586	501(C)(3)	$20,500	SPONSORSHIP
A CHILDS HOPE
723 W INDIANA	SPOKANE	WA	99205	814953438	501(C)(3)	$20,000	DONATION - COMMUNITY SUPPORT
CHRISTIAN AID CENTER
202 WEST BIRCH STREET	WALLA WALLA	WA	99362	910918048	RELIGIOUS	$20,000	OPERATIONAL SUPPORT
LET EVERY WOMAN KNOW ALASKA
3851 PIPER STREET STE U264	ANCHORAGE	AK	99508	461861913	501(C)(3)	$20,000	COMMUNITY SUPPORT
NORTHPORT SCHOOL DISTRICT
PO BOX 1280	NORTHPORT	WA	99157	911086089	GOVERNMENT	$20,000	PUTTING KIDS FIRST PROGRAM
SEATTLE CENTER FOUNDATION
305 HARRISON ST	SEATTLE	WA	98109	911003385	501(C)(3)	$20,000	OPERATIONAL SUPPORT
UNIVERSITY DISTRICT DEVELOPMENT ASSOC
120 N PINE ST	SPOKANE	WA	99202	911973749	501(C)(3)	$20,000	DONATION - COMMUNITY SUPPORT
WALLA WALLA FIRE DEPARTMENT
170 N WILBUR AVE	WALLA WALLA	WA	99362		GOVERNMENT	$20,000	OPERATIONAL SUPPORT
ST BENEDICT CHURCH
8110 JEWEL LAKE RD	ANCHORAGE	AK	99502	920122543	CHURCH	$17,000	COMMUNITY SUPPORT
AMERICAN CANCER SOCIETY INC
3851 PIPER STREET STE U240	ANCHORAGE	AK	99508	131788491	501(C)(3)	$15,800	COMMUNITY SUPPORT
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	$15,100	COMMUNITY SUPPORT
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
4000 AMBASSADOR DRIVE	ANCHORAGE	AK	99508	920162721	501(C)(3)	$15,000	COMMUNITY SUPPORT
INSTITUTE OF SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912003593	501(C)(3)	$15,000	SPONSORSHIP
NORTHEAST WASHINGTON EDUCATION COUNCIL
4202 S REGAL ST	SPOKANE	WA	99223	912148164	501(C)(3)	$15,000	DONATION - COMMUNITY SUPPORT
SPOKANE NEIGHBORHOOD ACTION PARTNERS
3102 W FT GEORGE DRIVE	SPOKANE	WA	99224	911311127	501(C)(3)	$15,000	COMMUNITY BENEFIT URGENT CARE TRANSPORT PROGRAM
WOMEN & CHILDREN'S FREE RESTAURANT
1408 N WASHINGTON ST	SPOKANE	WA	99201	911399742	501(C)(3)	$15,000	NUTRITION ESSENTIALS PROGRAM
STEVENS COUNTY SHERIFF
215 S OAK STREET	COLVILLE	WA	99114	916001372	GOVERNMENT	$13,500	COMMUNITY BENEFIT FOR EMS TRAINING & STAFFING
WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH
PO BOX 1753	WALLA WALLA	WA	99362	916001381	GOVERNMENT	$13,000	CHILDREN'S NEEDS PROGRAM
MARCH OF DIMES
904 3RD AVENUE SUITE 230	SEATTLE	WA	98101	131846366	501(C)(3)	$16,500	MARCH FOR BABIES - SUPPORT AND SPONSORSHIP
ROAD RUNNERS CLUB OF AMERICA
P O BOX 243362	ANCHORAGE	AK	99524	920085126	501(C)(3)	$10,275	COMMUNITY SUPPORT
CAUSECAST FOUNDATION
164 W PROVEDENCIA	BURBANCK	CA	91502	263212021	501(C)(3)	$10,098	SPONSORSHIP
ALASKA NURSES ASSOCIATION
3701 EAST TUDOR ROAD NO 208	ANCHORAGE	AK	99507	920027393	501(C)(6)	$10,000	COMMUNITY SUPPORT
AMERICAN NATIONAL RED CROSS
2025 E STREET NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$10,000	SUPPORT AND SPONSORSHIP
ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC
4951 BUSINESS PARK BLVD	ANCHORAGE	AK	99503	920047965	501(C)(3)	$10,000	COMMUNITY SUPPORT
BNAI BIRTH
1120 20TH STREET NW SUITE 300N	WASHINGTON	DC	20036	530179971	501(C)(3)	$10,000	CONTRIBUTION
CONSTRUCTION FOR CHANGE
805 KIRKLAND AVE STE 200	KIRKLAND	WA	98033	262654958	501(C)(3)	$10,000	CONTRIBUTION
FAILSAFE FOR LIFE
15615 N MEADOWGLEN CT	SPOKANE	WA	99208	813525568	501(C)(6)	$10,000	DONATION - COMMUNITY SUPPORT
KETTLE FALLS SCHOOL DISTRICT
PO VOX 458	KETTLE FALLS	WA	99141	910099890	GOVERNMENT	$10,000	GRANT
LUTHERAN SOCIAL SERVICES OF ALASKA
1303 W 33RD	ANCHORAGE	AK	99503	943055592	501(C)(3)	$10,000	COMMUNITY SUPPORT
NAMI SPOKANE
10 N POST ST STE 638	SPOKANE	WA	99202	911153510	501(C)(3)	$10,000	COMMUNITY BENEFIT-BUILDING, STUDY AND PLANNING PROGRAM
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVE	NEW YORK	NY	10017	315661935	501(C)(3)	$10,000	OPERATIONAL SUPPORT
NAZARETH GUILD
20 WEST 9TH AVE	SPOKANE	WA	99204	453962529	CHURCH	$10,000	SPONSORSHIP
PROJECT ACCESS NORTHWEST
1111 HARVARD AVENUE	SEATTLE	WA	98122	204377921	501(C)(3)	$10,000	ANNUAL SPONSORSHIP
SAFE CROSSING FOUNDATION
1402 3RD AVENUE SUITE 1430	SEATTLE	WA	98101	752992774	501(C)(3)	$10,000	SPONSORSHIP OF LUNCH 2018
SOUTHWEST YOUTH AND FAMILY SERVICES
4555 DELRIDGE WAY SW	SEATTLE	WA	98106	911117862	501(C)(3)	$10,000	CONTRIBUTION
THE FRIENDSHIP CIRCLE OF WA
2737 77TH AVE SE	MERCER ISLAND	WA	98040	912173196	501(C)(3)	$10,000	OPERATIONAL SUPPORT
THE WASHINGTON STEM CELL FOUNDATION
1414 31ST AVE S SUITE 302	SEATTLE	WA	98144	272133169	501(C)(3)	$10,000	CONTRIBUTION
WASHINGTON POISON CENTER
155 NE ST SUITE 100	SEATTLE	WA	98125	943214597	501(C)(3)	$10,000	COMMUNITY SUPPORT
WASHINGTON STATE UNIVERSITY FOUNDATION
PO BOX 641927	PULLMAN	WA	99164	911075542	501(C)(3)	$9,500	SPONSORSHIP
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	201910170	501(C)(3)	$9,000	MINISTRY SUPPORT
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311744654	501(C)(3)	$9,000	MINISTRY SUPPORT
PROVIDENCE JOSEPH HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	273678314	501(C)(3)	$9,000	MINISTRY SUPPORT
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311629656	501(C)(3)	$9,000	MINISTRY SUPPORT
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912171539	501(C)(3)	$9,000	MINISTRY SUPPORT
AMERICAN CANCER SOCIETY
3120 MCDOUGAL AVENUE SUITE 100	EVERETT	WA	98201	841316555	501(C)(3)	$8,500	ACS NIGHT OF HOPE GALA AND SPONSORSHIP
MEDICAL TEAMS INTERNATIONAL
PO BOX 10	PORTLAND	OR	97207	930878944	501(C)(3)	$8,464	SPONSORSHIP
LIFE SUPPORT
PO BOX 264	SOUTH CLE ELUM	WA	98943	200413954	501(C)(3)	$7,500	SPONSORSHIP
COVENANT HOUSE OF ALASKA
P O BOX 104640	ANCHORAGE	AK	99510	133419755	501(C)(3)	$6,083	COMMUNITY SUPPORT
ANCHORAGE PARK FOUNDATION
3201 C ST STE 110	ANCHORAGE	AK	99503	412205907	501(C)(3)	$6,000	COMMUNITY SUPPORT
ANCHORAGE ECONOMIC DEVELOPMENT CORP
510 L STREET STE 603	ANCHORAGE	AK	99501	920123006	501(C)(6)	$5,650	OPERATIONAL SUPPORT
UNITED WAY OF THURSTON COUNTY
1211 FOURTH AVE EAST	OLYMPIA	WA	98506	910713462	501(C)(3)	$5,500	SPONSORSHIP
HANDS ON CHILDREN MUSEUM
106 11TH AVE SW	OLYMPIA	WA	98501	911405065	501(C)(3)	$5,350	DENTAL HEALTH SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	109	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
TUITION ASSISTANCE	184	$554,078
MEDICAL ASSISTANCE	20	$20,501
EDUCATION AND SUPPORT	500	$8,984
DEBT PAYMENT ASSISTANCE	1	$538
TRANSPORTATION	11	$2,396
PRESCRIPTION DRUGS/MEDICAL DEVICES	30		$1,309	COST	CAMP STIX, OTHER

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	IN THE APPLICATION FOR SUPPORT, PROVIDENCE HEALTH & SERVICES - WASHINGTON (PH&S - WA) REQUESTS A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA. IF THE APPLICATION FOR SUPPORT IS APPROVED, WE SEND A LETTER 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 SINCE 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Payments For Use Of Residence	Yes (X)	PaymentsForUseOfResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CINDY STRAUSS
SECRETARY	$0	$769,625	$0	$724,144	$0	$391,021	$0	$664,452	$0	$26,096	$0	$2,575,338	$0	$356,681
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$195,960	$0	$14,071	$0	$618	$0	$29,366	$0	$8,505	$0	$248,520	$0	$0	$0
JIM WATSON ESQ
ASSISTANT SECRETARY	$0	$449,476	$0	$64,532	$0	$62,180	$0	$24,750	$0	$40,393	$0	$641,331	$0	$0
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	$0	$676,469	$0	$396,611	$0	$37,755	$0	$503,453	$0	$23,971	$0	$1,638,259	$0	$0
JOHN WHIPPLE
ASSISTANT SECRETARY	$420,678	$0	$357,576	$0	$251,293	$0	$321,644	$0	$24,045	$0	$1,375,236	$0	$218,336	$0
MIKE BUTLER
PRESIDENT	$0	$1,320,076	$0	$2,525,154	$0	$738,136	$0	$942,095	$0	$26,366	$0	$5,551,827	$0	$692,718
VENKAT BHAMIDIPATI
EVP/TREASURER	$0	$903,927	$0	$282,772	$0	$40,310	$0	$649,292	$0	$24,549	$0	$1,900,850	$0	$0
AARON MARTIN
SVP/STRATEGY & INNOVATION	$0	$619,482	$0	$299,538	$0	$277,054	$0	$429,276	$0	$6,008	$0	$1,631,358	$0	$256,355
AMY COMPTON-PHILLIPS
EVP/CHIEF CLINICAL OFFICER	$0	$775,101	$0	$744,687	$0	$134,285	$0	$638,301	$0	$28,953	$0	$2,321,327	$0	$90,925
BRUCE LAMOUREUX
CE/AK REGION	$532,983	$0	$383,498	$0	$124,819	$0	$220,986	$0	$24,068	$0	$1,286,354	$0	$98,795	$0
DAVID BROWN
VP/STRATEGY & BIZ DVLPMT	$378,024	$0	$330,500	$0	$741,577	$0	$253,902	$0	$26,467	$0	$1,730,470	$0	$739,590	$0
DEBBIE BURTON
SVP/CHIEF NRSG. OFFICER	$355,841	$0	$311,439	$0	$85,069	$0	$190,913	$0	$29,004	$0	$972,266	$0	$60,891	$0
DEBRA CANALES
EVP/CAO	$0	$857,075	$0	$881,587	$0	$993,441	$0	$706,123	$0	$17,988	$0	$3,456,214	$0	$949,253
ELAINE COUTURE
CE/PHC/EASTERN WA. REGION	$748,880	$0	$401,570	$0	$141,016	$0	$442,610	$0	$24,086	$0	$1,758,162	$0	$114,992	$0
GREG TILL
VP/CHIEF TALENT OFFICER	$413,001	$0	$366,609	$0	$184,364	$0	$266,034	$0	$29,474	$0	$1,259,482	$0	$149,031	$0
JANICE NEWELL
SVP/CHIEF INFORMATION OFFICER	$605,657	$0	$593,967	$0	$313,289	$0	$140,906	$0	$13,217	$0	$1,667,036	$0	$280,351	$0
JOEL GILBERTSON
SVP/COMMUNITY PARTNERSHIPS	$482,510	$0	$421,153	$0	$702,833	$0	$334,483	$0	$27,500	$0	$1,968,479	$0	$666,795	$0
LISA VANCE
SVP/CLINICAL PROGRAM SRVCS	$501,241	$119,721	$494,069	$118,008	$115,265	$27,531	$264,048	$63,068	$19,588	$4,679	$1,394,211	$333,007	$81,477	$19,461
MARY CRANSTOUN
VP/TOTAL REWARDS	$403,975	$0	$354,347	$0	$116,489	$0	$262,286	$0	$28,387	$0	$1,165,484	$0	$79,913	$0
MEDRICE COLUCCIO
CE/SOUTHWEST WA. REGION	$465,204	$0	$272,189	$0	$102,878	$0	$241,137	$0	$11,039	$0	$1,092,447	$0	$77,003	$0
MIKE WATERS
VP, CAO/PHYSICIAN SERVICES	$449,557	$0	$227,731	$0	$186,258	$0	$284,611	$0	$10,917	$0	$1,159,074	$0	$150,340	$0
OREST HOLUBEC
SVP/CHIEF COMM/EXT AFF OFF	$0	$414,903	$0	$376,200	$0	$320,139	$0	$248,009	$0	$26,681	$0	$1,385,932	$0	$284,306
PRESTON SIMMONS
CE/NORTHWEST WA. REGION	$459,799	$0	$199,719	$0	$804,942	$0	$331,199	$0	$28,442	$0	$1,824,101	$0	$667,061	$0
RHONDA MEDOWS MD
EVP/POPULATION HEALTH	$0	$892,539	$0	$881,144	$0	$250,787	$0	$585,104	$0	$20,765	$0	$2,630,339	$0	$207,264
SHARON TONCRAY
SVP/CHIEF LABOR EE COUNSEL	$415,487	$0	$390,622	$0	$617,243	$0	$148,032	$0	$30,407	$0	$1,601,791	$0	$578,583	$0
TOM MCDONAGH
VP/CHIEF INVESTMENT OFFICER	$479,100	$0	$424,836	$0	$199,748	$0	$94,395	$0	$28,455	$0	$1,226,534	$0	$160,512	$0
ATUL THAKKER
PHYSICIAN	$1,152,718	$0	$0	$0	$1,004,109	$0	$139,256	$0	$21,124	$0	$2,317,207	$0	$854,486	$0
BRANDEN REYNOLDS
PHYSICIAN	$879,716	$0	$75,000	$0	$695,388	$0	$98,022	$0	$20,384	$0	$1,768,510	$0	$674,266	$0
DAVID YAM
NEUROSURGEON	$1,448,061	$0	$515,372	$0	$533,939	$0	$134,204	$0	$20,342	$0	$2,651,918	$0	$532,913	$0
JASON DREYER
NEUROSURGEON	$668,011	$0	$1,750,030	$0	$448,163	$0	$166,839	$0	$25,842	$0	$3,058,885	$0	$441,023	$0
NEIL WORRALL
PHYSICIAN	$873,670	$0	$75,000	$0	$632,975	$0	$99,697	$0	$26,608	$0	$1,707,950	$0	$611,853	$0
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO	$0	$2,026,331	$0	$3,370,808	$0	$1,172,016	$0	$4,239,838	$0	$26,428	$0	$10,835,421	$0	$1,130,152
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	$113,095	$0	$8,184	$0	$1,413	$0	$12,754	$0	$11,510	$0	$146,956	$0	$0	$0
TODD HOFHEINS
FORMER EVP/CFO/TREAS.	$0	$0	$0	$0	$0	$820,571	$0	$4,960	$0	$30,986	$0	$856,517	$0	$0
HARVEY SMITH
FORMER SVP/CHIEF CUSTOMER SVC. OFF	$0	$0	$0	$0	$0	$583,049	$0	$0	$0	$16,156	$0	$599,205	$0	$0
JACK MUDD
FORMER SVP/MISSION LEADERSHIP	$181,444	$0	$246,198	$0	$49,414	$0	$110,334	$0	$14,134	$0	$601,524	$0	$25,651	$0
TERRY SMITH
FORMER SVP/MANAGEMENT SVCS	$0	$199,733	$0	$21,000	$0	$11,361	$0	$11,820	$0	$9,367	$0	$253,281	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	PROVIDENCE HEALTH & SERVICES EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: TRAVEL OR CHARTER TRAVEL OR TRAVEL OF COMPANIONS AIR TRAVEL IS REIMBURSABLE AND SHOULD BE 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. FIRST CLASS FULL FARE TICKETS AND CHARTER MUST BE APPROVED BY A SENIOR LEVEL SUPERVISOR. COMPANION TRAVEL WILL ONLY BE REIMBURSED BY THE ORGANIZATION FOR TRAVEL RELATED TO RELOCATION, AND SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER (EVP, CAO) OF PROVIDENCE ST. JOSEPH HEALTH. SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PH&S EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PH&S UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO ATTEND A PH&S SYSTEM-SPONSORED MEETING. THESE EXPENSES MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, WILL BE INCLUDED ON THE EMPLOYEE'S W- 2. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE HEALTH & SERVICES 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 INCOME AND ARE THEREFORE SUBJECT TO PAYROLL TAXES. 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 WILL GROSS-UP THE RELOCATION BENEFITS TO OFFSET THE PERSONAL TAX BURDEN TO THE EMPLOYEE FOR IRS ALLOWABLE EXPENSES. 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 HEALTH & SERVICES FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO OTHER EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED INCOME AND ARE THEREFORE SUBJECT TO PAYROLL TAXES. 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. 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE HEALTH & SERVICES PROVIDES HOUSING ALLOWANCES FOR PURPOSES OF RELOCATION ASSISTANCE ONLY. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE 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 EVP, CAO PSJH 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. THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. 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.
Part I, Line 3	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE ST. JOSEPH HEALTH.
Part I, Lines 4a-b	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: HARVEY SMITH - $587,018 TODD HOFHEINS - $824,990 ENTITIES WITHIN THE PSJH 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. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT THE CURRENT YEAR PAYOUTS FROM THESE PLANS.
FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM	THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$23,179,043	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$7,620,674	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$3,466,050	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,845,601	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,169,440	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$1,932,352	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$1,202,484	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$159,417	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$134,100	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$101,979	MED. SVCS	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$633,619	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	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.
Form 990, Part III, Line 4a, Cont.	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 VI, Section A, line 6	PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON.
Form 990, Part VI, Section A, line 7a	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 TRUSTEE 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	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	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	BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE 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 WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY.
Form 990, Part VI, Section B, line 15	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 ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD 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 ST. JOSEPH HEALTH 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 WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, 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. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH 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 EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
Form 990, Part IX, line 11g	AGENCY/CONTRACT LABOR: Program service expenses 38,240,025. Management and general expenses 18,850,597. Fundraising expenses 17,294. Total expenses 57,107,916. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 124,060,870. Management and general expenses 125,799. Fundraising expenses 0. Total expenses 124,186,669. REPAIRS & MAINTENANCE: Program service expenses 36,425,837. Management and general expenses 151,132,346. Fundraising expenses 1,618,668. Total expenses 189,176,851. BILLING & COLLECTIONS: Program service expenses 42,900. Management and general expenses 7,202,992. Fundraising expenses 0. Total expenses 7,245,892. RECORDS MANAGEMENT: Program service expenses 1,637,364. Management and general expenses 1,843,352. Fundraising expenses 0. Total expenses 3,480,716. TRANSCRIPTION & TRANSLATION SERVICES: Program service expenses 1,768,045. Management and general expenses 950,551. Fundraising expenses 0. Total expenses 2,718,596. DIETARY: Program service expenses 1,479,067. Management and general expenses 334,017. Fundraising expenses 0. Total expenses 1,813,084. OTHER PATIENT SERVICES: Program service expenses 117,382,733. Management and general expenses 3,599,822. Fundraising expenses 0. Total expenses 120,982,555. OTHER ADMINISTRATIVE SERVICES: Program service expenses 24,441,855. Management and general expenses 97,225,917. Fundraising expenses 0. Total expenses 121,667,772. GENERAL CONSULTING FEES: Program service expenses 3,412,113. Management and general expenses 78,913,694. Fundraising expenses 160,575. Total expenses 82,486,382. WORKER COMP TRUST EXPENSES (TAXES, INS, CLAIMS): Program service expenses 0. Management and general expenses 8,487,471. Fundraising expenses 0. Total expenses 8,487,471. OTHER MEDICAL SERVICES: Program service expenses 21,090,848. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,090,848.
Form 990, Part XI, line 9:	RECIPIENT ORGANIZATION ADJUSTMENT -10,830,395. INTERAFFILIATE TRANSACTIONS 2,095,535,815. REVENUE RECLASSIFICATIONS -154,602,017. EXPENSE RECLASSIFICATIONS 10,482,603. PENSION ADJUSTMENT -6,031,343. DISTRIBUTIONS TO FOUNDATION -3,211,136. DISTRIBUTIONS FOR OPERATIONS 86,210. ASSETS RELEASED FROM RESTRICTIONS -286,361. AP WRITE OFF 36,558. ROUNDING 38. OTHER 27,117.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LEGACY LLC
PO BOX 196606	ANCHORAGE	AK	99519	320252199	REAL ESTATE	AK	$3,704,106	$39,942,384	PROVIDENCE HEALTH & SERVICES - WASHINGTON
HEALTH SERVICES ASSET MANAGEMENT LLC
1801 LIND AVE SW 9016	RENTON	WA	98057	271698016	A/R & COLLECTIONS	WA	$3,334,491	$2,669,330	PROVIDENCE HEALTH & SERVICES - WASHINGTON
AUXILLIUM LLC
1801 LIND AVE SW 9016	RENTON	WA	98057	311750915	NURSE STAFFING	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE JOSEPH HOUSE GP LLC
1801 LIND AVE SW 9016	RENTON	WA	98057	273678218	SUPPORTIVE HOUSING	WA	$47,489	$8,465,475	PROVIDENCE HEALTH & SERVICES - WASHINGTON
ST ELIAS SPECIALTY HOSPITAL
4800 CORDOVA ST	ANCHORAGE	AK	99503		SPECIALTY HOSPITAL	AK	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (112 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	611573313	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461259908	HEALTHCARE	CA	501(c)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	463516417	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752765566	HEALTHCARE	TX	501(c)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752897026	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	822913146	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752743883	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911082119	UNEMPLOYMENT	WA	501(c)(3)	12,I	PHS WA	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO Box 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(c)(3)	10		0	N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	954322584	SUPPORT	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	201910170	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
HMTS INC
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	453583707	HEALTHCARE	CA	501(c)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	IRVINE	CA	92612	452982422	SUPPORT	CA	501(c)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	330676831	HEALTHCARE	CA	501(c)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(c)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	951643327	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752133781	HEALTHCARE	TX	501(c)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911307555	HEALTHCARE	WA	501(c)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	814260130	HEALTHCARE	WA	501(c)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912003593	HEALTHCARE	WA	501(c)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	954291515	HEALTHCARE	CA	501(c)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	916033089	SUPPORT	WA	501(c)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	237005501	SUPPORT	WA	501(c)(3)	12,I	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910655392	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330844408	IMAGING SVCS	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911562797	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912054035	RESEARCH	WA	501(c)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643360	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(c)(3)	12,I	SHS	Yes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	562290878	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953544877	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	920093565	HEALTHCARE	AK	501(c)(3)	12,I	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911940286	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911789266	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930800140	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930692907	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	473385506	SUPPORT	WA	501(c)(3)	7		0	N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311744654	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911549796	HEALTHCARE	WA	501(c)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810231793	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216587	HEALTHCARE	OR	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911303277	HEALTHCARE	WA	501(c)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	550828701	MEDICAID	OR	501(c)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	320014330	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911433382	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930863097	HEALTHCARE	OR	501(c)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216589	HEALTHCARE	CA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930921990	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	272552749	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912077378	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510224944	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	931554288	HEALTHCARE	WA	501(c)(3)	12,I	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330283773	HEALTHCARE	CA	501(c)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943079515	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016		RELIGIOUS ORG	WA	501(c)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911188119	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930889144	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311629656	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911861964	HEALTHCARE	WA	501(c)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	931231494	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311584166	SUPPORT	WA	501(c)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951684082	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	814542216	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930927320	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912171539	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943244854	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	811244422	HEALTHCARE	WA	501(c)(3)	12,III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943078543	HEALTHCARE	WA	501(c)(3)	12,I	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810463482	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	452841492	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911097056	SUPPORT	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930575982	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953264139	HEALTHCARE	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330261016	HEALTHCARE	CA	501(c)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	931003750	HEALTHCARE	OR	501(c)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	942779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	956100079	SUPPORT	CA	501(c)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	611502822	PHYSN COLLAB	WA	501(c)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	262612415	SHELL CORP	MT	501(c)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(c)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	680395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	271666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	814791043	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953589356	HEALTHCARE	CA	501(c)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330143024	HEALTHCARE	CA	501(c)(3)	7	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	680331084	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943176618	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	751653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	237056976	HEALTHCARE	MT	501(c)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810233495	EDUCATION	MT	501(c)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	272305304	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910433740	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910983214	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	273139262	HOLDING CO	WA	501(c)(3)	12,I	SHS	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911180824	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911293869	SUPPORT	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911214491	SUPPORT	OR	501(c)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810231777	EDUCATION	MT	501(c)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	454171900	SHELL CORPORATION	WA	501(c)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (60 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURG	CA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CENTER FOR SPECIALTY SURGERY LLC
11782 SW BARNES RD	PORTLAND	OR	97225	263638838	AMBULATORY SURG	OR	N/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495	PORTLAND	OR	97213	260381897	RADIATION ONCOL	OR	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	205033419	HEALTHCARE	TX	N/A
CTR FOR MED IMAGING-BRIDGEPORT LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	N/A
CTR FOR MED IMAGING-TANASBOURNE LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	470927394	AMBULATORY SURG	CA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA		SHS PHS WA	UNRELATED	-$76,567	$2,318,698	0	-$47,624	0	0.56000
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	611588294	HEALTHCARE	CA	N/A
HOAG OUTPATIENT CENTERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	453587572	HEALTHCARE	CA	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A
NEWPORT BAY SURGERY CENTER LLC
3333 W PACIFIC COAST HWY STE 100	NEW PORT BEACH	CA	92663	562518360	HEALTHCARE	CA	N/A
NEWPORT BEACH ENDOSCOPY CENTER LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	770368744	HEALTHCARE	CA	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD STE 110	PETALUMA	CA	94954	611559876	HEALTHCARE	CA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A
PHS INVESTMENT TRANSITION PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472279711	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	473393740	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	811532735	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	812960145	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472357735	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST COMMODITIES PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472269004	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472293255	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472392060	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472385238	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472367538	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472353569	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472283974	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472314743	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST RISK PARITY PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472336377	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	812701056	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472327491	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472402609	INVESTMENTS	WA	N/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	201054971	IMAGING DIAGNOSTICS	OR	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	470918549	NEONATAL CARE	WA		PHS WA	RELATED	$1,018	$5,504,136	0		0	0.50000
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	920118807	MEDICAL IMAGING	AK		PHS WA	RELATED	$22,484,743	$11,484,033	0		Yes (1)	0.99000
PROVIDENCE PARTNERS FOR HEALTH LLC
501 S BUENA VISTA ST	BURBANK	CA	91505	454041798	CLIN QUALITY/INT	CA	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	823190634	INVESTMENTS	WA	N/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A
PROVIDENCEUSP SANTA CLARITA GP LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	202829660	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200905938	AMBULATORY SURG	CA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW STE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	823352570	AMBULATORY SURG	CA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE Ave STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA		PHS WA	N/A	$212,780	$1,192,793	0		Yes (1)	0.56530

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOC.	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD HM08	PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	833037172	HEALTHCARE	DE	N/A	C	0
BOURGET HEALTH SERVICES INC
PO BOX 2687	SPOKANE	WA	99223	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810486082	MED PHYS SVCS	MT	N/A	C	0
HOAG CLINIC
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	330676831	HEALTHCARE	CA	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	463070062	IT SVCS	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH STREET STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	203856995	HEALTHCARE	CA	N/A	C	0
GRACE CLINIC SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	203857067	HEALTHCARE	TX	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	330731587	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	833881097	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461814184	STRAT PLAN SVCS	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE HEALTH CARE VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	900155714	CLIN/MED LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330122216	INVESTMENT	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	800953654	INVESTMENTS	WA	N/A	C	0
YAKIMA MEDICAL ARTS INC
611 N PERRY 100	SPOKANE	WA	99202	910787963	RENT REAL ESTATE	WA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (31 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE GENERAL FOUNDATION
B	$790,939	COST
PROVIDENCE GENERAL FOUNDATION
C	$1,751,955	COST
SWEDISH HEALTH SERVICES
J	$4,709,701	COST
PACMED
J	$560,378	COST
INLAND NW HEALTH SERVICES
J	$342,158	COST
PROVIDENCE ST MARY FOUNDATION
C	$806,278	COST
PROVIDENCE ST MARY FOUNDATION
B	$316,898	COST
PROVIDENCE HEALTH CARE FOUNDATION
C	$380,935	COST
PROVIDENCE HEALTH CARE FOUNDATION
B	$122,776	COST
PROVIDENCE WELL BEING TRUST
C	$139,491	COST
PROVIDENCE TRINITY CARE HOSPICE
C	$901,151	COST
PROVIDENCE ALASKA FOUNDATION
C	$1,870,417	COST
PROVIDENCE ALASKA FOUNDATION
B	$1,341,457	COST
PROVIDENCE MOUNT ST VINCENT FOUNDATION
B	$176,000	COST
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
B	$158,000	COST
PROVIDENCE MARIANWOOD FOUNDATION
B	$78,000	COST
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
C	$535,925	COST
PROVIDENCE MT ST VINCENT FOUNDATION
C	$1,377,113	COST
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
C	$854,623	COST
PROVIDENCE MARIANWOOD FOUNDATION
C	$358,145	COST
PROVIDENCE ST PETER FOUNDATION
C	$100,673	COST
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
B	$387,043	COST
PROVIDENCE MT ST VINCENT FOUNDATION
B	$391,024	COST
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
B	$260,474	COST
PROVIDENCE MARIANWOOD FOUNDATION
B	$125,119	COST
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
B	$1,449,812	COST
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
C	$4,374,694	COST
INLAND NORTHWEST HEALTH SERVICES
B	$154,454	COST
INLAND NORTHWEST COMMUNITY FOUNDATION
B	$80,500	COST
PROVIDENCE ST PETER FOUNDATION
C	$1,324,482	COST
PROVIDENCE ST PETER FOUNDATION
B	$687,061	COST