2025-11-04T09:51:19-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2024-01-01 810231793 PROVIDENCE HEALTH & SERVICES - MONTANA PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 GREG HOFFMAN CHIEF ACCOUNTING OFFICER 4255253985 2025-10-30 1 1 RYAN MAYOR P01650740 2149698000 2025-10-27 2024 2025-03-06 01:10:19Z PROVIDENCE ST PATRICK HOSPITAL ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 567790950 0 0928 X HTTPS://WWW.PROVIDENCE.ORG X 1991 MT AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 12 12 2892 210 988 0 5753486 2864726 494799197 538259854 1598833 4542914 22460624 17676042 524612140 563343536 671543 1030653 0 0 197330898 254164094 0 0 0 307936493 302721913 505938934 557916660 18673206 5426876 381672554 431839174 68925291 47505822 312747263 384333352 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 525349892 1030653 554716776 SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES:-PROVIDENCE ACROSS FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO-FACEY MEDICAL GROUP IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES.ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS. 2024 PROGRAM SERVICE ACCOMPLISHMENTSIN 2024, PROVIDENCE MONTANA CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. FINANCIAL ASSISTANCE PROGRAM OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF EACH PERSON WE SERVE, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. PROVIDENCE MONTANA HAS A FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN 2024, PROVIDENCE SAINT PATRICK AND MEDICAL GROUP PROVIDED $6.3M IN FREE AND DISCOUNTED CARE TO THE RESIDENTS OF MISSOULA. IN 2024, PROVIDENCE ST. PATRICK HOSPITAL FOCUSED ON IDENTIFIED PRIORITY NEEDS OF ACCESS TO MENTAL HEALTH SERVICES, SAFE AND AFFORDABLE HOUSING, ACCESS TO SUBSTANCE USE DISORDER TREATMENT, AND ADDRESSING HOMELESSNESS. ACCESS TO MENTAL HEALTH SERVICES PROVIDENCE MEDICAL GROUP PRIMARY CARE CLINICS HAVE EMBEDDED BEHAVIORAL HEALTH PROVIDERS, WITH STANDARDIZED DEPRESSION AND SUICIDE RISK SCREENINGS. PROVIDENCE ST. PATRICK HOSPITAL INPATIENT BEHAVIORAL HEALTH FOR ADULTS AND ADOLESCENTS PROVIDES CRUCIAL ACCESS IN THE STATE OF MONTANA. PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED THE OPENING OF MISSOULA'S FIRST COMMUNITY-BASED MENTAL HEALTH CRISIS CENTER, RIVERWALK CRISIS CENTER, WHICH OPENED IN NOVEMBER 2023 WITH COLLABORATION AMONG HOSPITALS, MENTAL HEALTH SERVICE PROVIDERS AND LOCAL GOVERNMENT. RIVERWALK CRISIS CENTER CONTINUED OPERATION THROUGH 2024. BEHAVIORAL HEALTH PRESENTATIONS TO THE EMERGENCY DEPARTMENT DECREASED BY .9 PERCENTAGE POINT IN 2024. SAFE AND AFFORDABLE HOUSING: IN 2024, PROVIDENCE MONTANA STAFF REFERRED 72 PATIENTS FOR LEGAL HELP WITH HOUSING/UTILITY ASSISTANCE THROUGH OUR MEDICAL-LEGAL PARTNERSHIP WITH MONTANA LEGAL SERVICES ASSOCIATION. SINCE THE PROGRAM LAUNCHED IN 2020, 40% OF REFERRALS TO THE MEDICAL-LEGAL PARTNERSHIP ARE RELATED TO HOUSING CONCERNS. THE GOAL IS TO REDUCE HOUSING INSECURITY. ACCESS TO SUBSTANCE USE DISORDER TREATMENT: PROVIDENCE ST. PATRICK HOSPITAL EMERGENCY DEPARTMENT CONTINUED PILOT OF MOUD (MEDICATION FOR OPIOID USE) IN ED SETTING WITH REFERRAL TO COMMUNITY-BASED SERVICES FOR ONGOING CARE. 68 PATIENTS WERE INITIATED ON MEDICATED-ASSISTED TREATMENT AND REFERRED TO COMMUNITY-BASED SERVICES FOR ONGOING CARE. PROVIDENCE ST. PATRICK HOSPITAL STAFF PARTICIPATE IN BI-MONTHLY CRISIS INTERVENTION TEAM MEETINGS TO ADDRESS THE NEEDS OF PEOPLE EXPERIENCING CRISES RELATED TO MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS. THE GOAL IS TO DELIVER SERVICES IN THE APPROPRIATE CARE SETTING. ADDRESSING HOMELESSNESS: PROVIDENCE ST. PATRICK HOSPITAL STAFF PARTICIPATE IN WEEKLY COMMUNITY MEETINGS TO ADDRESS THE NEEDS OF PEOPLE IN THE COMMUNITY WHO ARE UNSHELTERED AND AT THE HIGHEST RISK DUE TO MENTAL HEALTH, SUBSTANCE ABUSE, AND CHRONIC ILLNESS. THE GOAL IS TO REDUCE THE NUMBER OF PEOPLE EXPERIENCING HOUSELESSNESS AS WELL AS THE LENGTH OF TIME AN INDIVIDUAL IS UNHOUSED. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/MONTANA 525349892 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 82 0 1 2892 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MT X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 0.50 64.50 X 0 8590356 535028 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3880224 390705 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0.50 64.50 X 0 2610531 285144 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 16.00 49.00 X 0 2511979 317836 JOE SCHMOKER PHYSICIAN 50.00 0.00 X 1673991 0 34944 SCOTT O'BRIEN CHIEF EXEC EASTERN WA/MT 27.50 27.50 X 0 1441016 201616 CARTER BECK PHYSICIAN 50.00 0.00 X 1396325 0 92605 DANIEL SPOON MD PHYSICIAN 49.50 0.50 X 1142190 0 90629 MICHAEL ROHRER PHYSICIAN 50.00 0.00 X 1053772 0 51843 TRAVIS ABICHT PHYSICIAN 50.00 0.00 X 1030371 0 60107 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 955923 128530 MELISSA DAMM DIVISION CFO - CENTRAL 13.80 41.20 X 0 863710 109927 JIM MARTIN ASSISTANT TREASURER 0.50 54.50 X 0 820365 96888 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 BILL CALHOUN CHIEF EXEC WESTERN MT SVC AREA 18.00 37.00 X 0 490287 117131 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 MARY LYONS PHD DIRECTOR 0.50 13.00 X 0 100944 0 MICHAEL MURPHY BOARD CHAIR 0.50 13.00 X 0 75168 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 0 51379 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 0 50000 0 MARVIN O'QUINN DIRECTOR 0.50 12.50 X 0 42989 0 ERIC SPRUNK DIRECTOR 0.50 13.00 X 0 40000 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 0 40000 0 SISTER CAROL PACINI LCM DIRECTOR 0.50 13.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.00 X 0 0 0 SISTER DONNA MARKHAM DIRECTOR 0.50 12.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.00 X 0 0 0 6296649 23810891 2531865 440 1 1 0 WESTERN MT EMERGENCY PHYS PO BOX 4506 MISSOULA MT 59806 MEDICAL SERVICES 9296610 MISSOULA ANESTHESIOLOGY PC PO BOX 17527 MISSOULA MT 59808 MEDICAL SERVICES 8337953 MT CANCER SPECIALISTS PO BOX 7609 MISSOULA MT 59807 MEDICAL SERVICES 4028573 UNIVERSITY OF MONTANA MSU 1205 E BROADWAY ST MISSOULA COLLEGE MT 59802 MEDICAL SERVICES 3669625 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 3058792 55 1569201 427657 867868 2864726 NET PATIENT REVENUE 622110 521864223 521864223 JV INCOME 621493 9607472 9607472 OTHER PATIENT REVENUE 622110 6788159 6788159 538259854 1456369 988 1455381 5269589 3940380 1329209 1329209 1329209 3422792 170787 507034 0 2915758 170787 3086545 3086545 INTERAFFILIATE REVENUE 900099 10204827 10204827 CAFETERIA REVENUE 722514 2234292 2234292 PHARMACY REVENUE 456110 1325520 1325520 2582194 2582194 16346833 563343536 554606687 988 5871135 X 1030653 1030653 195119930 180673221 14446709 11113461 10290619 822842 34984652 32394383 2590269 12946051 11987523 958528 62631 57994 4637 271285 271285 90764590 84044366 6720224 799780 740564 59216 3556711 3293372 263339 136359 126263 10096 5289993 4898321 391672 973869 901764 72105 33578 31092 2486 8202510 7595195 607315 32443 30041 2402 MEDICAL SUPPLIES 112114506 112114506 SYSTEM COST ALLOCATION 64955513 60146197 4809316 HOSPITAL FEE 8311429 8311429 UBI TAXES PAID 28750 26621 2129 7187966 6655768 532198 557916660 525349892 32566768 0 170337683 227941768 1425927 1513410 555013 962088 16223566 4284859 6147878 5544973 6254397 5409881 907511 300262774 228915902 69225714 71346872 53760361 60488675 30977182 34372492 25857322 19974156 381672554 431839174 29925942 33429017 38999349 14076805 68925291 47505822 X 297126537 369502807 15620726 14830545 312747263 384333352 381672554 431839174 X 5426876 2804164 63355049 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 60000 0 1 10198 70198 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: THE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. INITIATIVE SUPPORT: COSTS ASSOCIATED WITH THE DIRECT CONTACT WITH LEGISLATORS. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE - SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. - REDUCE MEDICATION COSTS: INCREASE PHARMACEUTICAL PRICING TRANSPARENCY AND PROTECT THE 340B DRUG PRICING PROGRAM, WHICH PROVIDES ACCESS TO LIFE-CHANGING MEDICATIONS FOR LOW-INCOME PATIENTS. - INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. - PROTECT THE ABILITY OF NONPROFIT HEALTH CARE TO CARE FOR ALL: PRESERVE TAX-EXEMPT STATUS TO SUPPORT COMMUNITY NEEDS AND PROMOTE SUSTAINABLE FINANCIAL ASSISTANCE PROGRAMS. IMPROVE HEALTH SYSTEM SUSTAINABILITY - PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. - ENSURE SUSTAINABLE HEALTH CARE COST GROWTH: ENSURE REASONABLE COST GROWTH TARGETS DON'T PENALIZE PROVIDERS FOR COSTS OUTSIDE OUR CONTROL, LIKE LABOR AND PHARMACEUTICAL COSTS. - PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES STRENGTHEN AND DEVELOP OUR WORKFORCE - GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. - EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. - REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. - REDUCE ADMINISTRATIVE BURDEN: REMOVE BARRIERS TO LICENSURE FOR HEALTH CARE WORKERS AND REDUCE THE UNNECESSARY PRIOR AUTHORIZATION AND COVERAGE DENIALS TO HELP ADDRESS BURNOUT AND SUPPORT CAREGIVERS AT THE BEDSIDE. - ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION - IMPROVE HOSPITAL CAPACITY: DEVELOP SOLUTIONS TO REDUCE UNNECESSARY LENGTHS OF STAY AND ENSURE PATIENTS RECEIVE CARE IN THE APPROPRIATE SETTINGS, INCLUDING IMPROVING ACCESS TO POST-ACUTE CARE SERVICES. - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: IMPROVE ACCESS ALONG THE CONTINUUM OF CARE, INCLUDING TREATMENT FOR PATIENTS IN CRISIS, COMMUNITY-BASED SERVICES, AND PREVENTATIVE SERVICES. - ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. - IMPROVE COORDINATION OF CARE: BOLSTER PALLIATIVE CARE AND LONG-TERM SERVICES, INCLUDING THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE - ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. - ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. - IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY. 8321841 8321841 138921452 98689231 40232221 682878 654763 28115 144640926 129571908 15069018 7695677 7695677 71346872 BENEFICIAL INTEREST IN FOUNDATION 26741073 C HEALTHCARE JOINT VENTURES 7631419 C 34372492 HOSPITAL FEES/PROVIDER TAX LIABILITY 4326000 DUE TO THIRD-PARTY 3746587 OTHER LIABILITIES 3309582 CAPITAL LEASE OBLIGATIONS 2694636 14076805 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 6370903 6370903 0.01140 64937207 68197643 0 0.00000 24113 12788 11325 0.00000 71332223 68210431 6382228 0.01140 605446 605446 0.00110 9728277 1430441 8297836 0.01490 46124092 32306027 13818065 0.02480 155941 155941 0.00030 56613756 33736468 22877288 0.04110 127945979 101946899 29259516 0.05250 85923 0 85923 0.00020 85923 85923 0.00020 0 230964929 278919990 -47955061 X 1 0 1 PROVIDENCE SURGERY CENTER SAME DAY SURGERY, NON-EMERGENT CARE 0.46360 0.00000 0.44540 1 1 PROVIDENCE ST PATRICK HOSPITAL 500 WEST BROADWAY MISSOULA MT 59802 HTTPS://WWW.PROVIDENCE.ORG 13200 X X X X REHAB AND PSYCH PROVIDENCE ST PATRICK HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 3J: LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 5: REPRESENTATIVES FROM PROVIDENCE ST. PATRICK HOSPITAL CONDUCTED TEN KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND THREE LISTENING SESSIONS WITH COMMUNITY MEMBERS IN MAY AND JUNE OF 2023. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. PROVIDENCE ST. PATRICK HOSPITAL MISSOULA AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT. LISTENING SESSION PARTICIPANTS INCLUDED INDIVIDUALS WHO USE SERVICES AT THE LOCAL FOOD BANK, AREA AGENCY ON AGING AND PARTICIPANTS OF A SUBSTANCE USE DISORDER SUPPORT GROUP.-MONTANA FOOD BANK NETWORK, GAYLE CARLSON, PRESIDENT AND CEO FOOD ACCESS-CITY OF MISSOULA, POLICE DEPARTMENT, THERESA WILLIAMS, CIT PROGRAM MANAGER, BEHAVIORAL HEALTH-CITY OF MISSOULA, HOUSELESSNESS PROGRAMS, SAMANTHA HILLIARD, COORDINATED ENTRY SPECIALIST, HOUSING/HOMELESSNESS-MISSOULA AGING SERVICES, SHELLI FORTUNE, IN HOME SERVICES DIRECTOR; KATE COTNOIR, INFORMATION AND ASSISTANCE DIRECTOR, AREA AGENCY ON AGING-PARTNERSHIP HEALTH CENTER, MISSOULA CITY-COUNCIL HEALTH DEPARTMENT, REBECCA GOE, DIRECTOR OF INNOVATIONS, HEALTH CARE-CLIMATE SMART MISSOULA, AMY CILIMBURG, EXECUTIVE DIRECTOR, PUBLIC HEALTHWESTERN MONTANA AREA HEALTH EDUCATION CENTER, UNIVERSITY OF MONTANA, CHELSEA BELLON, HEALTH EQUITY & COMMUNITY ENGAGEMENT SPECIALIST, HEALTH CARE / EDUCATION-FAMILY MEDICINE RESIDENCY OF WESTERN MONTANA, UNIVERSITY OF MONTANA, DREW BABCOCK, AMERICAN INDIAN OUTREACH & PROJECT COORDINATOR, HEALTH CARE / EDUCATION-DISTRICT XI HUMAN RESOURCE COUNCIL, RUTH BURKE, EXECUTIVE DIRECTOR, PUBLIC HEALTH-ALL NATIONS HEALTH CENTER, SKYE MCGINTY, EXECUTIVE DIRECTOR, HEALTH CARE PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 11: A WORKING GROUP THAT INCLUDED PROVIDENCE MONTANA'S DIRECTOR OF BEHAVIORAL HEALTH AND COMMUNITY HEALTH INVESTMENT STAFF MET IN OCTOBER 2023 TO DEVELOP THE 2024-2026 CHIP. THE WORKING GROUP REVIEWED EXISTING STRATEGIES AND INITIATIVES AS WELL AS PROPOSED NEW OPPORTUNITIES TO IMPLEMENT STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS IN THE CHIP.THE PROVIDENCE MONTANA COMMUNITY MISSION BOARD MET OCTOBER 24, 2023 TO REVIEW AND APPROVE THE FINAL CHNA DOCUMENT AND TO APPROVE IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED NEEDS IN THE 2024-2026 CHIP.PROVIDENCE ST. PATRICK HOSPITAL ANTICIPATES THAT IMPLEMENTATION STRATEGIES MAY CHANGE AND THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE CHNA. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED BY PROVIDENCE ST. PATRICK HOSPITAL IN THE CHIP.STRATEGIES TO ADDRESS COMMUNITY NEED #1: MENTAL HEALTH INCLUDE INTEGRATED MENTAL HEALTH CARE IN THE PRIMARY CARE SETTING; INCREASED INPATIENT TREATMENT ACCESS; COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE MENTAL HEALTH CRISIS RESPONSE. STRATEGIES TO ADDRESS COMMUNITY NEED #2: HOMELESSNESS INCLUDE COLLABORATION IN THE FUSE INITIATIVE TO SERVE PEOPLE WITH MOST FREQUENT CONTACT WITH EMERGENCY RESPONSE SYSTEMS; COLLABORATION IN MISSOULA'S COORDINATED ENTRY SYSTEM; RAPID ACCESS TO CIVIL-LEGAL ASSISTANCE FOR HOUSING CONCERNS VIA PROVIDENCE MONTANA'S MEDICAL-LEGAL PARTNERSHIP WITH OUR STATEWIDE LEGAL AID ORGANIZATION. STRATEGIES TO ADDRESS COMMUNITY NEED #3: SUBSTANCE USE/MISUSE INCLUDE SCREENING AND REFERRAL FOR SUBSTANCE USE DISORDERS; COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT TREATMENT OPTIONS. STRATEGIES TO ADDRESS COMMUNITY NEED #4: ACCESS TO CARE INCLUDE OUR MEDICATION ASSISTANCE PROGRAM; COMMUNITY RESOURCE DESK; SCREENING FOR NEEDS RELATED TO SOCIAL DETERMINANTS OF HEALTH; ENROLLMENT ASSISTANCE.BELOW ARE ACCOMPLISHMENTS IN 2024.MEDICAL-LEGAL PARTNERSHIP:PROVIDENCE ST. PATRICK HOSPITAL AND MONTANA LEGAL SERVICES ASSOCIATION (MLSA) CONTINUED PARTNERSHIP IN THE FIRST ACUTE-HOSPITAL BASED MEDICAL-LEGAL PARTNERSHIP IN MONTANA. THIS PROGRAM ALLOWS HOSPITAL STAFF TO REFER PATIENTS WHO ARE EXPERIENCING HEALTH-HARMING CIVIL-LEGAL NEEDS TO (MLSA) DIRECTLY TO THE MLP ATTORNEY. OUR PRIORITY POPULATIONS ARE PATIENTS WHO ARE HOMELESS OR HOUSING INSECURE, PEOPLE WITH MENTAL ILLNESS, AND THOSE WHO ARE OTHERWISE SOCIALLY VULNERABLE. THIS PROGRAM WAS LAUNCHED IN 2020 WITH PARTIAL SUPPORT FROM THE MONTANA HEALTHCARE FOUNDATION. FOOD SECURITY AND OBESITY PREVENTION THROUGH PRESCRIPTION PRODUCE:IN 2024, PROVIDENCE ST. PATRICK CONTINUED SUPPORT OF THE PRESCRIPTION PRODUCE PROGRAM IN PARTNERSHIP WITH THE LOCAL MISSOULA FARMER'S MARKET TO EXPAND ACCESS TO OUR PRESCRIPTION PRODUCE PROGRAM. PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED FOOD SECURITY IN THE MISSOULA COMMUNITY THROUGH CASH CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS, INCLUDING THE MISSOULA FOOD BANK & COMMUNITY CENTER AND THE MONTANA FOOD BANK NETWORK. TO FURTHER IMPROVE HEALTHY FOOD ACCESS AND CHOICES FOR PROGRAM PARTICIPANTS, PROVIDENCE ST. PATRICK HOSPITAL CONTRACTED WITH A LOCAL GROCERY STORE. HOMELESSNESS AND HOUSING:PROVIDENCE ST. PATRICK HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COLLABORATIVES FOCUSED ON SERVING PEOPLE WHO ARE WITHOUT HOUSING. AN SPH REPRESENTATIVE PARTICIPATES IN WEEKLY COORDINATED ENTRY SYSTEM (PART OF THE STATE'S CONTINUUM OF CARE) CASE CONFERENCING, AS WELL AS WEEKLY MEETINGS TO COORDINATE CARE AND HOUSING GOALS FOR PEOPLE IN THE COMMUNITY WHO HAVE THE MOST CONTACT WITH EMERGENCY HEALTH SERVICES, LAW ENFORCEMENT, AND JAIL. PROVIDENCE ST. PATRICK HOSPITAL MADE FINANCIAL AND IN-KIND CONTRIBUTIONS TO PARTNER ORGANIZATIONS THAT SERVE PEOPLE EXPERIENCING HOMELESSNESS, INCLUDING TO THE POVERELLO CENTER EMERGENCY SHELTER AND MEDICAL RESPITE PROGRAM. HOSPITAL SOCIAL WORKERS, CARE MANAGERS AND COMMUNITY HEALTH WORKERS REFERRED PATIENTS EXPERIENCING HOUSING INSECURITY FOR LEGAL ASSISTANCE VIA PROVIDENCE MONTANA'S MEDICAL-LEGAL PARTNERSHIP. CHILDHOOD OBESITY:CATCH (COORDINATED APPROACH TO CHILD HEALTH) UNITES MULTIPLE ORGANIZATIONS IN A CHILD'S LIFE TO CREATE A COMMUNITY OF HEALTH. PROVIDENCE ST. PATRICK HOSPITAL HAS SUPPORTED MISSOULA'S CATCH PROGRAM FOR MORE THAN TWENTY YEARS. CATCH'S EVIDENCE-BASED PROGRAM PREVENTS AND DECREASES THE RATES OF CHILDHOOD OBESITY. THE PROGRAM FOCUSES ON THE MESSAGING A CHILD RECEIVES IN PHYSICAL EDUCATION, THE LUNCHROOM, THE CLASSROOM, AND AT HOME, TO INFLUENCE A CHILD'S CHOICES NOT ONLY IN SCHOOL, BUT LIFELONG. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS DESCRIBED ABOVE, ADDITIONAL NEEDS IDENTIFIED IN THE COMMUNITY INPUT PROCESS INCLUDE CHRONIC DISEASE AND ECONOMIC INSECURITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 7A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE CLICK ON "MONTANA" TAB PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 10A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE CLICK ON "MONTANA" TAB PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCEPROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16B:FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 20E: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS. PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 87 1 - PROVIDENCE MEDICAL GROUP MONTANA 2829 GREAT NORTHERN LOOP STE 300 MISSOULA MT 598081752 SPECIALTY CLINIC 2 - PROVIDENCE MEDICAL GROUP MONTANA 310 MAIN STREET DEER LODGE MT 597221000 SPECIALTY CLINIC 3 - PROVIDENCE MEDICAL GROUP MONTANA 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 4 - PROVIDENCE MEDICAL GROUP MONTANA 601 W SPRUCE ST STE D MISSOULA MT 598024047 SPECIALTY CLINIC 5 - PROVIDENCE MEDICAL GROUP MONTANA 77 DEER CREEK RD SOMERS MT 599328000 SPECIALTY CLINIC 6 - PROVIDENCE MEDICAL GROUP MONTANA 805 MAIN ST SALMON ID 83467 SPECIALTY CLINIC 7 - MMG - BROADWAY INT MED 500 W BROADWAY ST FLR 4 MISSOULA MT 598024096 PRIMARY CARE 8 - MMG - CANCER CENTER 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 9 - MMG - COMM HOSP OF ANACONDA 401 W PENNSYLVANIA ST ANACONDA MT 59711 PRIMARY CARE 10 - MMG - COMMUNITY MEDICAL CENTER 2827 FORT MISSOULA RD MISSOULA MT 598047408 PRIMARY CARE 11 - MMG - DIABETES PREVENTION PROGRAM 500 W BROADWAY ST MISSOULA MT 598024014 SPECIALTY CLINIC 12 - MMG - DISCOVERY CARE CENTER 601 N 10TH ST HAMILTON MT 598402060 SPECIALTY CLINIC 13 - MMG - EDGEWOOD VISTA KALISPELL 141 INTERSTATE LN KALISPELL MT 59901 SENIOR CARE 14 - MMG - EDGEWOOD VISTA MISSOULA 2815 PALMER ST MISSOULA MT 59808 SPECIALTY CLINIC 15 - MMG - ENDOCRINOLOGY DIABETES & NUTRI 900 N ORANGE ST STE 304 MISSOULA MT 598022951 SPECIALTY CLINIC 16 - MMG - EVERGREEN ASSISTED LIVING 3018 RATTLESNAKE DR MISSOULA MT 598026101 SPECIALTY CLINIC 17 - MMG - EVERGREEN HEALTH CARE 3018 RATTLESNAKE DR MISSOULA MT 598026101 REHAB & PHYSICAL THERAPY 18 - MMG - FLORENCE FAMILY MEDICINE 5549 OLD US HWY 93 FLORENCE MT 59833 PRIMARY CARE 19 - MMG - GARDEN CITY DRAW 601 W SPRUCE ST STE K MISSOULA MT 598024047 SPECIALTY CLINIC 20 - MMG - GENERAL AND SPECIALTY SURGERY 500 W BROADWAY ST FLR 5 MISSOULA MT 598024096 SPECIALTY CLINIC 21 - MMG - GRANT CREEK LAB 3075 N RESERVE ST STE Q MISSOULA MT 598081390 PRIMARY CARE 22 - MMG - GRANT CREEK PRIMARY CARE 3075 N RESERVE ST STE Q MISSOULA MT 598081390 PRIMARY CARE 23 - MMG - HILLSIDE HEALTH CARE 4720 23RD AVE MISSOULA MT 59803 REHAB & PHYSICAL THERAPY 24 - MMG - HOME HEALTH OF MONTANA 1903 S RUSSELL ST STE 1 MISSOULA MT 598016624 HOME HEALTH 25 - MMG - IHI BUTTE 435 S CRYSTAL ST STE 240 BUTTE MT 89701 SPECIALTY CLINIC 26 - MMG - IHI CPAM ST PATRICK HOSP AND HEALTH 601 W SPRUCE ST STE A MISSOULA MT 598024030 SPECIALTY CLINIC 27 - MMG - IHI HAMILTON MARCUS DALY MEMORIAL HO 1200 WESTWOOD DR HAMILTON MT 598402345 PRIMARY CARE 28 - MMG - IHI LINCOLN PARKER MEDICAL CENTER 2363 W HWY 200 LINCOLN MT 59639 SPECIALTY CLINIC 29 - MMG - IHI MONTANA CARDIOLOGY 203 S DAISY ST SALMON ID 834674709 SPECIALTY CLINIC 30 - MMG - IHI MT POLSON 6 13TH AVE E STE 1 POLSON MT 59860 SPECIALTY CLINIC 31 - MMG - IHI PLAINS FAMILY MEDICINE 10 KRUGER RD PLAINS MT 59859 SPECIALTY CLINIC 32 - MMG - IHI ST JAMES HEALTHCARE 400 S CLARK ST BUTTE MT 597012328 SPECIALTY CLINIC 33 - MMG - IHI SURGERY 500 W BROADWAY ST MISSOULA MT 598024096 SPECIALTY CLINIC 34 - MMG - INFECTION DISEASE 902 N ORANGE ST MISSOULA MT 598022928 SPECIALTY CLINIC 35 - MMG - INT HEART INST OF MT 500 W BROADWAY ST STE 320 MISSOULA MT 598024031 SPECIALTY CLINIC 36 - MMG - INTERNATIONAL HEART INSTITUTE 1102 E COMMERCIAL AVE ANACONDA MT 59711 SPECIALTY CLINIC 37 - MMG - LAKESIDE CLINIC 2181 HWY 2 E STE 7 KALISPELL MT 59901 PRIMARY CARE 38 - MMG - LONGTERM MOBILITY CARE 500 W BROADWAY ST MISSOULA MT 598024008 SENIOR CARE 39 - MMG - METABOLIC CTR OF ENDO DIAB AND NUTRI 902 N ORANGE ST STE 304 MISSOULA MT 598022951 SPECIALTY CLINIC 40 - MMG - MISSOULA FAMILY MEDICAL 601 W SPRUCE ST STE A MISSOULA MT 598024047 PRIMARY CARE 41 - MMG - MISSOULA FAMILY MEDICAL 621 W ALDER MISSOULA MT 598024014 PRIMARY CARE 42 - MMG - MONTANA GENERAL SURGERY 500 W BROADWAY ST MISSOULA MT 598024096 SPECIALTY CLINIC 43 - MMG - MONTANA NEUROLOGY SPECIALISTS 902 N ORANGE ST STE 303 MISSOULA MT 598022951 SPECIALTY CLINIC 44 - MMG - MT IHI 500 W BROADWAY ST STE 320 MISSOULA MT 598024031 PRIMARY CARE 45 - MMG - MT SPINE & PAIN POLSON 6 13TH AVE EAST POLSON MT 598605315 SPECIALTY CLINIC 46 - MMG - MT SPINE AND PAIN CENTER 500 W BROADWAY ST FLR 3 MISSOULA MT 598024096 SPECIALTY CLINIC 47 - MMG - NEPHROLOGY 500 W BROADWAY ST FLR 4 MISSOULA MT 598024096 SPECIALTY CLINIC 48 - MMG - NEUROSURGICAL SPECIALIS 500 W BROADWAY ST STE 310 MISSOULA MT 598024012 SPECIALTY CLINIC 49 - MMG - OCCUPATIONAL HEALTH SERVICES 2875 TINA AVE STE 104 MISSOULA MT 598081582 SPECIALTY CLINIC 50 - MMG - OCCUPATIONAL HLTH SERVICES 601 W SPRUCE ST STE C MISSOULA MT 598024057 SPECIALTY CLINIC 51 - MMG - PEDIATRIC HOSPITALIST 500 W BROADWAY ST MISSOULA MT 598024096 SPECIALTY CLINIC 52 - MMG - PEDIATRICS 900 N ORANGE ST STE 303 MISSOULA MT 598022956 SPECIALTY CLINIC 53 - MMG - PLASTIC SURGERY 900 N ORAGE ST STE 205 MISSOULA MT 59802 SPECIALTY CLINIC 54 - MMG - PMG MT ACUTE SURGERY AND TRAUMA SVC 500 W BROADWAY MISSOULA MT 59802 SPECIALTY CLINIC 55 - MMG - PMG MT PULMONOLOGY AND SLEEP MEDICIN 900 N ORANGE ST STE 106 MISSOULA MT 598022951 SPECIALTY CLINIC 56 - MMG - POWELL COUNTY MEDICAL CLINIC 1101 TEXAS AVE DEER LODGE MT 59722 PRIMARY CARE 57 - MMG - PROVIDENCE OCCUPATIONAL HEALTH 3055 N RESERVE ST STE D MISSOULA MT 598081395 SPECIALTY CLINIC 58 - MMG - PSYCHIATRY 900 N ORANGE ST STE 202 MISSOULA MT 598022951 SPECIALTY CLINIC 59 - MMG - PULMONARY AND SLEEP MEDICINE 601 W SPRUCE ST STE J MISSOULA MT 598024047 SPECIALTY CLINIC 60 - MMG - RADIATION ONCOLOGY 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 61 - MMG - REHAB 902 N ORANGE ST FLR 4 MISSOULA MT 598022998 REHAB & PHYSICAL THERAPY 62 - MMG - RIVERSIDE HEALTH CARE 1301 E BROADWAY ST MISSOULA MT 598024905 REHAB & PHYSICAL THERAPY 63 - MMG - ROCKY MOUNTAIN HEART LUNG 350 HERITAGE WAY STE 2100 KALISPELL MT 599013167 SPECIALTY CLINIC 64 - MMG - SPH ANTICOAGULATION CLINIC 500 W BROADWAY ST MISSOULA MT 598024096 SPECIALTY CLINIC 65 - MMG - SPH FIRST STEP 900 N ORANGE ST STE 103 MISSOULA MT 598022951 SPECIALTY CLINIC 66 - MMG - SPH INPATIENT HOSP 500 W BROADWAY ST MISSOULA MT 598024096 PRIMARY CARE 67 - MMG - SPH INPATIENT PHY SERVICES 500 W BROADWAY ST MISSOULA MT 598024096 PRIMARY CARE 68 - MMG - SPH ST PATRICKS ER PHYS 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 69 - MMG - ST LUKE COMMUNITY HEALTHCARE 107 RIDGEWATER DR POLSON MT 59860 PRIMARY CARE 70 - MMG - ST PATRICK HOSP CORP BUTTE 400 S CLARK ST BUTTE MT 597012328 PRIMARY CARE 71 - MMG - ST PATRICK PATHOLOGISTS 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 72 - MMG - STEVENSVILLE 715 MAIN ST STEVENSVILLE MT 59870 PRIMARY CARE 73 - MMG - SURGERY CENTER 902 N ORANGE STE 100 MISSOULA MT 598022928 SPECIALTY CLINIC 74 - MMG - TRAUMA SERVICES 500 W BROADWAY ST FLR 5 MISSOULA MT 598024096 SPECIALTY CLINIC 75 - MMG - TRIBAL HLTH & HUMAN SERVICES 308 MISSION DR ST IGNATIUS MT 59865 PRIMARY CARE 76 - MMG - VALLEY VIEW ESTATES HEALTHCARE CENTE 225 N 8TH ST HAMILTON MT 59840 REHAB & PHYSICAL THERAPY 77 - MMG - VILLIAGE HEALTH CARE 2651 SOUTH AVE W MISSOULA MT 598046405 REHAB & PHYSICAL THERAPY 78 - MMG - WOMEN'S CARE CTR & FAMILY WELLNESS 1211 S RESERVE ST STE 101 MISSOULA MT 59801 PRIMARY CARE 79 - MMG - WOUND CARE 902 N ORANGE ST MISSOULA MT 598022928 SPECIALTY CLINIC 80 - MMG AT AUTUMN HOUSE 1185 EASTSIDE HWY CORVALLIS MT 59828 SPECIALTY CLINIC 81 - MMG AT BEEHIVE HOMES 2406 RIVER RD MISSOULA MT 59804 SPECIALTY CLINIC 82 - MMG AT MARCUS DALY HOSPICE AND PALLITIVE C 1200 WESTWOOD DR HAMILTON MT 598402345 SPECIALTY CLINIC 83 - MMG AT MARCUS DALY MEMORIAL HOSPITAL 1200 WESTWOOD DR HAMILTON MT 598402345 PRIMARY CARE 84 - MMG AT MARCUS DALY MEMORIAL HOSPITAL HOME 1200 WESTWOOD DR HAMILTON MT 598402345 PRIMARY CARE 85 - MMG AT ST PATRICK HOSP & HLTH SCI CTR 500 W BROADWAY ST MISSOULA MT 598024008 PRIMARY CARE 86 - MMG -GARDEN CITY 601 W SPRUCE ST STE K MISSOULA MT 59802 SPECIALTY CLINIC 87 - PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA MT 59802 AMBULATORY SURGERY CENTER PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: PROVIDENCE HEALTH & SERVICES - MONTANA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/MONTANA PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: PROVIDENCE PHYSICIANS MONTANA REPORTED $3,405,659 COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: IN 2024, PROVIDENCE ST. PATRICK HOSPITAL CONTINUED OUR AWARD-WINNING WORK TO REDUCE ENVIRONMENTAL IMPACTS FROM HOSPITAL OPERATIONS. THIS EFFORT, CALLED GREEN 4 GOOD, IS LED BY A DEDICATED STAFF PERSON (.5 FTE) IN THE MONTANA SERVICE AREA. 2024 GREEN 4 GOOD ACCOMPLISHMENTS INCLUDE WASTE OPTIMIZATION RATE OF 41.5%, EXCEEDING ELECTRICITY, THERMAL, WATER AND GREENHOUSE GAS EMISSIONS TARGETS THESE EFFORTS ARE PART OF PROVIDENCE'S SYSTEMWIDE GOAL OF ACHIEVING CARBON NEGATIVE STATUS BY 2030. PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED COMMUNITY EQUITY AND INCLUSION WORK, INCLUDING PARTICIPATION IN MISSOULA'S PRIDE PARADE. THE HOSPITAL ALSO CONTINUED ITS PROMOTION OF COMMUNITY HEALTH EQUITY AND ENVIRONMENTAL STEWARDSHIP THROUGH PARTICIPATION IN THE CLARK FORK RIVER CLEAN-UP, WITH 30 HOSPITAL VOLUNTEERS MAKING UP MANY OF THE COMMUNITY VOLUNTEERS IN COLLECTING SEVERAL TONS OF TRASH PRIOR TO SPRING RIVER RUNOFF. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: COLLECTION ACTIVITYOUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENTWE 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-PROFIT ORGANIZATIONS 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. A REPRESENTATIVE FROM PROVIDENCE ST. PATRICK HOSPITAL PARTICIPATES IN MISSOULA COUNTY HEALTH DEPARTMENT'S COMMUNITY NEEDS ASSESSMENT PROCESS: HTTPS://ACROBAT.ADOBE.COM/ID/URN:AAID:SC:VA6C2:4CC0BA2C-6E9B-4323-9370-A96CCB23C8A7ADDITIONALLY, 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. PART VI, LINE 3: COMMUNICATION TO THE PUBLICTHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATIONPROVIDENCE ST. PATRICK HOSPITAL IS A REGIONAL TERTIARY CARE HOSPITAL FOUNDED IN 1873 AND LOCATED IN MISSOULA, MONTANA. THE HOSPITAL HAS 253 LICENSED BEDS AND EMPLOYS MORE THAN 2,200 EMPLOYEE CAREGIVERS, OVER 200 OF WHOM ARE PROVIDENCE MEDICAL GROUP PROVIDERS.MAJOR PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY INCLUDE THE PROVIDENCE HEART INSTITUTE, MONTANA CANCER CENTER, DA VINCI SURGICAL SYSTEM, A LEVEL II TRAUMA CENTER, INPATIENT ADULT AND ADOLESCENT NEUROBEHAVIORAL HEALTH AND MANY SPECIALTY AREAS OF MEDICINE.PROVIDENCE ST. PATRICK HOSPITAL IN MISSOULA, MONTANA SERVES AS A REGIONAL CARE CENTER IN WESTERN MONTANA. BASED ON THE AVAILABILITY OF DATA AND GEOGRAPHIC ACCESS TO THE FACILITY, MISSOULA COUNTY SERVES AS THE BOUNDARY FOR THE HOSPITAL SERVICE AREA.ASIDE FROM MISSOULA, POPULATION CENTERS WITHIN MISSOULA COUNTY INCLUDE THE TOWNS OF BONNER, CLINTON, CONDON, FRENCHTOWN, HUSON, LOLO, MILLTOWN AND SEELEY LAKE. WITH A POPULATION OF 121,0411, MISSOULA COUNTY IS THE THIRD MOST POPULOUS COUNTY IN MONTANA; THE POPULATION HAS GROWN BY 2.6% SINCE THE 2020 CHNA.IN MISSOULA COUNTY, ROUGHLY 37% OF PEOPLE LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS ACROSS THE COUNTY. FOR REFERENCE, IN 2023, 200% FPL REPRESENTS AN ANNUAL HOUSEHOLD INCOME OF $60,000 FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.THE ORGANIZED HEALTH CARE DELIVERY SYSTEMS INCLUDE THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT, COMMUNITY MEDICAL CENTER, AS WELL AS FEDERALLY-QUALIFIED HEALTH CENTERS. IN ADDITION, THERE ARE NUMEROUS SOCIAL SERVICE NON-PROFIT AGENCIES, FAITH-BASED ORGANIZATIONS, AND PRIVATE AND PUBLIC-SCHOOL SYSTEMS THAT CONTRIBUTE RESOURCES TO ADDRESS THESE IDENTIFIED NEEDS: 2 HOSPITALS, INCLUDING ONE WITH PSYCHIATRIC INPATIENT UNIT AND AMBULATORY OUTPATIENT CLINICS. ONE FEDERALLY-QUALIFIED HEALTH CENTER, INCLUDING SATELLITE CLINICS 60+ DENTAL PROVIDERS MENTAL HEALTH PROVIDERS: 1 CRISIS STABILIZATION HOME, 2 OUTPATIENT MENTAL HEALTH TREATMENT CENTERS SERVING BOTH ADULTS AND CHILDREN ADDICTION TREATMENT: 1 INPATIENT CENTER AND 2 OUTPATIENT CENTERS TO SERVE BOTH ADULT AND CHILDREN.OTHER HOSPITALS IN SERVICE AREACOMMUNITY MEDICAL CENTER PART VI, LINE 5: COMMUNITY HEALTH PROMOTIONPROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE ST. PATRICK HOSPITAL A REGIONAL TERTIARY CARE HOSPITAL IN MISSOULA MONTANA. THE HOSPITAL HAS 253 LICENSED BEDS AND EMPLOYS MORE THAN 2,200 EMPLOYEE CAREGIVERS, OVER 200 OF WHOM ARE PROVIDENCE MEDICAL GROUP PROVIDERS. MAJOR PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY INCLUDE THE PROVIDENCE HEART INSTITUTE MONTANA, CANCER CENTER, DA VINCI SURGICAL SYSTEM, A LEVEL II TRAUMA CENTER, INPATIENT ADULT AND ADOLESCENT, NEUROBEHAVIORAL HEALTH AND MANY HEALTH AND MANY SPECIALTY AREA OF MEDICINE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) THE PROVIDENCE ST. PATRICK COMMUNITY MISSION BOARD ACTS IN ACCORDANCE WITH THE BOARD-APPROVED CHARTER. THE COMMUNITY MISSION BOARD IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE CHNA AND CHIP REPORTS, AND OVERSEEING AND DIRECTING THE COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY MISSION BOARD IS COMPRISED OF 8-15 BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO REPRESENT THE AGE, GENDER, RACE AND ETHNIC PROFILE OF THE SERVICE AREA. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE.2) OPEN MEDICAL STAFF, USE OF SURPLUS FUNDS TO ADVANCE CARE TO PATIENTS AND A HEALTH PROFESSIONS EDUCATION PROGRAM THE SERVES THE EDUCATIONAL NEEDS OF THE COMMUNITY. 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:FOR NEARLY 170 YEARS, PROVIDENCE HAS BEEN DEDICATED TO SUPPORTING COMMUNITIES ACROSS THE SEVEN STATES WE SERVE. WE HAVE ALWAYS BELIEVED IN THE POWER OF COLLABORATION, RECOGNIZING THAT STRONG PARTNERSHIPS ARE ESSENTIAL TO OUR VISION OF HEALTH FOR A BETTER WORLD. AS WE FOCUS ON OUR CORE OPERATIONS OF DELIVERING HIGH-QUALITY, COMPASSIONATE CARE, WE RELY ON PARTNERS IN LOCAL COMMUNITIES TO HELP US GET UPSTREAM SO WE CAN ADDRESS THE SOCIAL FACTORS THAT AFFECT HEALTH, ESPECIALLY IN COMMUNITIES EXPERIENCING HIGH LEVELS OF HEALTH DISPARITIES. AT THE HEART OF THIS COLLABORATION IS OUR COMMUNITY BENEFIT PROGRAMS. EVERY YEAR, OUR FAMILY OF ORGANIZATIONS IDENTIFIES UNMET COMMUNITY NEEDS AND RESPONDS WITH STRATEGIC CONTRIBUTIONS AND PARTNERSHIPS. THROUGH THIS WORK, WE AIM TO MEET BASIC HEALTH NEEDS, REMOVE BARRIERS TO HEALTH, BUILD RESILIENT COMMUNITIES AND FIND INNOVATIVE WAYS TO SERVE THOSE WHO ARE MOST VULNERABLE. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.PROVIDENCE ACROSS FIVE WESTERN STATES:- ALASKA- MONTANA- OREGON- NORTHERN CALIFORNIA- SOUTHERN CALIFORNIA- WASHINGTON THE PROVIDENCE AFFILIATE FAMILY INCLUDES: - COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO - FACEY MEDICAL GROUP IN LOS ANGELES, CA. - KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA. - SWEDISH HEALTH SERVICES IN SEATTLE, WA. IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES.ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND:ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST.ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS.SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS:- DISASTER RESPONSE AND RESILIENCE- LIFELONG EDUCATION THAT OPENS DOORS - POSITIVE CHANGE THROUGH COMMUNITY POWER- COMMUNITY HEALING AND RESILIENCECAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT.IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES.THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION.ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY.IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES.SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES.THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUNDINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION:FOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT EFFORTS. BELOW WE HIGHLIGHT KEY EXAMPLES.THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE. THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE:- EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS- PRESERVING THE MEDICAID PROGRAM- SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT- ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE- INCREASING ACCESS TO MENTAL HEALTH SERVICESADVOCACY AND SOCIAL RESPONSIBILITY:IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYWELL BEING TRUST:PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE.FOR MORE INFORMATION GO TO:HTTPS://WELLBEINGTRUST.ORG/ABOUT/"HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 MISSOULA ECONOMIC PARTNERSHIP PO BOX 7457 MISSOULA MT 59807 273994460 501(C)(3) 50000 0 SPONSORSHIP MOUNTAIN HOME MONTANA INC 2606 SOUTH AVE W MISSOULA MT 59804 810520628 501(C)(3) 30000 0 SPONSORSHIP ST PATRICK HOSPITAL FOUNDATION 502 W SPRAUCE ST MISSOULA MT 59802 237056976 501(C)(3) 950653 0 SPONSORSHIP 3 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. X 1 1 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT/CEO 0 1968391 0 6173417 0 448548 0 519036 0 15992 0 9125384 0 409440 GREG HOFFMAN EVP & CFO/TREASURER 0 1402471 0 2154592 0 323161 0 377326 0 13379 0 4270929 0 239249 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 1053930 0 1511654 0 44947 0 284757 0 387 0 2895675 0 0 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 0 1034912 0 1223256 0 253811 0 302494 0 15342 0 2829815 0 210040 JOE SCHMOKER PHYSICIAN 1406791 0 150000 0 117200 0 18113 0 16831 0 1708935 0 61676 0 SCOTT O'BRIEN CHIEF EXEC EASTERN WA/MT 0 643260 0 593276 0 204480 0 198155 0 3461 0 1642632 0 162130 CARTER BECK PHYSICIAN 1140284 0 157425 0 98616 0 86743 0 5862 0 1488930 0 70714 0 DANIEL SPOON MD PHYSICIAN 846633 0 217499 0 78058 0 70946 0 19683 0 1232819 0 52418 0 MICHAEL ROHRER PHYSICIAN 921355 0 75000 0 57417 0 36099 0 15744 0 1105615 0 19939 0 TRAVIS ABICHT PHYSICIAN 894619 0 111043 0 24709 0 36564 0 23543 0 1090478 0 0 0 JIM WATSON ESQ ASSISTANT SECRETARY 0 494455 0 358832 0 102636 0 110879 0 17651 0 1084453 0 77014 MELISSA DAMM DIVISION CFO - CENTRAL 0 490816 0 308232 0 64662 0 106358 0 3569 0 973637 0 54308 JIM MARTIN ASSISTANT TREASURER 0 463263 0 290109 0 66993 0 88541 0 8347 0 917253 0 64532 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 BILL CALHOUN CHIEF EXEC WESTERN MT SVC AREA 0 338382 0 25000 0 126905 0 105430 0 11701 0 607418 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO, ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W-2. MELISSA DAMM - $1,385 SCOTT O'BRIEN - $1,699 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS THIS YEAR: JO ANN ESCASA-HAIGH - $879,466 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ERIK WEXLER - $409,440 GREG HOFFMAN - $239,249 JOEL GILBERTSON - $210,040 JOE SCHMOKER - $61,676 SCOTT O'BRIEN - $162,130 CARTER BECK - $70,714 DANIEL SPOON, MD - $52,418 MICHAEL ROHRER - $19,939 JIM WATSON, ESQ - $77,014 MELISSA DAMM - $54,308 JIM MARTIN - $64,532 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - MONTANA. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - MONTANA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - MONTANA'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - MONTANA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART IX, LINE 11G MEDICAL DIRECTOR & MED. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 25,619,880. MANAGEMENT AND GENERAL EXPENSES 2,048,577. TOTAL EXPENSES 27,668,457. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 12,304,309. MANAGEMENT AND GENERAL EXPENSES 983,858. TOTAL EXPENSES 13,288,167. OTHER PATIENT SERVICES FEES: PROGRAM SERVICE EXPENSES 39,200,916. MANAGEMENT AND GENERAL EXPENSES 3,134,522. TOTAL EXPENSES 42,335,438. AGENCY & CONTRACT LABOR FEES: PROGRAM SERVICE EXPENSES 845,578. MANAGEMENT AND GENERAL EXPENSES 67,613. TOTAL EXPENSES 913,191. REPAIRS & MAINTENANCE FEES: PROGRAM SERVICE EXPENSES 6,073,683. MANAGEMENT AND GENERAL EXPENSES 485,654. TOTAL EXPENSES 6,559,337. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 62,639,357. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 4,882,009. OTHER CHANGES IN NET ASSETS -4,166,317. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 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