PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202423189349301612
Schema version: 2023v5.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T07:16:32-06:00	ReturnTs
Tax Period End	2023-12-31	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	2023-01-01	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	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JIM MARTIN	PersonNm
Person Title	CHIEF ACCOUNTING OFFICER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2024-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2024-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ERIK WEXLER	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	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$10,468,008,997	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	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.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	45296	TotalEmployeeCnt
Total Volunteers	3710	TotalVolunteersCnt
Total Gross UBI	$4,884,740	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,467,915	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$73,772,552	PYContributionsGrantsAmt
CY Contributions Grants	$76,817,706	CYContributionsGrantsAmt
PY Program Service Revenue	$9,174,559,726	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,399,737,050	CYProgramServiceRevenueAmt
PY Investment Income	$95,153,161	PYInvestmentIncomeAmt
CY Investment Income	$134,238,956	CYInvestmentIncomeAmt
PY Other Revenue	-$3,278,677,905	PYOtherRevenueAmt
CY Other Revenue	$167,494,952	CYOtherRevenueAmt
PY Total Revenue	$6,064,807,534	PYTotalRevenueAmt
CY Total Revenue	$9,778,288,664	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,588,902	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,167,349	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$5,614,734,233	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,865,857,209	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,757,222	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,237,207,293	PYOtherExpensesAmt
CY Other Expenses	$4,239,114,171	CYOtherExpensesAmt
PY Total Expenses	$9,874,530,428	PYTotalExpensesAmt
CY Total Expenses	$10,122,138,729	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,809,722,894	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$343,850,065	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,832,233,459	TotalAssetsBOYAmt
Total Assets EOY	$8,459,135,189	TotalAssetsEOYAmt
Total Liabilities BOY	$7,052,095,655	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,049,765,375	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,780,137,804	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,409,369,814	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	$6,250,708,456	ExpenseAmt
Grant	$17,167,349	GrantAmt
Revenue	$9,549,578,918	RevenueAmt
Desc	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAAS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.2023 PROGRAM SERVICE ACCOMPLISHMENTSPROVIDENCE IS THE LARGEST HEALTH CARE PROVIDER IN WASHINGTON WITH HOSPITALS, CLINICS, SENIOR CARE CENTERS, HOSPICE AND HOME HEALTH SERVICES IN COMMUNITIES LARGE AND SMALL ACROSS THE STATE. OUR NOT-FOR-PROFIT NETWORK INCLUDES HOSPITALS, PHYSICIANS, CLINICS, CARE CENTERS, HOSPICE AND HOME HEALTH PROGRAMS AND DIVERSE COMMUNITY SERVICES ACROSS WASHINGTON. PROVIDENCE HAS A LONG HISTORY OF SERVING ALASKA, BEGINNING WHEN THE SISTERS OF PROVIDENCE FIRST BROUGHT HEALTH CARE TO NOME IN 1902 DURING THE GOLD RUSH. THIS PIONEERING SPIRIT SET THE STANDARD FOR MODERN HEALTH CARE IN ALASKA AND FORMED THE FOUNDATION FOR PROVIDENCE'S GROWTH AS THE STATE'S LEADING HEALTH CARE PROVIDER. TODAY, PROVIDENCE SERVES ALASKANS IN SIX COMMUNITIES - ANCHORAGE, EAGLE RIVER, KODIAK ISLAND, MAT-SU, SEWARD, AND VALDEZ. PROVIDENCE ALASKA IS THE STATE'S LARGEST PRIVATE EMPLOYER WITH MORE THAN 4,000 FULL AND PART-TIME EMPLOYEES WORKING FOR THE ORGANIZATION STATEWIDE.IN 2023, PROVIDENCE WASHINGTON AND PROVIDENCE ALASKA CONTINUED THE TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE HIGHLIGHTED ACCOMPLISHMENTS IN 2023.BROTHER FRANCIS SHELTER HOMELESS RESPITEPROVIDENCE PILOTED A TWO BED HOMELESS RESPITE PROGRAM AT THE LARGEST HOMELESS SHELTER IN ANCHORAGE, ALASKA OPERATED BY CATHOLIC SOCIAL SERVICES. AFTER DEMONSTRATING THE VALUE OF THE PROGRAM, PROVIDENCE APPROACHED CATHOLIC SOCIAL SERVICES AS WELL AS THE TWO OTHER MAJOR HOSPITALS IN ANCHORAGE (ALASKA NATIVE MEDICAL CENTER AND ALASKA REGIONAL HOSPITAL) PROPOSING A PARTNERSHIP. THROUGH THAT PARTNERSHIP, THE HOSPITALS PROVIDE FUNDING FOR CSS TO OPERATE A TEN BED RESPITE PROGRAM, WITH PROVIDENCE FUNDING MORE THAN HALF THE COST TO OPERATE THE PROGRAM ANNUALLY ($265,000 IN 2023). THE MEDICAL RESPITE PROGRAM HAS BEEN SERVING THE NEEDS OF CRITICALLY ILL INDIVIDUALS SINCE 2015, WHEN PROVIDENCE ALASKA PROVIDED A $500,000 DONATION TO CREATE RECUPERATIVE LIVING QUARTERS FOR PATIENTS EXPERIENCING HOMELESSNESS. THE TEN BED PROGRAM PROVIDES A SAFE SPACE FOR THE SELF-CARE AND RECUPERATION OF PATIENTS DISCHARGED FROM MEDICAL FACILITIES IN ANCHORAGE. THE MEDICAL RESPITE SPACE PROVIDES GUESTS WITH 24-HOUR ACCESS TO A FURNISHED SEMI-PRIVATE ROOM, 3 MEALS A DAY, A COMMON AREA WITH A TELEVISION, KITCHENETTE, AND LAUNDRY. CASE MANAGERS ASSIST GUESTS WITH TRANSPORTATION FOR FOLLOW-UP APPOINTMENTS AND HELP GUESTS MEET THEIR DIVERSE HEALTHCARE GOALS. IN 2023, THE RESPITE PROGRAM PROVIDED 2,908 BED-NIGHTS (DAYS) TO 135 HOMELESS INDIVIDUALS IN NEED OF A SAFE PLACE TO CONVALESCE FOLLOWING HOSPITAL DISCHARGES FROM THE THREE LOCAL HOSPITALS, PAMC, ARH, AND ANMC.AFFORDABLE HOUSING: GUEST HOUSE:AS PART OF THE ANCHORAGE, ALASKA COMMUNITY MASS CARE EXIT STRATEGY TO ADDRESS THE DEMOBILIZATION OF COVID ERA TEMPORARY EMERGENCY SHELTER, A PUBLIC PRIVATE PARTNERSHIP FORMED TO PURCHASE AND CONVERT A LOCAL HOTEL, THE GUEST HOUSE, TO AFFORDABLE HOUSING UNITS. THE GUEST HOUSE PURCHASE IS PART OF A LARGE, MULTI-TIERED APPROACH TO ADDRESSING HOMELESSNESS AND HOUSING SHORTAGES IN ANCHORAGE. THIS HOUSING FACILITY, FUNDED IN PART BY A $500,000 GIFT FROM PROVIDENCE ALASKA, OFFERS SHELTER TO UP TO 126 INDIVIDUALS EXPERIENCING HOMELESSNESS. THE GUEST HOUSE ALSO PROVIDES ESSENTIAL RESOURCES SUCH AS INTERNET ACCESS FOR JOB SEARCHING, A FOOD PANTRY AND LAUNDRY FACILITIES. THE AIM OF THE GUEST HOUSE IS TO HELP INDIVIDUALS EXPERIENCING HOMELESSNESS RESET THEIR LIVES AND TRANSITION INTO MORE PERMANENT HOUSING.PROMOTING JUSTICE AND WELL-BEING FOR THE MOST VULNERABLEPROVIDENCE'S ABUSE INTERVENTION CENTER IN SOUTH PUGET SOUND, WASHINGTON IS A NATIONAL MODEL FOR HOW TO BEST SERVE CHILDREN WHO HAVE EXPERIENCED SEXUAL ABUSE, PHYSICAL ABUSE, EMOTIONAL NEGLECT, OR MALTREATMENT. CHILDREN ARE REFERRED TO OUR CLINIC BY LAW ENFORCEMENT PERSONNEL; SOCIAL WORKERS FROM THE STATE DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES (DCYF); OR ANY MEDICAL PROFESSIONAL. OUR CLINIC SERVES FIVE COUNTIES AND COLLABORATES WITH INDIAN CHILD WELFARE AND TRIBAL COMMUNITIES.THE CLINIC RECEIVES ABOUT 600 REFERRALS EACH YEAR. APPROXIMATELY 350 OF THOSE CHILDREN RECEIVE IN-PERSON SERVICES ON AN URGENT OR EMERGENT BASIS. CHILDREN MIGHT HAVE A FORENSIC INTERVIEW (REQUESTED BY LAW ENFORCEMENT AND CONDUCTED BY A SPECIALLY TRAINED INTERVIEWER TO OBTAIN THE INFORMATION THAT WILL ASSIST IN THE INVESTIGATION AND PROSECUTION OF A CRIME), A MEDICAL INTERVIEW AND EXAMINATION, AND TRAUMA-BASED COUNSELING. OUR CLINIC HAS THREE SPECIALLY TRAINED FACILITY DOGS ASTRO, DAZE, AND COCO TO ENSURE THE CHILDREN FEEL SAFE AND CALM DURING THEIR VISIT.THE MULTI-DISCIPLINARY TEAM INCLUDES MEDICAL PERSONNEL, SPECIAL VICTIM'S PROSECUTORS, LAW ENFORCEMENT, DCYF, FORENSIC INTERVIEWERS, SOCIAL WORKERS, AND COUNSELORS. THIS MULTIDISCIPLINARY TEAM WORKS TOGETHER TO SUPPORT THE CHILD THROUGH THE ENTIRE PROCESS.THE ABUSE INTERVENTION CENTER ALSO HOUSES THE FORENSIC NURSE EXAMINER PROGRAM. THIS TEAM OF SPECIALLY TRAINED NURSES PROVIDES MEDICAL FORENSIC EXAMS IN THE EMERGENCY DEPARTMENTS AT PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS AND AT MADIGAN ARMY MEDICAL CENTER TO ADULTS AND ADOLESCENTS WHO HAVE EXPERIENCED A RECENT SEXUAL ASSAULT OR STRANGULATION.PROVIDENCE SWEDISH SOUTH PUGET SOUND RESIDENTS AND INTERDISCIPLINARY FACULTY STEADFASTLY SERVE VULNERABLE POPULATIONS, INCLUDING THOSE IN RURAL, MEDICALLY UNDERSERVED AREAS. RESIDENTS CARE FOR MORE THAN 15,000 PATIENTS ANNUALLY, THE VAST MAJORITY OF WHICH ARE UNINSURED OR UNDERINSURED AND MIGHT NOT BE ABLE TO FIND A PROVIDER OTHERWISE.	Desc
Total Program Service Expenses	$6,250,708,456	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
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	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	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2517	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	45296	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	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Foreign Country	IN	ForeignCountryCd
Foreign Country	SN	ForeignCountryCd
Foreign Country	TW	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GUY HUDSON MD
DIV. CHIEF EXEC (NORTH) THRU 9/23	63.00	2.00	Yes (X)	$6,155,606	$0	$39,652
ERIK WEXLER
PRESIDENT/CEO	51.00	14.00		$5,154,374	$0	$461,693	Yes (X)
DEBRA CANALES
FRMR KE - PSJH EVP/CAO	0.00	65.00		$0	$5,026,633	$69,939		Yes (X)
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	0.00	65.00		$0	$4,437,916	$32,662		Yes (X)
LISA VANCE
PRES. STRAT & OPS (NORTH) THRU 6/23	0.50	64.50	Yes (X)	$0	$4,329,919	$46,816
GREG HOFFMAN
EVP & CFO/TREASURER	50.00	15.00		$3,204,594	$0	$334,955	Yes (X)
JO ANN ESCASA-HAIGH
FRMR EVP/ASSISTANT TREASURER	0.00	1.00		$0	$3,291,797	$10,754		Yes (X)
JOEL GILBERTSON
DIVISION CHIEF EXEC - CENTRAL	17.00	48.00	Yes (X)	$2,833,809	$0	$333,262
WASIF RASHEED
CHIEF REV AND GROWTH OFFICER	64.50	0.50	Yes (X)	$2,873,189	$0	$260,778
GREG TILL
CHIEF PEOPLE OFFICER	65.00	0.00	Yes (X)	$2,516,781	$0	$520,180
KEVIN BROOKS
DIVISION CHIEF EXEC - NORTH	32.50	32.50	Yes (X)	$2,158,442	$0	$269,461
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY	48.00	17.00		$1,917,204	$0	$412,545	Yes (X)
ARI ROBICSEK MD
CHIEF PROVIDENCE ANALYTICS OFFICER	64.50	0.50		$2,010,519	$0	$224,154			Yes (X)
KEVIN MANEMANN
DIVISIONAL CHIEF EXECUTIVE - SOUTH	51.50	3.50		$2,026,390	$0	$13,287			Yes (X)
AMY COMPTON-PHILLIPS MD
FRMR EVP/CHF CLIN. OFC.	0.00	0.50		$0	$2,017,976	$0		Yes (X)
HODA ASMAR
EVP SYSTEM CHIEF MEDICAL OFFICER	65.00	0.00	Yes (X)	$1,709,284	$0	$290,261
OREST HOLUBEC
FRMR KE - PSJH SVP/CHF COMM/EXT AFF	0.00	65.00		$0	$1,719,664	$229,517		Yes (X)
JEREMY ZOCH
CHIEF EXECUTIVE SJO	18.00	37.00		$1,873,290	$0	$36,993			Yes (X)
ALI SANTORE
CHIEF ADMIN OFFICER	63.00	2.00	Yes (X)	$1,635,549	$0	$204,645
TOM MAHOWALD
CFO CLINICAL CARE	50.00	0.00		$1,791,704	$0	$35,324			Yes (X)
RICHARD PARKS
EXECUTIVE ADVISOR	50.00	0.00		$1,785,594	$0	$37,055			Yes (X)
SCOTT O'BRIEN
DIVISION COO - CENTRAL	13.00	42.00	Yes (X)	$1,573,113	$0	$208,371
PK KHURANA
CHIEF STRATEGY OFF. - CARE DELIVERY	54.50	0.50	Yes (X)	$1,520,575	$0	$237,625
SARA VAEZY
EVP CHIEF STRATEGY AND DIGITAL OFF.	63.00	2.00	Yes (X)	$1,525,609	$0	$198,301
MARY CRANSTOUN
SVP TOTAL RWRDS-TLNT ACQ-THRU 3/23	54.00	1.00	Yes (X)	$1,582,012	$0	$38,522
SYLVAIN TREPANIER
SVP CHIEF NURSING OFFICER	55.00	0.00	Yes (X)	$1,331,228	$0	$220,537
ELLA GOSS
REGIONAL CHIEF EXEC - AK	54.50	0.50	Yes (X)	$1,228,445	$0	$77,197
MARYBETH FORMBY
DIVISION CFO - NORTH	27.00	28.00	Yes (X)	$1,162,817	$0	$128,697
JIM WATSON ESQ
ASSISTANT SECRETARY	44.50	10.50		$968,691	$0	$146,931	Yes (X)
DARIN GOSS
CHIEF EXEC SOUTH PUGET SOUND	54.50	0.50	Yes (X)	$897,597	$0	$169,895
KRISTY CARRINGTON
CE NORTH PUGET SOUND	27.00	28.00	Yes (X)	$882,258	$0	$173,333
MIKE WATERS
FRMR EVP AMBULATORY CARE NETWORK	0.00	0.00		$1,027,295	$0	$0		Yes (X)
MELISSA DAMM
DIVISION CFO - CENTRAL	13.00	42.00	Yes (X)	$880,981	$0	$117,526
RYAN THOMPSON
SVP CHIEF REV CYCLE OFFICER	55.00	0.00	Yes (X)	$849,767	$0	$147,700
PRASANNA MOHANTY
COO - PCN	53.00	2.00	Yes (X)	$858,020	$0	$94,582
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)	36.00	19.00		$828,928	$0	$115,635	Yes (X)
PRESTON SIMMONS
FRMR SVP CHIEF EXEC AK REGION	0.00	0.00		$887,015	$0	$0		Yes (X)
DAVID BROWN
FRMR SVP CAO AMBULATORY CARE	0.00	0.00		$548,458	$0	$0		Yes (X)
JOHN WHIPPLE
FRMR SECRETARY	0.00	0.00		$541,701	$0	$0		Yes (X)
DARREN REDICK
FRMR CHIEF EXEC PRMCE	0.00	0.00		$469,776	$0	$0		Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	41.50	13.50		$292,875	$0	$30,846	Yes (X)
MARY LYONS PHD
DIRECTOR	0.50	13.00		$100,085	$0	$0				Yes (X)
MICHAEL MURPHY
BOARD CHAIR	1.00	26.00		$75,066	$0	$0				Yes (X)
CHARLES SORENSON MD
DIRECTOR	0.50	13.00		$50,000	$0	$0				Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR	0.50	14.50		$50,000	$0	$0				Yes (X)
RICHARD BLAIR
DIRECTOR	0.50	13.00		$50,000	$0	$0				Yes (X)
ERIC SPRUNK
DIRECTOR	0.50	13.50		$40,000	$0	$0				Yes (X)
MARY BETH KINGSTON
DIRECTOR	0.50	13.00		$40,000	$0	$0				Yes (X)
MARVIN O'QUINN
DIRECTOR (PART YEAR)	0.50	12.50		$0	$0	$0				Yes (X)
SISTER CAROL PACINI LCM
DIRECTOR	0.50	13.00		$0	$0	$0				Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR	0.50	13.00		$0	$0	$0				Yes (X)
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR	0.50	13.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$59,908,641	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,823,905	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,969,631	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12004	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
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	753123519	STAFFING SERVICES	$135,463,795
MICROSOFT CORPORATION
PO BOX 844510	DALLAS	TX	752844510	TECHNOLOGY SERVICES	$102,278,422
HIREUP LEADERSHIP
PO BOX 404678	ATLANTA	GA	30384	STAFFING SERVICES	$86,624,868
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	TECHNOLOGY SERVICES	$46,143,635
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR STE 550	ST LOUIS	MO	63131	TECHNOLOGY SERVICES	$43,027,557

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1462	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,235,002	FundraisingAmt
Related Organizations	$24,085,214	RelatedOrganizationsAmt
Government Grants	$41,327,187	GovernmentGrantsAmt
All Other Contributions	$10,170,303	AllOtherContributionsAmt
Total Contributions	$76,817,706	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$5,457,604,898	$5,457,248,652	$356,246
CORP SVCS-AFFILIATE	900099	$3,909,650,948	$3,909,650,948
JV INCOME	900099	$32,481,204	$32,481,204

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,399,737,050	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,590,018	TotalRevenueColumnAmt
Unrelated Business Revenue	-$662,164	UnrelatedBusinessRevenueAmt
Exclusion	$73,252,182	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$80,188,512	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$67,600,610	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,587,902	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,587,902	TotalRevenueColumnAmt
Exclusion	$12,587,902	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$683,350,674	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$620,867,436	SecuritiesAmt
Other	$834,300	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$62,483,238	SecuritiesAmt
Other	-$834,300	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,648,938	TotalRevenueColumnAmt
Exclusion	$61,648,938	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$292,511	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,235,002	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$417,987	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$125,476	TotalRevenueColumnAmt
Exclusion	-$125,476	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY REVENUE	456110	$28,361,243	$25,870,519	$2,490,724
PHYSICIAN RECRUITING	900099	$25,965,214	$25,965,214
COST RECOVERIES	900099	$15,652,341	$15,652,341

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,053,728	TotalRevenueColumnAmt
Related Or Exempt Func Income	$82,353,794	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,699,934	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$155,032,526	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,778,288,664	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,549,222,672	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,884,740	UnrelatedBusinessRevenueAmt
Exclusion	$147,363,546	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	$16,645,711	TotalAmt
Program Services	$16,645,711	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$521,638	TotalAmt
Program Services	$521,638	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$52,170,375	TotalAmt
Program Services	$30,258,818	ProgramServicesAmt
Management And General	$21,895,906	ManagementAndGeneralAmt
Fundraising	$15,651	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,634,909,138	TotalAmt
Program Services	$2,108,247,300	ProgramServicesAmt
Management And General	$1,525,571,365	ManagementAndGeneralAmt
Fundraising	$1,090,473	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$425,534,263	TotalAmt
Program Services	$246,809,873	ProgramServicesAmt
Management And General	$178,596,730	ManagementAndGeneralAmt
Fundraising	$127,660	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,484,324,960	TotalAmt
Program Services	$860,908,477	ProgramServicesAmt
Management And General	$622,971,186	ManagementAndGeneralAmt
Fundraising	$445,297	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$268,918,473	TotalAmt
Program Services	$155,972,714	ProgramServicesAmt
Management And General	$112,865,083	ManagementAndGeneralAmt
Fundraising	$80,676	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$26,660,705	TotalAmt
Program Services	$15,463,209	ProgramServicesAmt
Management And General	$11,189,498	ManagementAndGeneralAmt
Fundraising	$7,998	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,777,836	TotalAmt
Program Services	$5,091,145	ProgramServicesAmt
Management And General	$3,684,058	ManagementAndGeneralAmt
Fundraising	$2,633	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$10,661,863	TotalAmt
Management And General	$10,661,863	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,567,155,940	TotalAmt
Program Services	$908,950,445	ProgramServicesAmt
Management And General	$657,735,348	ManagementAndGeneralAmt
Fundraising	$470,147	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$29,525,328	TotalAmt
Program Services	$17,124,690	ProgramServicesAmt
Management And General	$12,391,780	ManagementAndGeneralAmt
Fundraising	$8,858	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$107,521,660	TotalAmt
Program Services	$62,362,563	ProgramServicesAmt
Management And General	$45,126,841	ManagementAndGeneralAmt
Fundraising	$32,256	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$335,811,306	TotalAmt
Program Services	$194,770,558	ProgramServicesAmt
Management And General	$140,940,005	ManagementAndGeneralAmt
Fundraising	$100,743	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$149,062,059	TotalAmt
Program Services	$86,455,994	ProgramServicesAmt
Management And General	$62,561,346	ManagementAndGeneralAmt
Fundraising	$44,719	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$36,239,776	TotalAmt
Program Services	$21,019,070	ProgramServicesAmt
Management And General	$15,209,834	ManagementAndGeneralAmt
Fundraising	$10,872	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$140,559,140	TotalAmt
Program Services	$81,524,301	ProgramServicesAmt
Management And General	$58,992,671	ManagementAndGeneralAmt
Fundraising	$42,168	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$458,185,128	TotalAmt
Program Services	$265,747,374	ProgramServicesAmt
Management And General	$192,300,298	ManagementAndGeneralAmt
Fundraising	$137,456	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$30,609,790	TotalAmt
Program Services	$17,753,678	ProgramServicesAmt
Management And General	$12,846,929	ManagementAndGeneralAmt
Fundraising	$9,183	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$845,475,645	$845,475,645
LICENSES AND TAXES	$66,928,077	$38,818,285	$28,089,714	$20,078
HOSPITAL FEE	$57,436,320	$57,436,320
UBI TAXES PAID	$657,653		$657,653

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$367,845,945	TotalAmt
Program Services	$213,350,648	ProgramServicesAmt
Management And General	$154,384,943	ManagementAndGeneralAmt
Fundraising	$110,354	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,122,138,729	TotalAmt
Program Services	$6,250,708,456	ProgramServicesAmt
Management And General	$3,868,673,051	ManagementAndGeneralAmt
Fundraising	$2,757,222	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$292,769,465	BOYAmt
EOY	$489,521,442	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$385,990,940	BOYAmt
EOY	$682,044,691	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,187,476	BOYAmt
EOY	$29,039,505	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$874,139,471	BOYAmt
EOY	$939,571,867	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$24,311,088	BOYAmt
EOY	$4,789,829	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$103,650,709	BOYAmt
EOY	$89,583,213	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$128,858,513	BOYAmt
EOY	$116,055,733	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,687,446,419	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,322,901,280	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,615,717,193	BOYAmt
EOY	$2,364,545,139	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,500,830,564	BOYAmt
EOY	$1,405,718,864	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$640,588,668	BOYAmt
EOY	$708,841,186	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,082,502	BOYAmt
EOY	$30,538,541	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,212,106,870	BOYAmt
EOY	$1,598,885,179	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,832,233,459	BOYAmt
EOY	$8,459,135,189	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,527,389,243	BOYAmt
EOY	$1,603,311,302	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$69,026,261	BOYAmt
EOY	$23,541	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,455,680,151	BOYAmt
EOY	$5,446,430,532	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,052,095,655	BOYAmt
EOY	$7,049,765,375	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,685,089,123	BOYAmt
EOY	$1,300,497,218	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,048,681	BOYAmt
EOY	$108,872,596	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,780,137,804	BOYAmt
EOY	$1,409,369,814	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,832,233,459	BOYAmt
EOY	$8,459,135,189	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$343,850,065	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$87,221,219	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$114,139,144	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	0	FederalGrantAuditRequiredInd

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	$240,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$560,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$834,633	OtherActivitiesAmt
Total Lobbying Expenditures	$1,634,633	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART II-B, LINE 1:

LOBBYING ACTIVITIES, WITH THE EXCEPTION OF ADVOCACY, ARE LIMITED TO DIRECT CONTACT WITH GOVERNMENT OFFICIALS AND MAILINGS TO THE GENERAL PUBLIC AND LEGISLATORS FOR THE PURPOSE OF EXPRESSING OPINIONS ON LEGISLATIVE MATTERS. EXPENSES INCLUDE EMPLOYEE SALARIES, POSTAGE AND INCIDENTAL TRAVELING EXPENDITURES.

PART II-B, LINE 1, LOBBYING ACTIVITIES:

OUR 2023 ADVOCACY AGENDA AT PROVIDENCE, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE. LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION

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	$5,424,955	BeginningYearBalanceAmt
Contributions	$134,807	ContributionsAmt
Investment Earnings Or Losses	$65,343	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$99,849	GrantsOrScholarshipsAmt
Administrative Expenses	$33,769	AdministrativeExpensesAmt
End Year Balance	$5,491,487	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,181,112	BeginningYearBalanceAmt
Contributions	$131,093	ContributionsAmt
Investment Earnings Or Losses	$222,589	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$79,377	GrantsOrScholarshipsAmt
Administrative Expenses	$30,462	AdministrativeExpensesAmt
End Year Balance	$5,424,955	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,771,547	BeginningYearBalanceAmt
Contributions	$183,436	ContributionsAmt
Investment Earnings Or Losses	$339,178	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$72,214	GrantsOrScholarshipsAmt
Administrative Expenses	$40,835	AdministrativeExpensesAmt
End Year Balance	$5,181,112	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,409,252	BeginningYearBalanceAmt
Contributions	$115,730	ContributionsAmt
Investment Earnings Or Losses	$343,663	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$64,109	GrantsOrScholarshipsAmt
Administrative Expenses	$32,989	AdministrativeExpensesAmt
End Year Balance	$4,771,547	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,273,843	BeginningYearBalanceAmt
Contributions	$111,328	ContributionsAmt
Investment Earnings Or Losses	$135,488	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$81,956	GrantsOrScholarshipsAmt
Administrative Expenses	$29,451	AdministrativeExpensesAmt
End Year Balance	$4,409,252	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	$346,044,562	OtherCostOrOtherBasisAmt
Book Value	$346,044,562	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,331,759,954	OtherCostOrOtherBasisAmt
Depreciation	$1,440,459,230	DepreciationAmt
Book Value	$891,300,724	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$315,170,142	OtherCostOrOtherBasisAmt
Depreciation	$243,185,503	DepreciationAmt
Book Value	$71,984,639	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,349,100,736	OtherCostOrOtherBasisAmt
Depreciation	$3,639,256,547	DepreciationAmt
Book Value	$709,844,189	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$345,371,025	OtherCostOrOtherBasisAmt
Book Value	$345,371,025	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,364,545,139	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATION	$165,439,985	C
HEALTHCARE JOINT VENTURES	$543,401,201	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$708,841,186	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
LONG TERM ASSET EXEC 457B	$436,930,903
LIMITED USE INVESTMENTS	$264,576,294
INVESTMENT IN CORP SUBSIDIARIES	$247,505,704
RIGHT OF USE OPERATING LEASES	$237,115,607
DUE FROM AFFILIATES	$179,261,408
OTHER ASSETS	$148,466,922
DUE FROM THIRD-PARTY	$62,537,015
HOSPITAL FEE RECEIVABLE	$22,491,326

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,598,885,179	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
LONG-TERM MASTER TRUST DEBT	$1,864,527,589
ACCRUED RETIREMENT COMPENSATION	$1,319,748,635
DUE TO AFFILIATES	$866,792,807
OTHER LIABILITIES	$584,361,753
I/C - TAX-EXEMPT BOND LIABILITIES	$407,324,699
DUE TO THIRD-PARTY	$202,667,872
CAPITAL LEASE OBLIGATIONS	$201,007,177

Field	Value	IRS element (for citing)
Total Liability	$5,446,430,532	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 (13 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	GRANTMAKING	$150,000
SUB-SAHARAN AFRICA	12	GRANTMAKING	$344,638
NORTH AMERICA	0	GRANTMAKING	$27,000
SOUTH ASIA	0	INVESTMENTS	$64,119,225
NORTH AMERICA	0	INVESTMENTS	$9,934,519
EUROPE	0	INVESTMENTS	$19,498,384
EAST ASIA AND THE PACIFIC	0	PROGRAM SERVICE	$21,270	FOREIGN TRAVEL
EUROPE (INCLUDING ICELAND & GREENLAND)	0	PROGRAM SERVICE	$135,269	FOREIGN TRAVEL
MIDDLE EAST AND NORTH AFRICA	0	PROGRAM SERVICE	$17,112	FOREIGN TRAVEL
NORTH AMERICA	0	PROGRAM SERVICE	$36,462	FOREIGN TRAVEL
SOUTH AMERICA	0	PROGRAM SERVICE	$28,360	FOREIGN TRAVEL
SOUTH ASIA	0	PROGRAM SERVICE	$1,432,627	FOREIGN TRAVEL
SUB-SAHARAN AFRICA	0	PROGRAM SERVICE	$29,066	FOREIGN TRAVEL

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	12	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	12	TotalEmployeeCnt
Subtotal Spent	$94,230,305	SubtotalSpentAmt
Continuation Spent	$1,543,627	ContinuationSpentAmt
Total Spent	$95,773,932	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	$150,000	CHECK	$0
SUB-SAHARAN AFRICA	MEDICAL MISSION TRIPS	$344,638	CHECK	$0
NORTH AMERICA	MEDICAL MISSION TRIPS	$27,000	CHECK	$0

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	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/BENEFITTING FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED.
PART 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	GALA	Event1Nm
Gross Receipts Event1	$1,309,689	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,090,674	CharitableContriEvent1Amt
Gross Revenue Event1	$219,015	GrossRevenueEvent1Amt
Food And Beverage Event1	$133,759	FoodAndBeverageEvent1Amt
Entertainment Event1	$36,596	EntertainmentEvent1Amt
Other Direct Expenses Event1	$47,120	OtherDirectExpensesEvent1Amt
Event2	LUNCHEON	Event2Nm
Gross Receipts Event2	$119,507	GrossReceiptsEvent2Amt
Charitable Contri Event2	$91,182	CharitableContriEvent2Amt
Gross Revenue Event2	$28,325	GrossRevenueEvent2Amt
Food And Beverage Event2	$44,586	FoodAndBeverageEvent2Amt
Entertainment Event2	$36,596	EntertainmentEvent2Amt
Other Direct Expenses Event2	$11,539	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$98,317	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$53,146	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$45,171	GrossRevenueOtherEventsAmt
Food And Beverage Other Events	$38,402	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$36,596	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$32,793	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,527,513	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,235,002	CharitableContributionsTotAmt
Gross Revenue Total Events	$292,511	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$216,747	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$109,788	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$91,452	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$417,987	DirectExpenseSummaryEventsAmt
Net Income Summary	-$125,476	NetIncomeSummaryAmt

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
Percent400	Yes (X)	Percent400Ind
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	$65,095,830	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,095,830	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,230,074,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$866,800,015	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$363,274,773	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$578,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$260,185	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,496	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,295,749,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$867,060,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$428,689,099	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,190,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,444,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,745,989	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,393,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,027,762	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,366,129	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,712,776	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,085,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,626,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,309,761	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,309,761	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198,660,611	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,558,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,102,491	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,494,409,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$938,618,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$555,791,590	NetCommunityBenefitExpnsAmt
Total Expense	0.05490	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$361	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$361	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,558	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$238,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,064	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,064	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$239,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$239,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$1,892,788,084	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,436,316,034	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$543,527,950	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	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 SURGERY CENTER OF OLYMPIA LLC DBA SOUTH SOUND SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.33000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.67000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	OtherOtherDesc
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)	D
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	1700 13TH STREET	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)	E	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)	E
PROVIDENCE KODIAK IS MED CTR
11	1915 REZANOF DRIVE	KODIAK ISLAND	AK	99615	ALASKA.PROVIDENCE.ORG/	GACH-008	Yes (X)						Yes (X)
ALASKA SPECIALTY HOSPITAL
12	4800 CORDOVA STREET	ANCHORAGE	AK	99503	ALASKA.PROVIDENCE.ORG/	LTACH-001	Yes (X)					D		LONG TERM ACUTE HOSPITAL
PROV ST LUKE'S REHAB MED CTR
13	711 S COWLEY STREET	SPOKANE	WA	99202	WWW.ST-LUKES.ORG	157	Yes (X)					C

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 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	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	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
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)	21	Yes (1)	0	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE KODIAK IS MED CTR (11)
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	23	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
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)	Yes (X)	23	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	23	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (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)	22	Yes (1)	0	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	23	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - WASHINGTON (GROUP C - 2 6 & 13)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - WASHINGTON (GROUP D - 1 & 12)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	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 E - 9 & 10)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	23	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (61 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. MED. CTR. (11)	PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 5: TO BETER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PSMMC CONDUCTED 15 STAKEHOLDER INTERVIEWS, INCLUDING 21 PARTICIPANTS, AND THREE LISTENING SESSIONS WITH 15 COMMUNITY MEMBERS BETWEEN MAY AND JUNE OF 2021. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND THEIR ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WITH LOW INCOMES, AND UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. STAKEHOLDERS WERE FROM THE FOLLOWING ORGANIZATIONS AND MUNICIPALITIES: BLUE MOUNTAIN ACTION COUNCIL, BLUE MOUNTAIN HEART TO HEART, CATHOLIC CHARITIES WALLA WALLA, CENTER FOR HUMANITARIAN ENGAGEMENT-WALLA WALLA UNIVERSITY, CITY OF COLLEGE PLACE, CITY OF WALLA WALLA, COMPREHENSIVE HEALTHCARE, DAYTON CHRONICLE, FAMILY MEDICAL CENTER/YAKIMA VALLEY FARM WORKERS CLINIC, MILTON-FREEWATER DOWNTOWN ALLIANCE AND BROADWAY DENTAL CARE, PROVIDENCE MEDICAL GROUP POPULATION HEALTH, WALLA WALLA PUBLIC SCHOOLS, YMCA, YOUTH WOMEN AND CHILDREN'S CENTER, AS WELL AS THE PUBLIC HEALTH OFFICER/MEDICAL DIRECTOR AND THE ADMINISTRATIVE DIRECTOR FROM THE WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH, THE LOCAL HEALTH DEPARTMENT. LISTENING SESSION PARTICIPANTS WERE THOSE RECEIVING SERVICES THROUGH AGING & LONG TERM CARE, RESIDENTS OF THE SLEEP CENTER WHICH IS A SHELTER COMMUNITY FOR THE UNSHELTERED HOMELESS POPULATION, AND MOTHERS OF THOSE LIVING WITH DISABILITIES WHO UTILIZE THE SERVICES AND RESOURCES OF THE DISABILITY NETWORK. PSMMC FIELDED A COMMUNITY SURVEY FROM JULY 6 TO AUGUST 16, 2021 IN ENGLISH AND SPANISH. ABOUT 50 COMMUNITY MEMBERS TOOK THE SURVEY IN ENGLISH.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERSFORMED 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.COMMUNITY HEALTH SURVEYTHE 36-QUESTION SURVEY WAS FIELDED SUMMER OF 2022, WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE AND COLLABORATION WITH KODIAK AREA NATIVE ASSOCIATION. EVERY EFFORT WAS MADE TO ENSURE THAT THE SURVEY REPRESENTED THE DIVERSITY OF THE COMMUNITY AND CAPTURED INPUT FROM THOSE WITH LOW INCOMES AND OTHERWISE UNDERSERVED IN THE COMMUNITY.STAKEHOLDER INTERVIEWS: IN THE MONTH OF JUNE, TEN COMMUNITY LEADERS WERE INTERVIEWED INDIVIDUALLY REGARDING THE HEALTH NEEDS OF THE COMMUNITY.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH PARTICIPATION FROM THE KODIAK AREA NATIVE ASSOCIATION.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF THE PSMMC 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, THE 2022-2024 PSMMC CHIP PRIORITIZED THE FOLLOWING AREAS: BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE, ACCESS TO HEALTH CARE SERVICES, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. REGARDING PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE, BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. REGARDING PRIORITY 2, ACCESS TO HEALTH CARE SERVICES, BARRIERS TO ACCESS HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). REGARDING PRIORITY 3, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING, BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE INCLUDE BEHAVIORAL HEALTH NAVIGATION SERVICES IN THE EMERGENCY DEPARTMENT (ED), COMMUNITY PARAMEDIC PROGRAM, INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE, ENHANCING TELEHEALTH FOR BEHAVIORAL HEALTH SERVICES VIA ED AND ON MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN, AND BY CONNECTING WITH PEOPLE IN NEED OF CULTURALLY RESPONSIVE BEHAVIORAL HEALTH SERVICES WHO PRIMARY LANGUAGE IS SPANISH THROUGH PROMOTORES DE SALUD.IN 2023, DATA WAS NOT AVAILABLE FOR QUARTERS THREE AND FOUR SO IT WAS NOT POSSIBLE TO DETERMINE IMPACT. THE COMMUNITY PARAMEDICA PROGRAM REPORTED 430 MOBILE INTEGRATED HEALTH ENCOUNTERS FOR THE FIRST THREE QUARTERS OF 2023 WITH 101 OF THOSE CONSIDERED AVOIDABLE EMERGENCY DEPARTMENT VISITS. TO INTEGRATE BEHAVIORAL HEALTH IN PRIMARY CARE, A BEHAVIORAL HEALTH SPECIALIST AND A MENTAL HEALTH NURSE PRACTITIONER WERE HIRED AND STARTED IN 2023. PROMOTORES DE SALUD CONDUCTED HEALTH WORKSHOPS IN SPANISH FOR PEOPLE WHOSE PRIMARY LANGUAGE IS SPANISH. THEY PARTICIPATED IN RESOURCE FAIRS, AND DID DIRECT NAVIGATION, AND CASE MANAGEMENT.STRATEGIES TO INCREASE ACCESS TO HEALTH CARE SERVICES INCLUDED UTILIZING COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD TO OUTREACH TO PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. THERE WERE 1,283 EPIC TOUCHES AND 2,251 EVENT TOUCHES IN 2023. WHILE THE ORIGINAL SOUTHEAST WASHINGTON (SEWA) FALLS PREVENTION COMMUNITY PARTNERSHIP PROGRAM DID NOT START, WORK BEGAN ON A PHARMACY RESIDENCY PROJECT PARTNERSHIP WITH THE FIRE DEPARTMENT AND COMMUNITY PARAMEDICS; THE WORKFLOW AND PROTOCOL WERE APPROVED IN 2023, AND THE PROJECT WILL BE CONDUCTED IN 2024. THE WORK OF THE HEALTH EQUITY NURSE SERVING EARLY HEAD START FAMILIES RESULTED IN AN INCREASE IN THE PERCENTAGE OF CHILDREN IN THE PROGRAM WHO WERE ESTABLISHED WITH A PROVIDER, RECEIVING WELL-CHILD CHECKS AND IMMUNIZATIONS. THE GOAL OF 70% WAS EXCEEDED EACH QUARTER (AVERAGE 85%) OF CHILDREN COVERED BY MEDICAID WERE UP TO DATE ON WELL-CHILD CHECKS AND IMMUNIZATIONS. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING INCLUDED SUPPORTING THE WORK OF THE ANCHOR COMMUNITY INITIATIVE, IMPLEMENTING COMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ), HAVING A PSMMC REPRESENTATIVE FILL THE OPEN HEALTH CARE POSITION ON THE WALLA WALLA COUNCIL ON HOUSING, THROUGH COMMUNITY COLLABORATIONS, EXPLORE OPPORTUNITIES TO INCREASE PERMANENT SUPPORTIVE HOUSING, EXPLORE COLLABORATIONS AND INVEST IN MEDICAL RESPITE SERVICES TO CLOSE THE GAP IN CARE IN THE HEALTH AND HOMELESS SERVICES CONTINUUM, COLLABORATE WITH COMMUNITY PARTNERS TO CREATE PERMANENTLY AFFORDABLE HOME OWNERSHIP OPPORTUNITIES FOR LOW-AND MODERATE-INCOME HOUSEHOLDS. COMMUNITY BENEFIT FUNDING ($15,000) WAS AWARDED TO CATHOLIC CHARITIES FOR BEHAVIORAL HEALTH CARE FOR UNDERSERVED INDIVIDUALS AND TO BLUE MOUNTAIN HEALTH COOPERATIVE (5,000) FOR THEIR MENTAL HEALTH EMERGENCY DEPARTMENT DIVERSION PROGRAM. TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING, COMMUNITY BENEFIT FUNDING WAS AWARDED TO HOPE STREET ($5,000), COMMON ROOTS HOUSING TRUST ($3,736), THE STAR PROJECT ($7,500), AND THE YWCA. PSMMC'S MISSION & COMMUNITY HEALTH COMMITTEE APPROVED $10,000 FOR THE BUILT FOR ZERO ENTRY FEE. PSMMC REPRESENTATIVES PARTICIPATED IN COUNCIL ON HOUSING MEETINGS THROUGHOUT 2023. ONGOING COMMUNICATION WITH THE WALLA WALLA COUNTY DEPARTMENT OF HEALTH ON HOUSING AND HOMELESSNESS EFFORTS OCCURRED THROUGHOUT THE YEAR. THE FIRST MEETING OF COMMUNITY PARTNERS TO DISCUSS THE NEED FOR A MEDICAL RESPITE PROGRAM WAS HELD IN NOVEMBER AND LED BY PSMMC.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGEMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 11: THE 2022 KODIAK CHNA IDENTIFIED #1: BEHAVIORAL HEALTH (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE), #2: ECONOMIC SECURITY/BASIC NEEDS, #3: HEALTHY BEHAVIORS/PHYSICAL HEALTH. #4: ACCESS TO HEALTHCARE AS THE FOUR TOP AREAS OF COMMUNITY NEED. PROVIDENCE WORKED TO ADDRESS SIGNIFICANT COMMUNITY NEED BOTH INTERNALLY AND THROUGH COLLABORATION AND COMMUNITY PARTNERSHIP FUNDING. BELOW ARE SOME ACCOMPLISHMENTS IN 2023:BEHAVIORAL HEALTHIN 2023 PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO KODIAK WOMEN'S RESOURCE AND CRISIS CENTER TO SUPPORT DIRECT ADVOCACY SERVICES AND EMERGENCY SHELTER TO VICTIMS AND THEIR FAMILIES FLEEING FROM DOMESTIC VIOLENCE AND/OR SEXUAL ASSAULT, HOSPICE AND PALLIATIVE CARE OF KODIAK TO EXPAND PALLIATIVE CARE AND BEREAVEMENT SERVICES AND TO KODIAK COMMUNITY HEALTH CENTER TO ENGAGE IN A COLLABORATION WITH THE ALASKA MENTAL HEALTH TRUST TO ASSESS THE DEMAND/NEED FOR BEHAVIORAL HEALTH SERVICES IN KODIAK. PROVIDENCE ESTABLISHED OUTPATIENT CENTER FOR URGENT CARE / CRISIS ENGAGEMENT - INCLUDING CREATION OF PROCESSES AND WORKFLOWS TO TRIAGE AND ENSURE WALK-IN CAPACITY FOR EMERGENT NEED AND CRISIS APPOINTMENTS, COLLABORATION WITH COMMUNITY MH PROVIDERS TO CREATE EMERGENT CAPACITY, COMMUNITY EDUCATION - UTILIZING OUTPATIENT CRISIS ENGAGEMENT TO SUPPORT INDIVIDUALS BEFORE THE CRISIS ESCALATES TO A HIGHER LEVEL OF CARE (ED VISIT).ECONOMIC SECURITY / BASIC NEEDS:PROVIDENCE PARTNERED WITH COMMUNITY EMPLOYERS, THE KODIAK ECONOMIC DEVELOPMENT CORPORATION, AND THE CITY OF KODIAK IN ESTABLISHING A KODIAK ISLAND COMMUNITY LAND TRUST AS A VEHICLE TO ADDRESS THE HOUSING SHORTAGE IN KODIAK AND FINALIZED CONSTRUCTION OF A 16 UNIT APARTMENT BUILDING TO SERVE AS WORKFORCE HOUSING FOR DOCTORS, NURSES, AND OTHER HIGH NEED PROVIDERS TO HELP IN RECRUITMENT AND ADDRESS WORKFORCE SHORTAGES THAT ARE EXACERBATED BY THE HOUSING SHORTAGES IN KODIAK. HEALTHY BEHAVIORS / PHYSICAL HEALTH:GIVEN STAFFING CHALLENGES IN THE WAKE OF COVID AND THE FACT THAT THE PREVENTIVE, COMMUNITY-HEALTH NATURE OF THIS NEEDS AREA DOES NOT FALL INTO THE CORE COMPETENCIES OR KEY FUNCTIONS OF THE HOSPITAL, PKIMC DID NOT ESTABLISH STRATEGIES TO ADDRESS THIS NEED IN FAVOR OF DIRECTING FINITE RESOURCES TO THE OTHER NEEDS AREAS.ACCESS TO HEALTHCARE:PROVIDENCE FINALIZED CONSTRUCTION OF A 16 UNIT (1 AND 2 BEDROOM) APARTMENT BUILDING TO SERVE AS WORKFORCE HOUSING FOR DOCTORS, NURSES, AND OTHER HIGH NEED PROVIDERS TO HELP IN RECRUITMENT AND ADDRESS WORKFORCE SHORTAGES THAT ARE EXACERBATED BY HOUSING SHORTAGES AND NEGATIVELY IMPACTING HEALTHCARE ACCESS IN KODIAK.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL 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. WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO ADVANCE EFFORTS TO ADDRESS THE PRIORITIZED NEEDS.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B, LINE 7A:	PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA
PART V, SECTION B, LINE 7A:	PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK
PART V, SECTION B, LINE 7A:	PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA
PART V, SECTION B, LINE 7A:	PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT
PART V, SECTION B, LINE 7A:	PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE
PART V, SECTION B, LINE 7A:	PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE
PART V, SECTION B, LINE 7A:	PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE
PART V, SECTION B, LINE 9:	PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 25, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PART V, SECTION B, LINE 10A:	PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA
PART V, SECTION B, LINE 10A:	PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK
PART V, SECTION B, LINE 10A:	PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA
PART V, SECTION B, LINE 10A:	PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT
PART V, SECTION B, LINE 10A:	PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE
PART V, SECTION B, LINE 10A:	PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE
PART V, SECTION B, LINE 10A:	PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE
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:	TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PROVIDENCE CENTRALIA AND ST. PETER HOSPITALS, IN PARTNERSHIP WITH THE THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENT, CONDUCTED 39 KEY INFORMANT INTERVIEWS WITH 45 INDIVIDUALS REPRESENTING 41 COMMUNITY-BASED ORGANIZATIONS, BETWEEN SEPTEMBER 2022 AND AUGUST 2023. DURING THESE INTERVIEWS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT KEY INFORMANTS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. FOR DETAILED LIST OF STAKEHOLDERS GO TO PGS. 76-79 OF CHNA REPORT LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 6A:	PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITAL.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2023 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SWEDISH SOUTH PUGET SOUND WILL FOCUS ON THE FOLLOWING AREAS FOR ITS COMMUNITY BENEFIT EFFORTS:PRIORITY 1: BEHAVIORAL HEALTHBEHAVIORAL HEALTH, ENCOMPASSING BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE IS THE MOST PRESSING NEED IN OUR COMMUNITIES. ACCESS TO BEHAVIORAL HEALTH CARE, MENTAL HEALTH AND SUICIDE PREVENTION, AND SUBSTANCE USE/MISUSE AND OVERDOSE PREVENTION WERE ALL IDENTIFIED AS AREAS OF CONCERN. MANY RESIDENTS HAVE EXPERIENCED SIGNIFICANT STRESS AND ISOLATION FROM THE COVID-19 PANDEMIC, RESULTING IN MORE SUICIDAL IDEATION AND UNADDRESSED MENTAL HEALTH CHALLENGES. OF PARTICULAR CONCERN IS AN INCREASE IN FENTANYL USE AND RESULTING OVERDOSES, AS WELL AS THE BROADER COMMUNITY IMPACTS OF OVERDOSE AND OVERDOSE DEATHS.ACCESS TO BEHAVIORAL HEALTH CARE ESPECIALLY DIFFICULT DUE TO A LACK OF SYSTEM CAPACITY AND PROVIDERS TO MEET THE DEMAND, LEADING TO LONG WAIT TIMES FOR BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE TREATMENT SERVICES. SERVICES NEEDED TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE INCLUDE RESIDENTIAL OR INPATIENT SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES; DETOX CENTERS; CRISIS RESPONSE AND STABILIZATION BEYOND THE EMERGENCY DEPARTMENT (ED); COMMUNITY-BASED MENTAL HEALTH CARE THAT IS A STEP-DOWN FROM HOSPITALIZATION; AND FOLLOW-UP CARE FOR PEOPLE AFTER BEING DISCHARGED FROM INPATIENT CARE FOR A MENTAL HEALTH CONDITION, INCLUDING MEDICATION MANAGEMENT. SPECIFIC POPULATIONS MAY EXPERIENCE UNIQUE OR ADDITIONAL BARRIERS TO ACCESSING SERVICES INCLUDING YOUNG PEOPLE, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IDENTIFYING AS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, QUESTIONING, INTERSEX, ASEXUAL, OR OTHER IDENTITIES NOT ENCOMPASSED (LGBTQIA+), BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BBIPOC) COMMUNITIES, PEOPLE LIVING IN MORE RURAL AREAS, AND MILITARY FAMILIES.PRIORITY 2: BASIC NEEDS / ECONOMIC SECURITYECONOMIC SECURITY IS IMPORTANT FOR PEOPLE'S HEALTH AND WELL-BEING. LOW WAGES, HIGH UNEMPLOYMENT, AND A HIGH COST OF LIVING CONTRIBUTE TO ECONOMIC INSECURITY FOR MANY FAMILIES. THERE ARE INEQUITIES IN HOW RESOURCES AND EDUCATIONAL OPPORTUNITIES ARE DISTRIBUTED IN THE COMMUNITY. PEOPLE WITH LOW INCOMES MAY BE UNABLE TO AFFORD THEIR BASIC NEEDS, SUCH AS FOOD, HEALTH CARE, CAR SEATS, BABY FORMULA, ETC., PARTICULARLY WITH THE RISING COST OF LIVING. ONE EVENT OR ACCIDENT COULD BE FINANCIALLY CATASTROPHIC FOR A FAMILY. INDIVIDUALS AND FAMILIES WITH INCOMES SLIGHTLY ABOVE THE THRESHOLD FOR QUALIFYING FOR PUBLIC BENEFITS, BUT WITHOUT ENOUGH MONEY TO AFFORD THOSE BASIC NEEDS WITHOUT ASSISTANCE, ARE ESPECIALLY VULNERABLE. THIS IS CALLED THE "BENEFITS CLIFF" WHICH MEANS PUBLIC BENEFITS DROP OFF SHARPLY WITH A SMALL INCREASE IN INCOME. THERE ARE LIMITED EMPLOYMENT OPPORTUNITIES A LIVING FOR PEOPLE TO MAKE A LIVING WAGE WITHOUT HIGHER EDUCATION. INVESTING IN LOW-BARRIER EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES AND IN JOB SKILLS AND TECHNICAL TRAINING COULD HELP PEOPLE INCREASE THEIR ECONOMIC SECURITY. ECONOMIC INSECURITY MAY DISPROPORTIONATELY AFFECT PEOPLE LIVING IN RURAL AREAS, AS WELL AS BBIPOC COMMUNITY MEMBERS, PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS, OLDER ADULTS, AND WOMEN.ACCESS TO NUTRITIOUS, AFFORDABLE FOOD, AS WELL AS FOOD RESOURCES IS A MAJOR ISSUE FOR MANY FAMILIES AND INDIVIDUALS, ESPECIALLY IN RURAL AREAS. A LACK OF HEALTHY AND NUTRITIOUS FOOD CONTRIBUTES TO LONG-TERM HEALTH CHALLENGES, LIKE OBESITY AND DIABETES. THE NEED HAS RECENTLY INCREASED WITH CUTS TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, LEADING MORE PEOPLE TO SEEK OTHER FOOD RESOURCES. FAMILIES WITH LOW INCOMES MAY BE ESPECIALLY AFFECTED BY FOOD INSECURITY, PARTICULARLY WITH THE RISING COST OF HOUSING. PEOPLE MAY HAVE TO TRAVEL LONG DISTANCES TO THE NEAREST FOOD BANK AND MAY EXPERIENCE TRANSPORTATION BARRIERS, PARTICULARLY WITH THE INCREASED COST OF FUEL. THE INTERCONNECTEDNESS OF HOUSING AND HEALTH IS KEY, AND HOUSING WAS IDENTIFIED AS A MAJOR NEED, WITH A LACK OF SAFE AND HEALTHY HOUSING AVAILABLE FOR FAMILIES AND EMPLOYEES. THE COST OF HOUSING IS THE PRIMARY BARRIER FOR PEOPLE, WITH A NEED FOR MORE AFFORDABLE HOUSING FOR PEOPLE WITH LOW INCOMES, AS WAGES HAVE NOT KEPT PACE WITH HOUSING COSTS. THERE IS ALSO A NEED FOR MORE SUPPORTIVE AND TRANSITIONAL HOUSING, PARTICULARLY FOR PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING STABILITY, AND AS WELL THOSE NEEDING SUPPORT SERVICES TO REMAIN STABLY HOUSED. MORE PERMANENT SUPPORTIVE HOUSING AND EMERGENCY, SHORT-TERM, AND LONG-TERM SHELTERS. THE COMPLEXITY OF THE HOUSING SYSTEM CAN BE DIFFICULT FOR PEOPLE TO NAVIGATE AND CAN BE A BARRIER FOR PEOPLE FINDING STABLE HOUSING. SPECIFIC POPULATIONS EXPERIENCING HOUSING-RELATED CHALLENGES INCLUDE OLDER ADULTS, BBIPOC COMMUNITIES, PARTICULARLY LATINO/A/X COMMUNITY MEMBERS AND INDIGENOUS PEOPLES, LGBTQIA+ COMMUNITY MEMBERS (ESPECIALLY LGBTQIA+ YOUTH), UNACCOMPANIED MINORS, AND PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS.PRIORITY 3: ACCESS TO HEALTH CAREACCESS TO BOTH PRIMARY AND SPECIALTY CARE WAS IDENTIFIED AS A TOP HEALTH CONCERN. A LACK OF PRIMARY CARE PROVIDERS (PCPS) HAS STRAINED THE HEALTH CARE SYSTEM, CONTRIBUTING TO PEOPLE USING THE EMERGENCY DEPARTMENT (ED) AS THEIR MAIN FORM OF HEALTH CARE, AND TO A PREVALENCE OF UNMANAGED CHRONIC CONDITIONS. PATIENTS WHO HAVE DIFFICULTY FINDING PRIMARY CARE, ALONG THOSE HAVING A BEHAVIORAL HEALTH CRISIS, PUT STRESS ON THE ED AND OVERWHELM CAPACITY. THERE IS A NEED FOR MORE ACCESS TO PRIMARY CARE, URGENT CARE, AND BEHAVIORAL HEALTH CRISIS SERVICES, AS WELL AS A NEED FOR INCREASED ACCESS TO SPECIALTY CARE, AS MANY PATIENTS TRAVEL OUTSIDE OF THEIR LOCAL AREA TO RECEIVE SERVICES. MORE HEALTH CARE PROVIDERS, HOME CARE AIDS AND CAREGIVERS, HOSPITAL CAPACITY, CARE COORDINATION, AND CANCER SCREENING ARE NEEDED IN THE COMMUNITY. TRANSPORTATION IS A SIGNIFICANT BARRIER TO CARE, AS ARE HOURS OF APPOINTMENTS DURING WORK TIME, A LACK OF HEALTH CARE LITERACY, TRUST IN THE MEDICAL SYSTEM, AND ACCESS TO OR COMFORT WITH TECHNOLOGY. SPECIFIC POPULATIONS MAY EXPERIENCE ADDITIONAL BARRIERS TO ACCESSING RESPONSIVE AND AFFIRMING CARE, INCLUDING PEOPLE EXPERIENCING HOMELESSNESS, BBIPOC COMMUNITY MEMBERS, LGBTQIA+ COMMUNITY MEMBERS, MIXED-STATUS FAMILIES, AND PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS. STIGMA AND DISCRIMINATION AND A LACK OF PROVIDERS THAT ARE BILINGUAL AND BICULTURAL CONTRIBUTE TO THESE CHALLENGES. THERE ARE FEW RESOURCES FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED, OR NOT MEDICAID-ELIGIBLE.DETAILED PLANS FOR HOW THESE IDENTIFIED HEALTH NEEDS WILL BE ADDRESSED CAN BE FOUND IN THE HOSPITALS' 2024-2026 CHIP, LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: ST. PETER AND CENTRALIANEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS, PROVIDENCE CENTRALIA AND ST. PETER HOSPITALS IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: RACISM AND DISCRIMINATION; DIVERSITY, EQUITY, INCLUSION, AND BELONGING; AGING ADULT HEALTH AND FALL PREVENTION. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2024-2026 CHIP, THE HOSPITALS RECOGNIZES THESE NEEDS AS IMPORTANT TO THE OVERALL HEALTH OF OUR COMMUNITIES. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS PRIORITIZED IN THIS CHIP, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5:	TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, PROVIDENCE CONDUCTED LISTENING SESSIONS, KEY INFORMANT INTERVIEWS, A COMMUNITY SURVEY, AND A COMMUNITY HEALTH SUMMIT. THE KEY INFORMANT INTERVIEWS AND LISTENING SESSIONS WERE CONDUCTED BETWEEN MARCH AND APRIL 2022, THE COMMUNITY SURVEY IN MAY 2022, AND THE COMMUNITY HEALTH SUMMIT IN OCTOBER 2022. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVED PEOPLE EXPERIENCING HEALTH DISPARITIES AND SYSTEMIC INEQUITIES. PROVIDENCE AIMED TO ENGAGE KEY INFORMANTS FROM SOCIAL SERVICE AGENCIES, MEDICALLY UNDERSERVED, EDUCATION, FAITH COMMUNITIES, GOVERNMENT GROUPS, AND THOSE REPRESENTING THE BLACK, BROWN, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BBIPOC), AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. THE GOAL OF THE INTERVIEWS AND LISTENING SESSIONS WAS TO IDENTIFY WHAT NEEDS ARE CURRENTLY NOT BEING MET IN THE COMMUNITY AND WHAT ASSETS COULD BE LEVERAGED TO ADDRESS THOSE NEEDS.A CHNA ADVISORY COMMITTEE WAS ESTABLISHED TO INFORM AND GUIDE THE CHNA PROCESS AND TO IDENTIFY THE TOP HEALTH PRIORITIES FOR THE COMMUNITY BASED ON COMMUNITY INPUT AND COMMUNITY HEALTH DATA. THE COMMITTEE WAS COMPRISED OF LOCAL COMMUNITY LEADERS WHO REPRESENT THE BROAD INTEREST AND DEMOGRAPHICS OF THE COMMUNITY. THE CHNA ADVISORY COMMITTEE MET MONTHLY FROM FEBRUARY THROUGH OCTOBER 2022 TO PROVIDE INPUT INTO THE CHNA AND CHIP PRIORITIES.DUE TO THE LIMITED DATA AVAILABLE THROUGH LOCAL, STATE, AND NATIONAL SOURCES, PROVIDENCE CONDUCTS AN ANNUAL SURVEY TO OBTAIN ADDITIONAL FEEDBACK DIRECTLY FROM SNOHOMISH COUNTY RESIDENTS ON THE COMMUNITY STRENGTHS AND INDICATORS OF HEALTH AND WELL-BEING. THE 2022 HEALTH AND WELL-BEING MONITOR SURVEY WAS CONDUCTED IN MAY 2022. A TOTAL OF 536 ADULTS OVER THE AGE OF 18 TOOK THE SURVEY THROUGH PHONE AND ONLINE SURVEYS.APPENDIX 2 AND APPENDIX 4 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 11:	BASED ON THE OUTCOME OF THE CHNA EVALUATION, PRMCE MADE A COMMITMENT TO FOCUS ON FOUR PRIORITY AREAS OF HEALTH NEED: BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE), ACCESS TO HEALTH CARE, HOUSING INSTABILITY/HOMELESSNESS, AND HEALTH EQUITY (RACISM/DISCRIMINATION) BECAUSE WE BELIEVE THAT WE CAN HAVE THE GREATEST IMPACT AND POSITIVE INFLUENCE ON THE OUTCOMES.THE FOLLOWING INFORMATION OUTLINES PRMCE'S PLAN TO ADDRESS THE FOUR PRIORITY AREAS OVER A THREE-YEAR PERIOD. PRMCE ANTICIPATES THAT IMPLEMENTATION STRATEGIES AND TACTICS MAY CHANGE OVER TIME, 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 (SUCH AS THE CASE DURING THE COVID-19 PANDEMIC) AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED IN THE CHIP. THE TARGET POPULATION FOR THE IMPROVEMENT PLAN IS THE SNOHOMISH COUNTY COMMUNITY, WITH AN EMPHASIS ON VULNERABLE POPULATIONS.BEHAVIORAL HEALTH IS FOUNDATIONAL TO AN INDIVIDUAL'S QUALITY OF LIFE AND PHYSICAL HEALTH. THE GOAL IS TO IMPROVE ACCESS TO QUALITY, BEHAVIORAL HEALTH CARE, INCLUDING MENTAL HEALTH AND SUBSTANCE USE, THAT IS PATIENT-CENTERED AND EQUITABLE. STRATEGIES INCLUDE:A. PROVIDE OPTIONS FOR OUTPATIENTS WITH ACUTE PSYCHIATRIC NEEDS OR THOSE NEEDING A STEP DOWN FROM INPATIENT CARE THROUGH PARTIAL HOSPITALIZATION OR INTENSIVE OUTPATIENT PROGRAMS.B. INCREASE ACCESS TO MENTAL HEALTH AND CRISIS SERVICES FOR ADULTS AND ADOLESCENTS THROUGH TIMELY SERVICES. IN BEHAVIORAL HEALTH URGENT CARE CLINICS, VIRTUAL SERVICES WERE OFFERED RESULTING IN 171 VIRTUAL ADDITIONAL VISITS WITH EXPANDED SERVICES TO THOSE AGES 16 AND UP. ADDITIONALLY, OVERDOSE PREVENTION TRAINING WAS CONDUCTED FOR OUTPATIENT CLINIC CAREGIVERS.C. INCREASE ACCESS TO SUBSTANCE USE TREATMENT OPTIONS. A PILOT PEER INTERVENTION WAS LAUNCHED TO LINK OVERDOSE SURVIVORS TO TREATMENT. A CERTIFIED PEER COUNSELOR WITH LIVED EXPERIENCE WAS MATCHED WITH 65 INDIVIDUALS WHO VOLUNTEERED TO PARTICIPATE. EXPANDED SERVICES ARE NOW AVAILABLE TO ADDICTED PATIENTS BECAUSE OF THE PROJECTS HAS BENEFITTED THOUSANDS IN EVERETT AND SNOHOMISH COUNTY.D. INCREASE MENTAL HEALTH SCREENINGS, INCLUDING DEPRESSION AND SUICIDE SCREENINGS, IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, AND URGENT CARE SETTINGS. A TOTAL OF 158,917 MENTAL HEALTH SCREENINGS WERE CONDUCTED IN 2023.E. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES. AN ADDICTION MEDICINE CONFERENCE WAS PROVIDED FOR 150 COMMUNITY PHYSICIANS AND HEALTHCARE PROVIDERS. A TRAUMA INFORMED CARE WORKSHOP WAS HOSTED FOR FIRST RESPONDERS AND FAITH COMMUNITY THAT REACHED OVER 50 CARE PROFESSIONALS. PROVIDENCE ALSO SUPPORTED A COMMUNITY DRUG TAKEBACK EVENT AND PARTICIPATED IN A MENTAL HEALTH MATTERS COMMUNITY WELL-BEING EDUCATION AND RESOURCE EVENT REACHING 500 YOUTH AND FAMILIES.HOUSING INSTABILITY AND HOMELESSNESS HAVE A HIGH NEGATIVE IMPACT ON AN INDIVIDUAL'S HEALTH STATUS AND PERSONS EXPERIENCING HOMELESSNESS HAVE INCREASED NEED FOR MEDICAL CARE. THE GOAL IS TO IMPROVE ACCESS TO SAFE, QUALITY, AFFORDABLE HOUSING AND REDUCE THE NUMBER OF INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. STRATEGIES INCLUDE:A. IDENTIFY SOLUTIONS FOR INPATIENTS EXPERIENCING HOUSING INSTABILITY/HOMELESSNESS IN NEED OF RESOURCES TO SAFELY DISCHARGE HOME OR TO AN ALTERNATIVE SETTING. CARE MANAGEMENT ENGAGED IN A MEDICAL LEGAL PARTNERSHIP WITH NORTHWEST JUSTICE PROJECT TO SUPPORT SERVICES BEYOND HOUSING SUCH AS FOOD, TRANSPORTATION AND FINANCIAL STABILITY. THEY ALSO COLLABORATED WITH THE EVERETT GOSPEL MISSION TO SUPPORT 25 HOMELESS PERSONS, WHO ARE TOO VULNERABLE TO BE ON THE STREET, DUE TO SHORT-TERM MINOR MEDICAL ISSUES.B. COLLABORATE WITH COMMUNITY AGENCIES ON PROGRAMS AND INTERVENTIONS TO ADDRESS HOUSING INSTABILITY AND HOMELESSNESS. PROVIDENCE INTERNAL MEDICINE CLINIC AND INTERNAL MEDICINE RESIDENCY PROGRAM COLLABORATED WITH COMMUNITY PARTNERS, MERCY WATCH AND WASHINGTON STATE UNIVERSITY TO DELIVER 600 VOLUNTEER HOURS OF STREET MEDICINE AND HYGIENE KITS TO THOSE UNHOUSED. PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY IS PROVIDING WHOLE PERSON ASSESSMENT AND EVALUATION RESOURCES WITH A COLLABORATIVE TO IMPROVE SCHOOL ATTENDANCE FOR HOMELESS YOUTH AND FAMILIES. UNSTABLE HOUSING DECREASED FROM 49% TO 16%, SATISFACTION WITH SCHOOL ATTENDANCE INCREASED BY 32%, AND OVERALL WELL-BEING INCREASED 12%. A PARTNERSHIPS WITH AMERICAN CANCER SOCIETY PROVIDES LODGING VOUCHERS FOR TEMPORARY RESPITE AND FOR THOSE THAT DON'T HAVE SAFE, STABLE HOUSING DURING TREATMENT.C. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON HOUSING INSTABILITY OR HOMELESSNESS. PROVIDENCE PROVIDED SUPPORT TO COCOON HOUSE HOMELESS SHELTER FOR SERVICES SUPPORTING STABLE HOUSING FOR YOUTH, HOSTED A CAREGIVER FOOD DRIVE BENEFITTING THE EVERETT FOOD BANK, AND COLLABORATED WITH EVERETT GOSPEL MISSION TO SUPPORT THE RESPITE PROGRAM.ACCESS TO HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. OVERCOMING OBSTACLES SUCH AS HEALTH INSURANCE COVERAGE, LOCAL CARE ACCESS, TRANSPORTATION, AND LANGUAGE BARRIERS CAN HELP TO ENSURE HEALTH CARE NEEDS ARE MET. THE GOAL IS TO IMPROVE ACCESS TO COMPREHENSIVE, HIGH-QUALITY, CULTURALLY SENSITIVE HEALTH CARE AND PREVENTIVE RESOURCES AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. STRATEGIES INCLUDE:A. DEVELOP ACCESS CENTER TO EASE THE WAY OF PATIENTS NEEDING CARE. A PILOT BEGAN TO DEVELOP AN ACCESS HUB FOR OUTPATIENT CLINIC. IN ADDITION, PROVIDENCE PROMOTED AND ENGAGED PATIENTS IN A CARE APP TO STREAMLINE SCHEDULING, APPOINTMENT MANAGEMENT, ACCESS TO HEALTH RECORDS AND VIRTUAL APPOINTMENTS.B. RECRUIT ADDITIONAL CARE PROVIDERS AND INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE FIELD. PROVIDENCE SUPPORTED 72 MEDICAL, 8 PHARMACY RESIDENTS, AND 32 PHARMACY STUDENTS, WITH A TOTAL OF 489 STUDENTS ENGAGED IN STUDENT PROGRAMS. COLLEGE AND HIGH SCHOOL COLLABORATIONS DEVELOPED 72 SUMMER INTERNS, DIRECTLY SUPPORTING 3 SCHOOL DISTRICTS.C. PROVIDE COMMUNITY HEALTH AND WELL-BEING INFORMATION, EDUCATION, AND SUPPORT GROUPS TO ADDRESS CARE, PREVENTION, AND WELL-BEING PRACTICES. PROVIDENCE PROVIDED COMMUNITY EDUCATION AT MORE THAN 25 OUTREACH EVENTS AND/OR CLASSES, INCLUDING HEART HEALTH, STOP THE BLEED, FALL PREVENTION, AGING GRACEFULLY AND A WOMEN'S BREAST CANCER SCREENING EVENT.D. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON INCREASING ACCESS TO HEALTH CARE. PROVIDENCE HOSTED A HEALTH AND WELLBEING SUMMIT AND NETWORKING EVENT THAT BROUGHT TOGETHER OVER 90 COMMUNITY PARTNERS FACILITATING COLLABORATION AND SHARED RESOURCES THAT SUPPORT ACCESS TO CARE AMONG MORE THAN 300 CARE PROFESSIONALS. 23% OF FINANCIAL DONATIONS IN 2023 FOCUSED ON ACCESS TO HEALTH CARE.HEALTH EQUITY. WE ACKNOWLEDGE THAT ALL PEOPLE DO NOT HAVE EQUAL OPPORTUNITIES AND ACCESS TO LIVING THEIR FULLEST, HEALTHIEST LIVES DUE TO SYSTEMS OF OPPRESSION AND INEQUITIES. THE GOAL IS TO BE A COMMUNITY PARTNER IN UNDOING INSTITUTIONAL RACISM THAT PREVENTS OUR COMMUNITY MEMBERS FROM FEELING SAFE, RESPECTED, AND HEARD WHEN ACCESSING HEALTH SERVICES. STRATEGIES INCLUDE:A. LEVERAGE BEST PRACTICES TO ENHANCE THE CARE ENVIRONMENT (WORKFORCE AND PHYSICAL SETTING) TO IMPROVE CULTURAL INCLUSIVITY. PROVIDED CAREGIVER TRAINING SUCH AS IMPLICIT BIAS, HEALTH INEQUITIES, TRANS+ HEALTH, AND PARTICIPATED IN A DIVERSITY, EQUITY, AND INCLUSION SIMULATION. CLINICS MADE UPDATES TO SIGNAGE AND INFOGRAPHICS TO BE MORE DIVERSE, WELCOMING, AND INCLUSIVE.B. IMPLEMENT TOOLS AND BENCHMARKS TO HELP PEOPLE AND ORGANIZATIONS MEASURE IMPROVEMENTS IN WELL-BEING AND FEELING OF BELONGING IN THEIR COMMUNITY. PROVIDENCE CONDUCTED, AND PROVIDED DATA ANALYTICS, REPORTS AND EDUCATION FOR THREE COMPREHENSIVE HEALTH AND WELL-BEING SURVEY'S TO DIVERSE COMMUNITIES, REACHING OVER 1,300 PARTICIPANTS.C. CREATE BETTER CONNECTIONS TO HEALTH CARE RESOURCES, REACHING DIVERSE COMMUNITIES WHERE THEY LIVE, WORK, AND PLAY; PROVIDING HEALTH AND WELL-BEING INFORMATION THAT FOCUS ON A PARTICULAR GEOGRAPHIC AREA, WELL-BEING TOPIC, OR COMMUNITY. PROVIDENCE SUPPORTED OUTPATIENT CULTURAL HEALTH NAVIGATORS IN CLINIC OR IN OUTREACH TO IMPROVE HEALTH LITERACY AND REMOVE BARRIERS TO CARE. PROVIDED HEALTH INFORMATION TO A VARIETY OF DIVERSE COMMUNITY EVENTS SUCH AS NUBIAN JAM, LATINO EXPO, EVERETT PRIDE AND NATIONAL NIGHT OUT TO INCREASE SAFETY AND REDUCE CRIME, REACHING OVER 5000 COMMUNITY MEMBERS. HOSTED 12 COMMUNITY EQUITY PARTNERSHIP MEETINGS THAT FOCUSED ON ACCESS TO IMMUNIZATIONS, PREVENTATIVE SCREENINGS, EDUCATION AND JOB TRAINING.
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 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 13: PROV. ST. LUKE'S REHAB. MED. CTR.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 5:	PROVIDENCE SACRED HEART MEDICAL CENTER, PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 549,690 PEOPLE.APPROXIMATELY 60 INDICATORS WERE CHOSEN THAT HELP ILLUSTRATE THE HEALTH OF THE COMMUNITY. DEMOGRAPHIC DATA AND DATA ON KEY SOCIOECONOMIC DRIVERS OF HEALTH STATUS - INCLUDING POVERTY, HOUSING AND EDUCATIONAL ATTAINMENT - ARE PRESENTED FIRST. THIS IS FOLLOWED BY THE DATA AND ANALYSIS OF EACH HEALTH INDICATOR AND IDENTIFIED DISPARITIES AND TRENDS IN THE DATA. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THEIR COMMUNITIES. PARTICIPANTS WERE PRIORITIZED TO INCLUDE GROUPS EXPERIENCING INEQUITIES IN THE DETERMINANTS OF HEALTH OR WHO HAVE HISTORICALLY BEEN EXCLUDED FROM COMMUNITY CONVERSATIONS. A LIST OF PARTICIPATING COMMUNITY PARTNERS CAN BE FOUND IN THE 2021 CHNA. THE 2021 CHNA WAS APPROVED BY THE PROVIDENCE HEALTH CARE COMMUNITY MINISTRY BOARD ON NOVEMBER 4, 2021, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2021.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6A:	SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6B:	SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.CHNA WAS CONDUCTED IN PARTNERSHIP WITH PRIORITY SPOKANE, SPOKANE, WA SPOKANE REGIONAL HEALTH DISTRICT, SPOKANE, WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER, PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS:HIGH HOUSING COST BURDEN/HOMELESSNESS: THIS NEED INCLUDES THE LACK OF AVAILABLE HOUSING (LOW VACANCY RATE) AND THE LACK OF AFFORDABLE HOUSING, ALONG WITH SPECIFIC BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HOUSING. HOUSING INSTABILITY AND A LACK OF AFFORDABLE HOUSING IS A THREAT TO HEALTH AND WELL-BEING. FOOD INSECURITY IS RELATED TO HOUSING INSTABILITY, AND ALSO AN IMPORTANT COMPONENT OF HEALTH.COMMUNITY NEED ADDRESSED #1: HIGH HOUSING COST BURDEN/HOMELESSNESSPOPULATION SERVED: PEOPLE EXPERIENCING HOMELESSNESS AND PEOPLE UNSTABLY HOUSED LONG-TERM GOAL(S)/ VISION INCREASE THE RATE OF STABLE HOUSING AND DECREASE THE NUMBER OF PEOPLE EXPERIENCING HOMELESSNESS1. HOMELESS RESPITE PROGRAMS FOR MEN, WOMEN, AND FAMILIES EXPERIENCING HOMELESSNESS THAT EXPERIENCE AN ACUTE MEDICAL CONDITION.2. HEALTH AND JUSTICE INITIATIVE TO ADDRESS LEGAL ISSUES EFFECTING HEALTH OUTCOMES.3. ADULT FAMILY HOME PLACEMENT SUPPORT TO PROVIDE ADDITIONAL SERVICES FOR HARD TO PLACE PATIENTS.COMMUNITY NEED ADDRESSED #2: DOMESTIC VIOLENCE AND CHILD ABUSEPOPULATION SERVED: BROADER COMMUNITY WITH AN EMPHASIS ON PEOPLE WITH LOW-INCOMES AND THOSE EXPERIENCING FAMILY VIOLENCE.LONG-TERM GOAL(S)/ VISION: INCREASE THE NUMBER OF SURVIVORS OF CHILD ABUSE, SEXUAL ASSAULT, AND DOMESTIC VIOLENCE ARE CONNECTED WITH SUPPORT SERVICES, INCLUDING SAFETY PLANNING AND MENTAL HEALTH SERVICES.1. BUSINESS TOOLKIT TO PROVIDE DV RESOURCES.2. YWCA SPOKANE IDENTIFICATION OF SURVIVORS IN THE PROVIDENCE SYSTEM.3. PARTNERS WITH FAMILIES AND CHILDREN AND THEIR CHILD ADVOCACY CENTER.DOMESTIC VIOLENCE AND CHILD ABUSE: DOMESTIC VIOLENCE AND CHILD ABUSE WERE IDENTIFIED THROUGHOUT ALL AREAS OF NEED, FROM HOUSING AND ECONOMIC PRESSURES TO MENTAL HEALTH AND DISCRIMINATION. PROVIDENCE IS INCLUDING CHILD ABUSE DUE TO OUR CHILDREN'S HOSPITAL AND THE EXTREME CASES OF CHILD ABUSE WE SEE THROUGH THAT SPECIALTY.COMMUNITY NEED ADDRESSED #3: POOR MENTAL HEALTHPOPULATION SERVED: THOSE NEEDING MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IN SPOKANE COUNTY. LONG-TERM GOAL(S)/ VISION: INCREASE ACCESS TO SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE THROUGH STRONG REFERRAL NETWORKS.1. BEHAVIORAL RESPONSE UNIT (BRU) IN PARTNERSHIP WITH THE FIRE DEPARTMENT AND FRONTIER BEHAVIORAL HEALTH.2. EMERGENCY ROOM SUBSTANCE USE DISORDER DIVERSION3. NAMI SPOKANE STABILITY4. COMMUNITY HEALTH WORKER FOCUSING ON PRENATAL AND POSTNATAL MENTAL HEALTH CARE FOR THE BLACK COMMUNITY.POOR MENTAL HEALTH: THERE IS A LACK OF MENTAL HEALTH SERVICES AVAILABLE IN LANGUAGES OTHER THAN ENGLISH, AND THE BARRIERS TO ACCESSING MENTAL HEALTH SERVICES ARE EVEN GREATER FOR PEOPLE THAT ARE UNDOCUMENTED. STIGMA AND SHAME AROUND MENTAL HEALTH IS PREVALENT IN SOME COMMUNITIES AND THEREFORE MENTAL HEALTH ISSUES ARE UNDERREPORTED OR HIDDEN. STAKEHOLDERS SHARED STRESSORS, TRAUMA, CULTURE SHOCK, THE FEAR OF DEPORTATION, BASIC NEEDS NOT BEING MET, FAMILY VIOLENCE, RACISM, AND DISCRIMINATION AS SOME OF THE CAUSES FOR MENTAL HEALTH ISSUES.COMMUNITY NEED ADDRESSED #4: ACCESS TO HEALTH SERVICESPOPULATION SERVED: BROADER COMMUNITIES WITH AN EMPHASIS ON THOSE WITHOUT ACCESS TO MEDICAL, BEHAVIORAL AND SPECIALTY CARE. LONG-TERM GOAL(S)/ VISION TO EASE THE WAY FOR PEOPLE TO ACCESS THE APPROPRIATE LEVEL OF CARE AT THE RIGHT TIME.1. COVID-19 VACCINATION CLINICS2. LEGAL AND FAMILY SUPPORT THROUGH SPOKANE IMMIGRANT RIGHTS COALITION3. LGBTQ+ COMMUNITY HEALTH WORKER IN PARTNERSHIP WITH SPECTRUMACCESS TO HEALTH SERVICES: THROUGHOUT THE PANDEMIC THERE HAS BEEN A NEED TO FOCUS ON ACCESS TO HEALTH CARE, INCLUDING HEALTH EDUCATION AND PREVENTIVE SERVICES. THIS HAS BEEN A CONTINUED NEED OF PEOPLE WITH LOW INCOMES AND THOSE EXPERIENCING VULNERABILITIES, AS EVIDENT IN THE DATA RELATED TO HOMELESSNESS AND FEEDBACK FROM FOCUS GROUPS AND INTERVIEWS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMS:NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH OUR COMMUNITY BENEFIT GRANTS FUNDING PROGRAM AS WELL AS PARTNERSHIP OPPORTUNITIES.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:RACISM/DISCRIMINATION: PROVIDENCE IS NOT THE LEADER IN THIS EFFORT. WE SEE A FIFTH HEALTH-RELATED NEED, RACISM AND DISCRIMINATION, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL FOUR NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING THE OTHER COMMUNITY NEEDS WE WILL USE AN EQUITY AND ANTI-RACIST FRAMEWORK. WE ARE ALSO COMMITTED TO SUPPORTING ORGANIZATIONS THAT ARE PROMOTING HEALTH EQUITY IN OUR COMMUNITY AND ARE CONTINUALLY LOOKING TO IMPROVE OUR KNOWLEDGE AND INTERNAL PROCESSES, AS WELL AS ADDRESS HEALTH DISPARITIES AND SOCIAL INEQUITIES IN OUR COMMUNITIES. WE WILL LOOK TO THOSE WITH LIVED EXPERIENCE TO GUIDE US IN IDENTIFYING HOW TO ADDRESS THE NEEDS OUR COMMUNITIES ARE EXPERIENCING.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 1: PROVIDENCE ALASKA MEDICAL CENTER, - FACILITY 12: ALASKA SPECIALTY HOSPITAL
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5:	PROVIDENCE ALASKA MEDICAL CENTER WITH ALASKA SPECIALTY HOSPITAL CONDUCTED THE 2021 CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE.THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6A:	PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B:	THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH CATHOLIC SOCIAL SERVICES, UNITED WAY, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, ANCHORAGE COMMUNITY LAND TRUST, ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE LITERACY PROGRAM, AND ALASKA NATIVE HERITAGE CENTER.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11:	PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD.THE 2021 ANCHORAGE CHNA IDENTIFIED #1: ECONOMIC SECURITY/BASIC NEEDS, # 2: BEHAVIORAL HEALTH (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE), #3: HEALTHY BEHAVIORS/PHYSICAL HEALTH. #4: ACCESS TO HEALTHCARE AS THE FOUR TOP AREAS OF COMMUNITY NEED. PROVIDENCE WORKED TO ADDRESS SIGNIFICANT COMMUNITY NEED BOTH INTERNALLY AND THROUGH COLLABORATION AND COMMUNITY PARTNERSHIP FUNDING. BELOW ARE SOME ACCOMPLISHMENTS IN 2023.ECONOMIC SECURITY / BASIC NEEDS:IN 2023 PROVIDENCE COMPLETED ITS THREE-YEAR HEALTHCARE AND HOMELESS PILOT COLLABORATION WITH THE ANCHORAGE COALITION TO END HOMELESSNESS (ACEH), COMMUNITY SOLUTIONS, AND THE INSTITUTE FOR HEALTHCARE IMPROVEMENT RESULTING ESTABLISHMENT OF HEALTHCARE INTEGRATION DIRECTOR POSITION AT ACEH TO IMPROVE THE HEALTH OUTCOMES OF THOSE EXPERIENCING HOMELESSNESS THROUGH BETTER PARTNERSHIP BETWEEN HEALTH PROVIDERS AND THE HOMELESS RESPONSE SYSTEM. IN ADDITION TO ENGAGING IN DIRECT COLLABORATION WITH COMMUNITY PARTNERS TO ADDRESS HOMELESSNESS, IN 2023 PROVIDENCE PROVIDED $3M IN COMMUNITY PARTNERSHIP GRANT FUNDING TO NINE ORGANIZATIONS THAT COMPRISE THE CORE OF THE ANCHORAGE HOMELESS PREVENTION AND RESPONSE SYSTEM. A PORTION OF THAT FUNDING WAS DIRECTED TO A COMMUNITY PARTNERSHIP EFFORT TO ACQUIRE AND CONVERT A 126 UNIT HOTEL (GUEST HOUSE) INTO AFFORDABLE HOUSING TO ADDRESS THE HOUSING OF THE HOMELESS IN THE WAKE OF THE DEMOBILIZATION OF COVID ERA TEMPORARY EMERGENCY SHELTER. PROVIDENCE CONTINUED PROJECT SEARCH, ANCHORAGE SCHOOL DISTRICT SCHOOL BUSINESS PARTNERSHIP INTERNSHIPS TO AID STUDENTS WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES GAIN THE WORKPLACE EXPERIENCE AND SKILLS TO ACHIEVE COMPETITIVE EMPLOYMENT UPON GRADUATING HIGH SCHOOL. PROVIDENCE RAIS TRAINEE PROGRAM AND PROVIDENCE HR COLLABORATED WITH CSS REFUGEE ASSISTANCE AND IMMIGRANT SERVICES (RAIS) TO CONDUCT MULTIPLE REFUGEE AND IMMIGRANT JOB FAIRS AT THE RAIS CENTER.BEHAVIORAL HEALTH:IN 2023 PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO STANDING TOGETHER AGAINST RAPE SEXUAL ASSAULT RESPONSE TEAM, ALASKA CHILDREN'S TRUST PREVENTING CHILD SEXUAL ABUSE PROGRAM, AND RECOVER ALASKA TO ADDRESS THE NEED FOR SUBSTANCE USE DISORDER AND RECOVERY SERVICES. COMMUNITY PARTNERSHIP FUNDING WAS PROVIDED TO THE ALASKA NATIVE HERITAGE CENTER FOR THE DAGGEYI PROJECT WHICH CONTRIBUTES TOWARDS MENTAL HEALTH, WELLBEING, AND COMMUNITY COHESION BY FACILITATING POSITIVE SOBER EVENTS WHERE PEOPLE CAN CONNECT WITH ALASKA NATIVE CULTURES. PROVIDENCE INITIATED CONSTRUCTION OF A FIRST OF ITS KIND CRISIS STABILIZATION CENTER ('NO WRONG DOOR' CRISIS NOW MODEL) IN ANCHORAGE TO COVER GAPS IN MENTAL HEALTH CARE BY PROVIDING WALK-IN URGENT CARE AND STABILIZATION FOR PEOPLE EXPERIENCING A BEHAVIORAL HEALTH OR SUBSTANCE USE CRISIS EXPECTED TO OPEN IN 2024. PROVIDENCE CONTINUES TO PROVIDE THE ONLY PSYCHIATRIC ED IN ANCHORAGE AND CONTINUES TO SUBSIDIZE ITS BEHAVIORAL HEALTH SERVICE LINE TO ENSURE ACCESS TO BEHAVIORAL HEALTH SERVICES IN ANCHORAGE. PROVIDENCE, IN COLLABORATION WITH THE ANCHORAGE SCHOOL DISTRICT AND VOLUNTEERS OF ALASKA, ESTABLISHED THE BEHAVIORAL HEALTH INTEGRATION IN SCHOOLS PROGRAM TO PROVIDE CRISIS SERVICES FOR YOUTH IN SCHOOLS.HEALTHY BEHAVIORS / PHYSICAL HEALTH:PROVIDENCE CONTINUED ITS COMMUNITY-FACING INJURY PREVENTION PROGRAM THAT PROVIDES CHILD CAR SEATS AND CERTIFICATION TRAINING FOR CAR SEAT TECHNICIANS STATEWIDE, BIKE HELMETS AND BIKING SAFETY EDUCATION, ICE CLEATS, AND SAFE SCHOOL WALKING EDUCATION FOR THE ANCHORAGE COMMUNITY. THIS PROGRAM OFTEN SERVES AS A STATEWIDE RESOURCE FOR BEST PRACTICES, CAR SEAT TECHNICIAN TRAINING, AND INJURY PREVENTION INFORMATION.CULTURAL AND SOCIAL COMMUNITY WELLBEING:IN 2023 PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS AND PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING IN AN EFFORT TO HELP CREATE AND SUPPORT A COMMUNITY OF WELLNESS, DIVERSITY, EQUITY, AND INCLUSION. PROVIDENCE CONTINUED ITS COLLABORATION WITH AND FUNDING FOR CATHOLIC SOCIAL SERVICES REFUGEE ASSISTANCE AND IMMIGRANT SERVICES (RAIS) PROGRAM IN PROVIDING 4-6 MONTH TRAINEE PROGRAM FOR RAIS CLIENTS. PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO THE ALASKA BLACK CAUCUS IN SUPPORT OF ABC EQUITY CENTER RENOVATIONS. ALASKA NATIVE HERITAGE CENTER WAS THE RECIPIENT OF COMMUNITY PARTNERSHIP GRANT FUNDING IN FOR THE DAGGEYI PROJECT WHICH CONTRIBUTES TOWARDS MENTAL HEALTH, WELLBEING, AND COMMUNITY COHESION BY FACILITATING POSITIVE SOBER EVENTS WHERE PEOPLE CAN CONNECT WITH ALASKA NATIVE CULTURES. PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP FUNDING TO THE ALASKA LITERACY PROGRAM'S PEER LEADER NAVIGATOR (PLN) PROGRAM WHICH IS A MULTICULTURAL, MULTILINGUAL HEALTH EDUCATION AND OUTREACH INITIATIVE.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.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMALL NEEDS IDENTIFIED IN THE HOSPITAL CHNA ARE BEING ADDRESSED.FOR MORE INFORMATION PLEASE GO TO THE PROVIDENCE ALASKA MEDICAL CENTER 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN POSTED HERE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 9: PROVIDENCE MT. CARMEL HOSPITAL, - FACILITY 10: PROVIDENCE ST. JOSEPH'S HOSPITAL
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 5:	PROVIDENCE MOUNT CARMEL HOSPITAL AND ST. JOSEPH HOSPITAL UTILIZED SURVEYS OF THE COMMUNITY THROUGHOUT THE MONTH OF APRIL 2022. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 35 OF THE NEEDS ASSESSMENT DOCUMENT.OVER 100 EMAIL AND PERSONAL INVITATIONS WERE SENT TO TARGETED ORGANIZATIONS AND INDIVIDUALS, INCLUDING LOCAL CITY GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICTS, THE CHEWELAH TRIBE, AND VARIOUS SOCIAL SERVICE AGENCIES. ANNOUNCEMENTS WERE PLACED IN LOCAL NEWSPAPERS AND POSTED IN COMMUNITY CENTERS. THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 6A:	PROVIDENCE MOUNT CARMEL HOSPITAL & PROVIDENCE ST. JOSEPH HOSPITAL.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11:	AS RURAL CRITICAL ACCESS HOSPITALS IN STEVENS COUNTY, WASHINGTON, MOUNT CARMEL AND ST. JOSEPH HOSPITALS COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THE IDENTIFIED SIGNIFICANT HEALTH NEEDS OF MENTAL HEALTH, ACCESS, SUBSTANCE USE/MISUSE, ECONOMIC SECURITY AND HOUSING INSTABILITY. EFFORTS TO ADDRESS MENTAL HEALTH INCLUDE LAUNCHING PROVIDENCE'S WORK 2 BE WELL CURRICULUM IN A LOCAL HIGH SCHOOL AND INTEGRATED BEHAVIORAL HEALTH SERVICES IN THE PRIMARY CARE SETTING. TO ADDRESS ACCESS TO HEALTH SERVICES, PROVIDENCE PARTNERS WITH EASTERN WASHINGTON UNIVERSITY HEALTH PROFESSIONS STUDENTS TO OFFER STIPENDS THAT SUPPORT TRAVEL AND HOUSING IN RURAL WASHINGTON STATE. PROVIDENCE HAS SUPPORTED STEVENS COUNTY AMBULANCE FOR SEVERAL YEARS TO EXPAND SERVICES, INCLUDING ADVANCED LIFE SUPPORT MEDICATIONS AND EQUIPMENT. FURTHER, PROVIDENCE MOUNT CARMEL HOSPITAL OFFERS THE ONLY AREA OUTPATIENT PHYSICAL THERAPY AND WOUND CARE TO PATIENTS WHO ARE LOW-INCOME OR COVERED BY MEDICAID, AS WELL AS THE ONLY MATERNITY LABOR AND DELIVERY SERVICES IN THE AREA.IN SUPPORT OF IMPROVING SUBSTANCE USE/MISUSE, PROVIDENCE WORKS WITH PARTNERS COMMUNITY-MINDED ENTERPRISES AND NEW ALLIANCE BEHAVIORAL HEALTH. PROVIDENCE'S ONGOING SUPPORT OF STEVENS COUNTY AMBULANCE HELPS TO ENSURE RAPID ACCESS TO HEALTH CARE FOR PEOPLE EXPERIENCING A SUBSTANCE USE-RELATED HEALTH CRISIS. PROVIDENCE CONTINUES TO COLLABORATE ON ADDRESSING ISSUES THAT CONTRIBUTE TO HOUSING INSTABILITY. LONGTIME ORGANIZATIONAL PARTNER CATHOLIC CHARITIES OF EASTERN WASHINGTON RECENTLY RECEIVED NEEDED PERMIT TO BUILD A 71-UNIT SUPPORTIVE HOUSING UNIT IN COLVILLE, WA. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL 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. WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO ADVANCE EFFORTS TO ADDRESS THE PRIORITIZED NEEDS.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B, LINE 11 (CONTINUATION):	PHS - WASHINGTON (GROUP B - 4 & 5)NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMTHERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE CHNA.PRMCE HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN THE ORGANIZATIONS AREA OF FOCUS AND EXPERTISE. ALTHOUGH FOOD INSECURITY AND ECONOMIC INSTABILITY WERE IDENTIFIED IN THE CHNA AS A SIGNIFICANT NEED FOR SNOHOMISH COUNTY, THESE NEEDS WILL NOT BE ADDRESSED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO RESOURCE RESTRAINTS AND RELATIVE LOW PRIORITY ASSIGNED TO THESE NEEDS. HOWEVER, PRMCE MAY COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS THESE UNMET COMMUNITY NEEDS.

Field	Value	IRS element (for citing)
Facility	464	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (464 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ABHM - ANCHORAGE (3260 PROVIDENCE DR)
3260 PROVIDENCE DR STE C537	ANCHORAGE	AK	99508	SPECIALTY CLINIC
2 - ABHM - ANCHORAGE (3760 PIPER ST)
3760 PIPER ST STE 1108	ANCHORAGE	AK	99508	SPECIALTY CLINIC
3 - ABHM - PALMER
2250 S WOODWORTH LOOP STE 202	PALMER	AK	99645	SPECIALTY CLINIC
4 - ACRC
3760 PIPER ST LL 139	ANCHORAGE	AK	99508	SPECIALTY CLINIC
5 - AEC - EAGLE RIVER
17101 SNOWMOBILE LN STE 114	EAGLE RIVER	AK	99577	SPECIALTY CLINIC
6 - AEC - HUFFMAN
1389 HUFFMAN PARK DR STE 110	ANCHORAGE	AK	99515	SPECIALTY CLINIC
7 - AEC - MIDTOWN URGENT CARE
1200 W NORTHERN LIGHTS BLVD STE B	ANCHORAGE	AK	99503	SPECIALTY CLINIC
8 - AEC - TIKAHTNU
1118 N MULDOON RD STE 130	ANCHORAGE	AK	99504	SPECIALTY CLINIC
9 - AHHC - HORIZON HOUSE
3760 PIPER ST SUITE 1061	ANCHORAGE	AK	98508	SENIOR CARE
10 - AKCC
1818 E REZANOF DR	KODIAK	AK	99615	SPECIALTY CLINIC
11 - AKI - PROVIDENCE CHINIAK BAY ELDER HOUSE
1915 E REZANOF DRIVE	KODIAK ISLAND	AK	99615	SENIOR CARE
12 - AMC - ALASKA CARES
4901 A STREET STE 1030	ANCHORAGE	AK	99507	SPECIALTY CLINIC
13 - AMG
3220 PROVIDENCE DR STE E3-040	ANCHORAGE	AK	99508	SPECIALTY CLINIC
14 - AMG - BRAIN INJURY SERVICES
2250 S WOODWORTH LOOP STE 202	PALMER	AK	99645	SPECIALTY CLINIC
15 - AMG - BRAIN INJURY SERVICES
3260 PROVIDENCE DR STE C537	ANCHORAGE	AK	99508	SPECIALTY CLINIC
16 - AMG - EXTENDED CARE
920 COMPASSION CIR	ANCHORAGE	AK	99504	SPECIALTY CLINIC
17 - AMG - FAMILY MEDICINE CENTER
1201 E 26TH AVE	ANCHORAGE	AK	99508	PRIMARY CARE
18 - AMG - FETAL MEDICINE CLINIC
3831 PIPER ST STE SLL020	ANCHORAGE	AK	99508	SPECIALTY CLINIC
19 - AMG - GASTROENTEROLOGY CLINIC
3340 PROVIDENCE DR STE A567	ANCHORAGE	AK	99508	SPECIALTY CLINIC
20 - AMG - HEALTH PARK
3831 PIPER ST STE S220	ANCHORAGE	AK	99508	PRIMARY CARE
21 - AMG - KODIAK ISLAND PALLIATIVE CARE
1915 E REZENOF DR SUITE A301	KODIAK	AK	99615	SPECIALTY CLINIC
22 - AMG - MATERNAL FETAL MEDICINE
3260 PROVIDENCE DR STE C522	ANCHORAGE	AK	99508	SPECIALTY CLINIC
23 - AMG - PALLIATIVE CARE CLINIC
3300 PROVIDENCE DR STE B104	ANCHORAGE	AK	99508	SPECIALTY CLINIC
24 - AMG - PEDIATRIC SUB-SPECIALTY
3340 PROVIDENCE DR STE A351	ANCHORAGE	AK	99508	SPECIALTY CLINIC
25 - AMG - PEDIATRIC SUB-SPEC - PULMONOLOGY
3200 PROVIDENCE DR STE D-338	ANCHORAGE	AK	99508	SPECIALTY CLINIC
26 - AMG - PMG MOBILE THERAPIES
3300 PROVIDENCE DRIVE SUITE B302	ANCHORAGE	AK	99508	SPECIALTY CLINIC
27 - AMG - PMG PRIMARY CARE C436
3260 PROVIDENCE DR STE C436	ANCHORAGE	AK	99508	PRIMARY CARE
28 - AMG - PMG PRIMARY CARE HUFFMAN
1389 HUFFMAN PARK DR STE 202	ANCHORAGE	AK	99515	PRIMARY CARE
29 - AMG - PMGA PEDIATRIC NEURODEVELOPMENT
3340 PROVIDENCE DR STE A565	ANCHORAGE	AK	99508	SPECIALTY CLINIC
30 - AMG - ST ELIAS
4800 CORDOVA ST	ANCHORAGE	AK	99503	PRIMARY CARE
31 - AMG - TRANSITIONAL CARE CENTER
910 COMPASSION CIR	ANCHORAGE	AK	99504	SPECIALTY CLINIC
32 - AMG AT PROVIDENCE ALASKA MEDICAL CENTER
3200 PROVIDENCE DR	ANCHORAGE	AK	99508	PRIMARY CARE
33 - AMG AT PROVIDENCE KODIAK ISLAND MED CTR
1915 E REZANOF DR	KODIAK	AK	99615	PRIMARY CARE
34 - AMG AT PROVIDENCE SEWARD MEDICAL CENTER
417 1ST AVE	SEWARD	AK	99664	PRIMARY CARE
35 - AMG AT PROVIDENCE VALDEZ MEDICAL CENTER
911 MEALS AVE	VALDEZ	AK	99686	PRIMARY CARE
36 - APEC - EXTENDED CARE
920 COMPASSION CIR	ANCHORAGE	AK	99504	SPECIALTY CLINIC
37 - APEC - PROVIDENCE TRANSITIONAL CARE CTR
910 COMPASSION CIR	ANCHORAGE	AK	99504	SPECIALTY CLINIC
38 - APIC - ANCHORAGE
3340 PROVIDENCE DR STE 101	ANCHORAGE	AK	99508	SPECIALTY CLINIC
39 - APIC - MOBILE MAMMO UNIT
3340 PROVIDENCE DR	ANCHORAGE	AK	99508	SPECIALTY CLINIC
40 - ART - ADOLESCENT
3210 W 62ND AVE	ANCHORAGE	AK	99502	SPECIALTY CLINIC
42 - OEC - NORTH PASCO
5506 ROAD 68	PASCO	WA	99301	SPECIALTY CLINIC
43 - OEC - QUEENSGATE
2564 QUEENSGATE DR STE 2580	RICHLAND	WA	99352	SPECIALTY CLINIC
44 - OEC - AIRWAY HEIGHTS
10258 W SUNSET HWY STE 6	SPOKANE	WA	99224	SPECIALTY CLINIC
45 - OEC - BETHANY
4816 NE BETHANY BLVD	PORTLAND	OR	97229	SPECIALTY CLINIC
46 - OEC - CANYON LAKES
4008 W 27TH AVE STE 103	KENNEWICK	WA	99337	SPECIALTY CLINIC
47 - OEC - COLLEGE PLACE
1705 SE MEADOWBROOK BLVD STE 205	COLLEGE PLACE	WA	99324	SPECIALTY CLINIC
48 - OEC - CRESTON
3822 SE POWELL BLVD	PORTLAND	OR	97202	SPECIALTY CLINIC
49 - OEC - EAGLE RIVER
17101 SNOWMOBILE LN STE 114	EAGLE RIVER	AK	99577	SPECIALTY CLINIC
50 - OEC - EVERETT BROADWAY
2205 BROADWAY	EVERETT	WA	98201	SPECIALTY CLINIC
51 - OEC - FISHERS LANDING
1905 SE 164TH AVE	VANCOUVER	WA	98683	SPECIALTY CLINIC
52 - OEC - HAPPY VALLEY
11995 SE SUNNYSIDE RD	HAPPY VALLEY	OR	97015	SPECIALTY CLINIC
53 - OEC - HUFFMAN
1389 HUFFMAN PARK DR STE 110	ANCHORAGE	AK	99515	SPECIALTY CLINIC
54 - OEC - INDIAN TRAIL
9027 N INDIAN TRAIL RD	SPOKANE	WA	99208	SPECIALTY CLINIC
55 - OEC - INTERSTATE
4340 N INTERSTATE AVE	PORTLAND	OR	97217	SPECIALTY CLINIC
56 - OEC - KRUSE WAY
4823 MEADOWS DR STE 127	LAKE OSWEGO	OR	97035	SPECIALTY CLINIC
57 - OEC - LACEY
1350 MARVIN RD NE STE D	LACEY	WA	98516	SPECIALTY CLINIC
58 - OEC - LAKE STEVENS
718 91ST AVE NE	LAKE STEVENS	WA	98258	SPECIALTY CLINIC
59 - OEC - LINCOLN HEIGHTS
2923 E 29TH AVE	SPOKANE	WA	99223	SPECIALTY CLINIC
60 - OEC - LOMBARD
5308 N LOMBARD ST STE 102	PORTLAND	OR	97203	SPECIALTY CLINIC
61 - OEC - MIDTOWN URGENT CARE
1200 W NORTHERN LIGHTS BLVD STE B	ANCHORAGE	AK	99503	SPECIALTY CLINIC
62 - OEC - MILWAUKIE
14617 SE MCLOUGHLIN BLVD	MILWAUKIE	OR	97267	SPECIALTY CLINIC
63 - OEC - MISSOULA SOUTHGATE
3624 BROOKS ST STE 101	MISSOULA	MT	59801	SPECIALTY CLINIC
64 - OEC - NEWBERG
1840 PORTLAND RD	NEWBERG	OR	97132	SPECIALTY CLINIC
65 - OEC - OREGON CITY
13428 COLTON PL STE 102	OREGON CITY	OR	97045	SPECIALTY CLINIC
66 - OEC - ORENCO
1336 NE ORENCO STATION PKWY	HILLSBORO	OR	97124	SPECIALTY CLINIC
67 - OEC - PEARL
1025 NW 14TH AVE	PORTLAND	OR	97209	SPECIALTY CLINIC
68 - OEC - RICHLAND DOWNTOWN
1601 GEORGE WASHINGTON WAY	RICHLAND	WA	99354	SPECIALTY CLINIC
69 - OEC - RUBY
105 E MISSION AVE STE D	SPOKANE	WA	99202	SPECIALTY CLINIC
70 - OEC - TIKAHTNU
1118 N MULDOON RD STE 130	ANCHORAGE	AK	99504	SPECIALTY CLINIC
71 - OEP - FULL LIFE
7829 S 180TH ST	KENT	WA	98032	SENIOR CARE
72 - OEP - HERITAGE HOUSE
1533 WESTERN AVE	SEATTLE	WA	98101	SENIOR CARE
73 - OEP - NORTHAVEN
531 NE 112TH ST	SEATTLE	WA	98125	SENIOR CARE
74 - OEP - REDMOND
8632 160TH AVE NE	REDMOND	WA	98052	SENIOR CARE
75 - OEP - SEATTLE
4515 MARTIN LUTHER KING JR WAY S	SEATTLE	WA	98108	SENIOR CARE	STE 100
76 - OEP - WEST SEATTLE
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
77 - PHHA - HOME HEALTH ALASKA
4001 DALE ST STE 101	ANCHORAGE	AK	99508	HOME HEALTH
78 - PHHA - HOSPICE ALASKA
4001 DALE ST STE 101	ANCHORAGE	AK	99508	HOME HEALTH
79 - PMG NW WA EVERETT PEDIATRIC THERAPY
900 PACIFIC AVE STE 130	EVERETT	WA	98201	SPECIALTY CLINIC
80 - PROVIDENCE PRIMARY CARE COWLEY PARK
62 W 7TH AVE STE 320	SPOKANE	WA	99204	PRIMARY CARE
81 - WAS - AT PCH
914 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
82 - WAS - AT PHFH
5633 N LIDGERWOOD ST	SPOKANE	WA	99208	SPECIALTY CLINIC
83 - WAS - AT PSHMC
101 W 8TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
84 - WAS - AT PSMMC
401 W POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
85 - WAS - AT WALLA WALLA CLINIC ASC
55 W TIETAN ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
86 - WCH - RADIANT CARE ABERDEEN
1200 BASICH BLVD	ABERDEEN	WA	98520	SPECIALTY CLINIC
87 - WDC - CHEWELAH
110 S 3RD STREET EAST	CHEWELAH	WA	99109	HOME HEALTH
88 - WEC - AIRWAY HEIGHTS
10258 W SUNSET HWY STE 6	SPOKANE	WA	99224	SPECIALTY CLINIC
89 - WEC - BETHANY
4816 NW BETHANY BLVD	PORTLAND	OR	97229	SPECIALTY CLINIC
90 - WEC - CANYON LAKES
4008 W 27TH AVE STE 103	KENNEWICK	WA	99337	SPECIALTY CLINIC
91 - WEC - COLLEGE PLACE
1705 SE MEADOWBROOK BLVD STE 2	COLLEGE PLACE	WA	99324	SPECIALTY CLINIC
92 - WEC - CRESTON
3822 SE POWELL BLVD	PORTLAND	OR	97202	SPECIALTY CLINIC
93 - WEC - EAGLE RIVER
17101 SNOWMOBILE LN STE 114	EAGLE RIVER	AK	99557	SPECIALTY CLINIC
94 - WEC - EVERETT BROADWAY
2205 BROADWAY	EVERETT	WA	98201	SPECIALTY CLINIC
95 - WEC - FISHERS LANDING
1905 SE 164TH AVE	VANCOUVER	WA	98683	SPECIALTY CLINIC
96 - WEC - HAPPY VALLEY
11995 SE SUNNYSIDE RD	HAPPY VALLEY	OR	97015	SPECIALTY CLINIC
97 - WEC - HOFFMAN
1389 HUFFMAN PARK DR STE 110	ANCHORAGE	AK	99515	SPECIALTY CLINIC
98 - WEC - INDIAN TRAIL
9027 N INDIAN TRAIL RD	SPOKANE	WA	99208	SPECIALTY CLINIC
99 - WEC - INTERSTATE
4340 N INTERSTATE AVE	PORTLAND	OR	97217	SPECIALTY CLINIC
100 - WEC - KRUSE WAY
4823 MEADOWS RD STE 127	LAKE OSWEGO	OR	97035	SPECIALTY CLINIC
101 - WEC - LACEY
1350 MARVIN RD NE STE D	LACEY	WA	98516	SPECIALTY CLINIC
102 - WEC - LAKE STEVENS
718 91ST AVE NE	LAKE STEVENS	WA	99258	SPECIALTY CLINIC
103 - WEC - LINCOLN HEIGHTS
2923 E 29TH AVE	SPOKANE	WA	99223	SPECIALTY CLINIC
104 - WEC - LOMBARD
5308 N LOMBARD ST STE 102	PORTLAND	OR	97203	SPECIALTY CLINIC
105 - WEC - MIDTOWN URGENT CARE
1200 W NORTHERN LIGHTS BLVD STE B	ANCHORAGE	AK	99503	SPECIALTY CLINIC
106 - WEC - MILWAUKIE
14617 SE MCLOUGHLIN BLVD	MILWAUKIE	OR	97267	SPECIALTY CLINIC
107 - WEC - MISSOULA SOUTHGATE
3624 BROOK ST STE 101	MISSOULA	MT	59801	SPECIALTY CLINIC
108 - WEC - NEWBERG
1840 PORTLAND RD	NEWBERG	OR	97132	SPECIALTY CLINIC
109 - WEC - NORTH PASCO
5506 N ROAD 68	PASCO	WA	99301	SPECIALTY CLINIC
110 - WEC - OREGON CITY
13428 COLTON PL STE 102	OREGON CITY	OR	97045	SPECIALTY CLINIC
111 - WEC - ORENCO
1336 NE ORENCO STATION PKWY	HILLSBORO	OR	97124	SPECIALTY CLINIC
112 - WEC - PEARL
1025 NW 14TH AVE	PORTLAND	OR	97209	SPECIALTY CLINIC
113 - WEC - QUEENSGATE
2564 QUEENSGATE DR STE 2580	RICHLAND	WA	99352	SPECIALTY CLINIC
114 - WEC - RICHLAND DOWNTOWN
1601 GEORGE WASHINGTON WAY	RICHLAND	WA	99354	SPECIALTY CLINIC
115 - WEC - RUBY
105 E MISSION AVE STE D	SPOKANE	WA	99202	SPECIALTY CLINIC
116 - WEC - TIKAHTNU
1118 N MULDOON RD STE 130	ANCHORAGE	AK	99504	SPECIALTY CLINIC
117 - WEV - AUTISM CENTER
900 PACIFIC AVE FL 5	EVERETT	WA	98201	SPECIALTY CLINIC
118 - WEV - SLEEP MEDICINE
900 PACIFIC AVE FL 2	EVERETT	WA	98201	SPECIALTY CLINIC
119 - WEV - SUBSTANCE ABUSE
2722 COLBY AVE STE 200	EVERETT	WA	98201	SPECIALTY CLINIC
120 - WEV -COMPREHENSIVE BREAST CENTER
900 PACIFIC AVE SUITE 120	EVERETT	WA	98201	SPECIALTY CLINIC
121 - WHHS - HOME HEALTH
1615 75TH STREET SW STE 210	EVERETT	WA	98201	HOME HEALTH
122 - WHHS - HOSPICE
1615 75TH STREET SW STE 210	EVERETT	WA	98203	HOME HEALTH
123 - WHHS - HOSPICE- PROV EVERETT
1700 13TH ST	EVERETT	WA	98201	HOME HEALTH
124 - WHSKC- HOME SERVICES KING COUNTY
2811 S 102ND ST STE 102	TUKWILA	WA	98168	HOME HEALTH
125 - WHSPS - HOSPICE
2811 S 102ND ST STE 220	TUKWILA	WA	98168	HOME HEALTH
126 - WMC - HOSPITAL REHAB CLINIC
298 S MAIN ST STE B12	COLVILLE	WA	99114	REHAB & PHYSICAL THERAPY
127 - WMGNE
1300 E MULLAN AVE STE 900	POST FALLS	ID	83854	URGENT CARE
128 - WMGNE
212 E CENTRAL AVE STE 440	SPOKANE	WA	83854	PRIMARY CARE
129 - WMGNE
212 RODEO DR	MOSCOW	ID	83843	SPECIALTY CLINIC
130 - WMGNE
301 CEDAR ST	OROFINO	ID	83544	PRIMARY CARE
131 - WMGNE
415 6TH ST	LEWISTON	ID	93501	PRIMARY CARE
132 - WMGNE
520 N THIRD AVE	SANDPOINT	ID	83864	PRIMARY CARE
133 - WMGNE
700 S MAIN ST	MOSCOW	ID	83843	PRIMARY CARE
134 - WMGNE
701 LEWISTON ST	COTTONWOOD	ID	83522	PRIMARY CARE
135 - WMGNE - AUDIOLOGY CATALDO
217 W CATALDO SECOND FLOOR	SPOKANE	WA	99201	SPECIALTY CLINIC
136 - WMGNE - AUDIOLOGY VALLEY
13414 E MISSION AVE	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
137 - WMGNE - BREAST HEALTH
212 E CENTRAL AVE STE 335	SPOKANE	WA	99208	SPECIALTY CLINIC
138 - WMGNE - BREAST HEALTH
920 N WASHINGTON SUITE 200	SPOKANE	WA	99201	SPECIALTY CLINIC
139 - WMGNE - CTR FOR CONGENITAL HEART DISEASE
101 W 8TH AVE STE 4300	SPOKANE	WA	99204	SPECIALTY CLINIC
140 - WMGNE - CTR FOR CONGENITAL HEART DISEASE
1025 S 2ND AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
141 - WMGNE - CHILD NEUROLOGY & DEVT MEDICINE
101 W 8TH AVE STE 4200	SPOKANE	WA	99204	SPECIALTY CLINIC
142 - WMGNE - COCHLEAR IMPLANT
217 W CATALDO THIRD FLOOR	SPOKANE	WA	99201	SPECIALTY CLINIC
143 - WMGNE - COCHLEAR IMPLANT
910 N WASHINGTON	SPOKANE	WA	99201	SPECIALTY CLINIC
144 - WMGNE - COLVILLE RURAL HEALTH CLINIC
1200 E COLUMBIA AVE	COLVILLE	WA	99114	PRIMARY CARE
145 - WMGNE - DENTAL RESIDENCY
105 W 8TH AVE STE 123C	SPOKANE	WA	99204	SPECIALTY CLINIC
146 - WMGNE - EAR NOSE AND THROAT
217 W CATALDO	SPOKANE	WA	99201	SPECIALTY CLINIC
147 - WMGNE - EAR NOSE AND THROAT NORTH
9922 N NEVADA	SPOKANE	WA	99218	SPECIALTY CLINIC
148 - WMGNE - EAR NOSE AND THROAT VALLEY
13414 E MISSION AVE	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
149 - WMGNE - ENT CT
217 W CATALDO SECOND FLOOR	SPOKANE	WA	99201	SPECIALTY CLINIC
150 - WMGNE - EPILEPSY CENTER
105 W 8TH AVE STE 318-C	SPOKANE	WA	99204	SPECIALTY CLINIC
151 - WMGNE - EXPRESS CARE AIRWAY HEIGHTS
10258 W SUNSET HWY SUITE 6	SPOKANE	WA	99001	SPECIALTY CLINIC
152 - WMGNE - EXPRESS CARE AT WALGREENS IT
9027 N INDIAN TRAIL RD	SPOKANE	WA	99208	SPECIALTY CLINIC
153 - WMGNE - EXPRESS CARE AT WALGREENS LH
2923 E 29TH AVE	SPOKANE	WA	99223	SPECIALTY CLINIC
154 - WMGNE - EXPRESS CARE WALGREENS N PINES
12312 E SPRAGUE AVE	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
155 - WMGNE -EXPRESS CARE WALGREENS WANDERMERE
12315 N DIVISION ST	SPOKANE	WA	99218	SPECIALTY CLINIC
156 - WMGNE - FAMILY MEDICINE
9911 N NEVADA ST SUITE 200	SPOKANE	WA	99218	PRIMARY CARE
157 - WMGNE - FAMILY MEDICINE AT PROV MED PARK
16528 E DESMET CT STE B2100	SPOKANE VALLEY	WA	99216	PRIMARY CARE
158 - WMGNE - FAMILY MEDICINE CHEWELAH
100 W SOUTH AVE	CHEWELAH	WA	99109	PRIMARY CARE
159 - WMGNE - FAMILY MEDICINE NORTH PINES
1212 N PINES RD	SPOKANE VALLEY	WA	99206	PRIMARY CARE
160 - WMGNE - FATHER MALNAR MATERNITY CLINIC
101 W 8TH AVE STE 1300	SPOKANE	WA	99204	SPECIALTY CLINIC
161 - WMGNE - FERRY COUNTY CLINICORTHOPEDICS
36 KLONDIKE RD	REPUBLIC	WA	99166	SPECIALTY CLINIC
162 - WMGNE - GARDEN HOMES CLINIC
143 GARDEN HOMES DR	COLVILLE	WA	99114	PRIMARY CARE
163 - WMGNE - GASTROENTEROLOGY
212 E CENTRAL AVE STE 245	SPOKANE	WA	99208	SPECIALTY CLINIC
164 - WMGNE - GASTROENTEROLOGY PMP
16528 E DESMET CT STE A2200	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
165 - WMGNE - GENERAL & SPECIALTY SURGERY
217 W CATALDO THIRD FLOOR	SPOKANE	WA	99201	SPECIALTY CLINIC
166 - WMGNE - GENERAL & SPECIALTY SURGERY N
9922 N NEVADA	SPOKANE	WA	99218	SPECIALTY CLINIC
167 - WMGNE - GENERAL & SPECIALTY SURGERY VLY
13414 E MISSION AVE	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
168 - WMGNE - GENETICS CLINIC
105 W 8TH AVE STE 454E	SPOKANE	WA	99204	SPECIALTY CLINIC
169 - WMGNE - GRAND PEDIATRICS
1402 S GRAND BLVD	SPOKANE	WA	99203	SPECIALTY CLINIC
170 - WMGNE - GYNECOLOGIC ONCOLOGY CLINIC
101 W 8TH AVE STE 1400	SPOKANE	WA	99204	SPECIALTY CLINIC
171 - WMGNE - GYNECOLOGIC ROBOTIC SURGERY
101 W 8TH AVE STE 1300	SPOKANE	WA	99204	SPECIALTY CLINIC
172 - WMGNE - HEARING CENTERS
3022 E 57TH AVE SUITE 21	SPOKANE	WA	99223	SPECIALTY CLINIC
173 - WMGNE - HIGH RISK PREGNANCY CLINIC
101 W 8TH AVE STE 1100	SPOKANE	WA	99204	SPECIALTY CLINIC
174 - WMGNE - HIGH RISK PREGNANCY CLINIC ID
980 IRONWOOD DR STE 360	COEUR D ALENE	ID	83814	SPECIALTY CLINIC
175 - WMGNE - HOLY FAMILY PARTIAL H&IO
235 E ROWAN AVE STE 107	SPOKANE	WA	99207	SPECIALTY CLINIC
176 - WMGNE - HOUSE OF CHARITY
32 W 2ND AVE	SPOKANE	WA	99201	PRIMARY CARE
177 - WMGNE - INFECTIOUS DISEASE CLINIC
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
178 - WMGNE - INLAND NEUROSURGERY AND SPINE
235 E ROWAN AVE STE 114	SPOKANE	WA	99207	SPECIALTY CLINIC
179 - WMGNE - INLAND NEUROSURGERY AND SPINE AS
1200 FAIRVIEW ST W	COLFAX	WA	99111	SPECIALTY CLINIC
180 - WMGNE - INLAND NEUROSURGERY AND SPINE AS
825 BISHOP BLVD SE 140 P	PULLMAN	WA	99163	SPECIALTY CLINIC
181 - WMGNE - INLAND VASCULAR INST
122 7TH AVE STE 420	SPOKANE	WA	99204	SPECIALTY CLINIC
182 - WMGNE - INLAND VASCULAR INSTITUTE NORTH
212 E CENTRAL AVE	SPOKANE	WA	99208	SPECIALTY CLINIC
183 - WMGNE - INLAND VASCULAR INSTITUTE SOUTH
62 W 7TH AVE STE 420	SPOKANE	WA	99204	SPECIALTY CLINIC
184 - WMGNE - INSA DOWNTOWN
105 W 8TH AVE STE 200	SPOKANE	WA	99204	SPECIALTY CLINIC
185 - WMGNE - INTERNAL MEDICINE
820 S MCCLELLAN ST STE 200	SPOKANE	WA	99204	PRIMARY CARE
186 - WMGNE - INTERNAL MEDICINE HOSPITALISTS
105 W 8TH AVE STE 450E	SPOKANE	WA	99204	PRIMARY CARE
187 - WMGNE - INTERNAL MEDICINE KENDALL YARDS
546 N JEFFERSON LANE	SPOKANE	WA	99201	PRIMARY CARE
188 - WMGNE - KETTLE FALLS CLINIC
840 S MEYERS ST	KETTLE FALLS	WA	99141	PRIMARY CARE
189 - WMGNE - KIDNEY CARE AT PROV MEDICAL PARK
16528 E DESMET CT STE B2100	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
190 - WMGNE - KIDNEY DIS AND HTN
105 W 8TH AVE STE 1000	SPOKANE	WA	99204	SPECIALTY CLINIC
191 - WMGNE - LAB SOUTH 29TH
2020 E 29TH LOWER LEVEL	SPOKANE	WA	99203	PRIMARY CARE
192 - WMGNE - MEDICAL GROUP WOMEN'S CLINIC
101 W 8TH AVE STE 1100	SPOKANE	WA	99204	SPECIALTY CLINIC
193 - WMGNE - MULTIPLE SCLEROSIS CENTER
212 E CENTRAL AVE STE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
194 - WMGNE - NEUROLOGY NEUROSCIENCE
101 W 8TH AVE STE 7010	SPOKANE	WA	99204	SPECIALTY CLINIC
195 - WMGNE - NEUROLOGY HOSPITALISTS
105 W 8TH AVE STE 318-C	SPOKANE	WA	99204	SPECIALTY CLINIC
196 - WMGNE - OB HOSPITALISTS
101 W 8TH AVE STE 1100	SPOKANE	WA	99204	SPECIALTY CLINIC
197 - WMGNE - OBSTETRICS AND GYNECOLOGY
105 W 8TH AVE STE 6050	SPOKANE	WA	99204	SPECIALTY CLINIC
198 - WMGNE - OCCUPATIONAL MEDICINE
16528 E DESMET CT STE B1600A	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
199 - WMGNE - OCCUPATIONAL MEDICINE AIRWAY H
11919 W SUNSET HWY STE D	AIRWAY HEIGHTS	WA	99001	SPECIALTY CLINIC
200 - WMGNE - OCCUPATIONAL MEDICINE NORTH
235 E ROWAN AVE STE 202	SPOKANE	WA	99207	SPECIALTY CLINIC
201 - WMGNE - ORTHOPEDICS
100 3RD ST	DAVENPORT	WA	99122	SPECIALTY CLINIC
202 - WMGNE - ORTHOPEDICS
212 E CENTRAL AVE STE 245	SPOKANE	WA	99208	SPECIALTY CLINIC
203 - WMGNE - ORTHOPEDICS
714 W PINES	NEWPORT	WA	99156	SPECIALTY CLINIC
204 - WMGNE - ORTHOPEDICS
820 S MCCLELLAN ST STE 300	SPOKANE	WA	99204	SPECIALTY CLINIC
205 - WMGNE - ORTHOPEDICS DME
16528 DESMET CT	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
206 - WMGNE - ORTHOPEDICS PMP
16528 E DESMET CT STE B2200	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
207 - WMGNE - OUTPATIENT PSYCHOLOGY CLINIC
105 W 8TH AVE STE 418C	SPOKANE	WA	99204	SPECIALTY CLINIC
208 - WMGNE - PEDIATRIC ASSOCIATES
9911 N NEVADA ST	SPOKANE	WA	99218	SPECIALTY CLINIC
209 - WMGNE - PEDIATRIC DIGESTIVE HEALTH & NEP
105 W 8TH AVE STE 7060	SPOKANE	WA	99204	SPECIALTY CLINIC
210 - WMGNE - PEDIATRIC ENDOCRINOLOGY DIABETES
101 W 8TH AVE STE L-1 100	SPOKANE	WA	99204	SPECIALTY CLINIC
211 - WMGNE - PEDIATRIC GASTROENTEROLOGY
105 W 8TH AVE STE 7060	SPOKANE	WA	99204	SPECIALTY CLINIC
212 - WMGNE - PEDIATRIC HEMATOLOGY ONCOLOGY
101 W 8TH AVE PSHMC FLR 3	SPOKANE	WA	99204	SPECIALTY CLINIC
213 - WMGNE - PEDIATRIC HOSPITALISTS
101 W 8TH AVE PSHMC 3 NORTH	SPOKANE	WA	99204	SPECIALTY CLINIC
214 - WMGNE - PEDIATRIC NEPHROLOGY
105 W 8TH AVE STE 150E	SPOKANE	WA	99204	SPECIALTY CLINIC
215 - WMGNE - PEDIATRIC PULMONOLOGY & ALLERGY
105 W 8TH AVE STE 660E	SPOKANE	WA	99204	SPECIALTY CLINIC
216 - WMGNE - PEDIATRIC UROLOGY
101 W 8TH AVE STE 100	SPOKANE	WA	99204	SPECIALTY CLINIC
217 - WMGNE - PEDIATRICS
7221 W DESCHUTES AVE	KENNEWICK	WA	99336	SPECIALTY CLINIC
218 - WMGNE - PEDIATRICS LIBERTY LAKE
23813 E APPLE WAY AVE	LIBERTY LAKE	WA	99019	SPECIALTY CLINIC
219 - WMGNE - PEDIATRICS MANITO
1919 S GRAND BLVD	SPOKANE	WA	99203	SPECIALTY CLINIC
220 - WMGNE - PEDIATRICS NORTHPOINTE
1111 E WESTVIEW CT SUITE B	SPOKANE	WA	99218	SPECIALTY CLINIC
221 - WMGNE - PHYSIATRY
16528 E DESMET CT STE A1600	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
222 - WMGNE - PMG GONZAGA DISASTER CLINIC
729 E BOONE AVE	SPOKANE	WA	99202	URGENT CARE
223 - WMGNE - PMG LAB - KENDALL YARDS
546 N JEFFERSON LANE	SPOKANE	WA	99201	PRIMARY CARE
224 - WMGNE - PMG LAB - MCB
820 S MCCLELLAN ST STE LL12	SPOKANE	WA	99204	PRIMARY CARE
225 - WMGNE - PMG LAB HAWTHORNE
551 E HAWTHORNE RD	SPOKANE	WA	99218	PRIMARY CARE
226 - WMGNE - PMG LAB HOUSE OF CHARITY
32 W 2ND AVE	SPOKANE	WA	99201	PRIMARY CARE
227 - WMGNE - PMG LAB NORTH PINES
1212 N PINES RD	SPOKANE	WA	99206	PRIMARY CARE
228 - WMGNE - PMG LAB NORTHPOINT
9911 N NEVADA ST STE 200	SPOKANE	WA	99218	PRIMARY CARE
229 - WMGNE - PMG LAB PMP
16528 DESMET CT STE B1400	SPOKANE VALLEY	WA	99216	PRIMARY CARE
230 - WMGNE - PMG LAB ROWAN
9631 N NEVADA ST STE 300	SPOKANE	WA	99218	PRIMARY CARE
231 - WMGNE - PMG LAB SOUTH DIVISION
421 S DIVISION ST	SPOKANE	WA	99202	PRIMARY CARE
232 - WMGNE - PMG LAB STHC
624 E FRONT AVE	SPOKANE	WA	99202	PRIMARY CARE
233 - WMGNE - PMG PALLIATIVE CARE SERVICES
101 W 8TH AVE STE 6050	SPOKANE	WA	99204	SPECIALTY CLINIC
234 - WMGNE - PRIMARY CARE SOUTH
2020 E 29TH AVE LOWR LEVEL	SPOKANE	WA	99203	PRIMARY CARE
235 - WMGNE - PROVIDENCE CARDIOLOGY
212 E CENTRAL AVE STE 240	SPOKANE	WA	99208	SPECIALTY CLINIC
236 - WMGNE - PROV CTR FOR CLEFT LIP & PALATE
412 E SPOKANE FALLS BLVD	SPOKANE	WA	99202	SPECIALTY CLINIC
237 - WMGNE - PROVIDENCE DIGESTIVE HEALTH
105 W 8TH AVE STE 7050	SPOKANE	WA	99204	SPECIALTY CLINIC
238 - WMGNE - PROV MED ONCOLOGY & HEMATOLOGY
212 E CENTRAL AVE STE 315	SPOKANE	WA	99208	SPECIALTY CLINIC
239 - WMGNE - PROV MEDICAL PARK PEDIATRICS
16528 E DESMET CT STE B1000	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
240 - WMGNE - PROV MULTIPLE SCLEROSIS CENTER
5633 N LIDGERWOOD ST STE 1800	SPOKANE	WA	99208	PRIMARY CARE
241 - WMGNE - PROVIDENCE PALLIATIVE CARE
105 W 8TH AVE STE 120C	SPOKANE	WA	99204	SPECIALTY CLINIC
242 - WMGNE - PROV PULMONARY & SLEEP DISORDERS
105 W 8TH AVE STE 512C	SPOKANE	WA	99204	SPECIALTY CLINIC
243 - WMGNE - PROV SPOKANE HEART INSTITUTE
808 PORT DR	CLARKSTON	WA	99403	SPECIALTY CLINIC
244 - WMGNE - PROVIDENCE VEIN CENTER
1923 S GRAND BLVD	SPOKANE	WA	99203	SPECIALTY CLINIC
245 - WMGNE - PSYCHIATRIC CENTER
105 W 8TH AVE STE 450E	SPOKANE	WA	99204	SPECIALTY CLINIC
246 - WMGNE - PSYCHIATRY RESIDENCY SPOKANE
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
247 - WMGNE -PULMONARY & SLEEP DISORDER CLINIC
9631 N NEVADA ST STE 300	SPOKANE	WA	99218	SPECIALTY CLINIC
248 - WMGNE - RECONSTRUCTIVE SURGERY
820 S MCCLELLAN ST STE 118	SPOKANE	WA	99204	SPECIALTY CLINIC
249 - WMGNE - RESIDENCY FAMILY MEDICINE
624 E FRONT AVE	SPOKANE	WA	99202	PRIMARY CARE
250 - WMGNE - SOUTH URGENT CARE
421 S DIVISION ST	SPOKANE	WA	99202	URGENT CARE
251 - WMGNE - SPEC KIDNEY CARE ENDOCRINOLOGY
105 W 8TH AVE STE 7010	SPOKANE	WA	99204	SPECIALTY CLINIC
252 - WMGNE - SPOKANE HEART INSTITUTE
62 W 7TH STE 300C	SPOKANE	WA	99204	SPECIALTY CLINIC
253 - WMGNE - SPORTS MEDICINE FELLOWSHIP
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
254 - WMGNE - SPORTS MEDICINE SOUTH
820 S MCCLELLAN ST STE 101	SPOKANE	WA	99204	SPECIALTY CLINIC
255 - WMGNE - ST LUKES PHYSIATRY
711 S COWLEY ST STE 228	SPOKANE	WA	99202	REHAB & PHYSICAL THERAPY
256 - WMGNE - STROKE CVB DISORDER CLINIC
105 W 8TH AVE STE 122C	SPOKANE	WA	99204	SPECIALTY CLINIC
257 - WMGNE - THERAPY AND BALANCE
910 N WASHINGTON	SPOKANE	WA	99201	SPECIALTY CLINIC
258 - WMGNE - URGENT CARE HAWTHORNE
551 E HAWTHORNE RD	SPOKANE	WA	99218	URGENT CARE
259 - WMGNE - URGENT CARE PMP
16528 E DESMET CT STE A1200	SPOKANE VALLEY	WA	99216	URGENT CARE
260 - WMGNE - UROGYNECOLOGY
920 N WASHINGTON	SPOKANE	WA	99201	SPECIALTY CLINIC
261 - WMGNE - VALLEY YOUNG PEOPLE'S CLINIC
1414 N VERCLER RD STE 1	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
262 - WMGNE - VEIN CENTER PROV MEDICAL PARK
16528 E DESMET CT	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
263 - WMGNE MOUNT CARMEL HOSPITAL
982 E COLUMBIA AVE	COLVILLE	WA	99114	SPECIALTY CLINIC
264 - WMGNE PROVIDENCE HOLY FAMILY HOSPITAL
5633 N LIDGERWOOD ST	SPOKANE	WA	99208	SPECIALTY CLINIC
265 - WMGNE PROVIDENCE MOUNT CARMEL HOSPITAL
982 E COLUMBIA AVE	COLVILLE	WA	99114	SPECIALTY CLINIC
266 - WMGNE PROV SACRED HEART MEDICAL CTR
101 W 8TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
267 - WMGNE PROVIDENCE ST JOSEPH CARE CENTER
17 E 8TH AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
268 - WMGNE PROVIDENCE ST JOSEPHS HOSPITAL
500 E WEBSTER AVE	CHEWELAH	WA	99109	SPECIALTY CLINIC
269 - WMGNE ST PATRICK HOSPITAL
500 W BROADWAY ST	MISSOULA	MT	59802	SPECIALTY CLINIC
270 - WMGNE PSYCHIATRY
105 W 8TH AVE STE 560E	SPOKANE	WA	99204	SPECIALTY CLINIC
271 - WMGNW - ASSAULT & ABUSE INTERVENTION CTR
1509 CALIFORNIA ST	EVERETT	WA	98201	SPECIALTY CLINIC
272 - WMGNW - BEHAVIORAL HEALTH URGENT CARE
1330 ROCKEFELLER AVE STE 140	EVERETT	WA	98201	SPECIALTY CLINIC
273 - WMGNW - BETHANY AT PACIFIC
916 PACIFIC AVE	EVERETT	WA	98201	SPECIALTY CLINIC
274 - WMGNW - BETHANY AT SILVER CREST
2131 LAKE HEIGHTS DR	EVERETT	WA	98208	SPECIALTY CLINIC
275 - WMGNW - BETHANY AT SILVERLAKE
2235 LAKE HEIGHTS DR	EVERETT	WA	98208	SPECIALTY CLINIC
276 - WMGNW -CARDIOVASCULAR & THORACIC SURGERY
1330 ROCKEFELLER AVE STE 400	EVERETT	WA	98201	SPECIALTY CLINIC
277 - WMGNW - CASCADE VALLEY HOSPITAL
330 S STILLAGUAMISH AVE	ARLINGTON	WA	98223	SPECIALTY CLINIC
278 - WMGNW - CRANIAL SPINE & JOINT ON SMC CHC
550 17TH AVE FL 5	SEATTLE	WA	98122	SPECIALTY CLINIC
279 - WMGNW - EDMONDS UROLOGY
21822 76TH AVE W	EDMONDS	WA	98026	SPECIALTY CLINIC
280 - WMGNW - ENDOCRINOLOGY
1330 ROCKEFELLER AVE STE 520	EVERETT	WA	98201	SPECIALTY CLINIC
281 - WMGNW - EVERETT INTERNAL MEDICINE
1330 ROCKEFELLER AVE STE 210	EVERETT	WA	98201	PRIMARY CARE
282 - WMGNW - EVERETT NEUROSCIENCES CENTER
1717 13TH ST STE 401	EVERETT	WA	98201	SPECIALTY CLINIC
283 - WMGNW - EVERETT REHAB AND CARE CENTER
1919 112TH ST SW	EVERETT	WA	98204	SPECIALTY CLINIC
284 - WMGNW - EVERETT YMCA PT
4730 COLBY AVE STE 220	EVERETT	WA	98203	REHAB & PHYSICAL THERAPY
285 - WMGNW - GENERAL SURGERY CLINIC
1330 ROCKEFELLER AVE STE 310	EVERETT	WA	98201	SPECIALTY CLINIC
286 - WMGNW - GYNECOLOGIC ONCOLOGY
1717 13TH ST STE 210	EVERETT	WA	98201	SPECIALTY CLINIC
287 - WMGNW - HARBOUR POINT WALK IN
4112 HARBOUR POINT BLVD SW STE 100	MUKILTEO	WA	98275	SPECIALTY CLINIC
288 - WMGNW - LYNNWOOD CLINIC
2902 164TH ST SW STE E1	LYNNWOOD	WA	98087	PRIMARY CARE
289 - WMGNW - LYNNWOOD POST ACUTE REHAB CENTER
5821 188TH ST SW	LYNNWOOD	WA	98037	REHAB & PHYSICAL THERAPY
290 - WMGNW - MARYSVILLE FAMILY MEDICINE
4404 80TH ST NE	MARYSVILLE	WA	98270	PRIMARY CARE
291 - WMGNW - MILL CREEK FAMILY MEDICINE
12800 BOTHELL EVERETT HWY 160	EVERETT	WA	98208	SPECIALTY CLINIC
292 - WMGNW - MILL CREEK INTERNAL MEDICINE
12800 BOTHELL-EVERETT HWY STE 180	EVERETT	WA	98208	PRIMARY CARE
293 - WMGNW - MILL CREEK WALK-IN
12800 BOTHELL EVERETT HWY STE 120	EVERETT	WA	98208	URGENT CARE
294 - WMGNW - MONROE CLINIC
19200 N KELSEY ST	MONROE	WA	98272	SPECIALTY CLINIC
295 - WMGNW - MOUNTAIN VIEW REHAB AND CARE CTR
5925 47TH AVE NE	MARYSVILLE	WA	98270	REHAB & PHYSICAL THERAPY
296 - WMGNW - PAVILION FOR WOMEN & CHILDREN
900 PACIFIC AVE STE 501	EVERETT	WA	98201	SPECIALTY CLINIC
297 - WMGNW - PLASTIC & RECONSTRUCTIVE SURGERY
12800 BOTHELL EVERETT HWY STE 260B	EVERETT	WA	98208	SPECIALTY CLINIC
298 - WMGNW - PMG MARYSVILLE CLINIC
11603 STATE AVE STE G	MARYSVILLE	WA	98271	PRIMARY CARE
299 - WMGNW - PMG UROLOGY
4310 COLBY AVE STE 203	EVERETT	WA	98203	SPECIALTY CLINIC
300 - WMGNW - PROVIDENCE CARDIOLOGY
12800 BOTHELL EVERETT HWY STE 270	EVERETT	WA	98208	SPECIALTY CLINIC
301 - WMGNW - PROVIDENCE CLEARVIEW FAMILY MED
17432 STATE ROUTE 9 SUITE 201	SNOHOMISH	WA	98296	SPECIALTY CLINIC
302 - WMGNW - PROVIDENCE MILL CREEK PEDIATRICS
12800 BOTHELL-EVERETT HWY STE 190	EVERETT	WA	98208	SPECIALTY CLINIC
303 - WMGNW - PROVIDENCE MILL CREEK WALKIN
12800 BOTHELL EVERETT HWY STE 110	EVERETT	WA	98208	URGENT CARE
304 - WMGNW - PROV REG MEDICAL CENTER EVERETT
1700 13TH ST	EVERETT	WA	98201	SPECIALTY CLINIC
305 - WMGNW - REGENCY CARE CENTER AT MONROE
1355 W MAIN ST	MONROE	WA	98272	REHAB & PHYSICAL THERAPY
306 - WMGNW - REGIONAL MEDICAL CENTER
1321 COLBY AVE	EVERETT	WA	98201	SPECIALTY CLINIC
307 - WMGNW - REG MED CTR EVERETT - CANCER CTR
1717 13TH ST	EVERETT	WA	98201	SPECIALTY CLINIC
308 - WMGNW - SKAGIT VALLEY REG MED CENTER
1415 E KINCAID ST	MOUNT VERNON	WA	98274	PRIMARY CARE
309 - WMGNW - SNOHOMISH CLINIC
1830 BICKFORD AVE STE 211	SNOHOMISH	WA	98290	SPECIALTY CLINIC
310 - WMGNW - SPORTS ORTHOPEDIC AND HAND
3726 BROADWAY STE 201	EVERETT	WA	98201	SPECIALTY CLINIC
311 - WMGNW - STANWOOD CLINIC
7209 265TH ST NW STE 203	STANWOOD	WA	98292	PRIMARY CARE
312 - WMGNW - SUNRISE VIEW CONVALESCENT CENTER
2520 MADISON ST	EVERETT	WA	98203	SPECIALTY CLINIC
313 - WMGNW - SWEDISH EDMONDS MEDICAL CENTER
21601 76TH AVE W	EDMONDS	WA	98026	SPECIALTY CLINIC
314 - WMGNW - SWEDISH MEDICAL CTR CHERRY HILL
500 17TH AVE	SEATTLE	WA	98122	SPECIALTY CLINIC
315 - WMGNW - SWEDISH MEDICAL CTR FIRST HILL
747 BROADWAY	SEATTLE	WA	98122	SPECIALTY CLINIC
316 - WMGNW - TRANSITIONAL CARE PACIFIC CAMPUS
916 PACIFIC AVE FLR 6	EVERETT	WA	98201	SPECIALTY CLINIC
317 - WMGNW - VIEW RIDGE CARE CENTER
5129 HILLTOP RD	EVERETT	WA	98203	SPECIALTY CLINIC
318 - WMGNW - WOMENS SERVICES
16708 BOTHELL EVERETT HWY STE 201	MILL CREEK	WA	98012	SPECIALTY CLINIC
319 - WMGNW - WOUND HEALING & HYPERBARIC MED
1330 ROCKEFELLER AVE STE 540	EVERETT	WA	98201	SPECIALTY CLINIC
320 - WMGNW - WSU RESIDENCY INTERNAL MEDICINE
1321 COLBY AVE B400	EVERETT	WA	98201	SPECIALTY CLINIC
321 - WMGSE
1017 S 2ND AVE STE 2	WALLA WALLA	WA	99362	SPECIALTY CLINIC
322 - WMGSE - BROOKDALE SENIOR LIVING
1460 DALLES MILITARY RD	WALLA WALLA	WA	99362	SPECIALTY CLINIC
323 - WMGSE - CARDIOLOGY
55 WEST TIETAN ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
324 - WMGSE - CHASE MEDICAL
380 CHASE AVE	WALLA WALLA	WA	99362	PRIMARY CARE
325 - WMGSE - COUNTRY LANE ADULT CARE AF HOME
1840 GRAY LYNN DR	WALLA WALLA	WA	99362	SPECIALTY CLINIC
326 - WMGSE - DAVITA DIALYSIS
72556 COYOTE RD	PENDLETON	OR	97801	SPECIALTY CLINIC
327 - WMGSE - DAYTON GENERAL HOSPITAL
1012 SOUTH 3RD ST	DAYTON	WA	98328	SPECIALTY CLINIC
328 - WMGSE - EAGLE MEADOWS
550 EAST WHITMAN DR	COLLEGE PLACE	WA	99324	SPECIALTY CLINIC
329 - WMGSE - EAGLE SPRINGS MEMORY CARE
20 SOUTHEAST LARCH AVE	COLLEGE PLACE	WA	99324	SPECIALTY CLINIC
330 - WMGSE - ER PHYSICIANS
401 WEST POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
331 - WMGSE - GASTROENTEROLOGY
1017 S 2ND AVE STE 3	SPOKANE	WA	99224	SPECIALTY CLINIC
332 - WMGSE - GOOD SHEPARD MEDICAL CENTER
610 NORTHWEST 11TH ST	HERMISTON	OR	97838	SPECIALTY CLINIC
333 - WMGSE - IMAGING
401 WEST POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
334 - WMGSE - NEUROLOGY AT KADLEC MEDICAL CTR
888 SWIFT BLVD	RICHLAND	WA	99352	SPECIALTY CLINIC
335 - WMGSE - NEUROSCIENCE INSTITUTE
301 WEST POPLAR ST STE 220	WALLA WALLA	WA	99362	SPECIALTY CLINIC
336 - WMGSE - PARK MANOR REHABILITATION CENTER
1710 PLAZA WAY	WALLA WALLA	WA	99362	SPECIALTY CLINIC
337 - WMGSE - PENDLETON
1601 SOUTHEAST COURT AVE	PENDLETON	OR	97801	SPECIALTY CLINIC
338 - WMGSE - POPLAR MEDICAL
301 WEST POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
339 - WMGSE - PROVIDENCE ENT
1017 S 2ND AVE STE 4	WALLA WALLA	WA	99362	SPECIALTY CLINIC
340 - WMGSE - PROVIDENCE FAMILY & SPORTS MED
1017 S 2ND AVE STE 1	WALLA WALLA	WA	99362	SPECIALTY CLINIC
341 - WMGSE - PROV FAMILY MED WALLA WALLA
1111 S 2ND AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
342 - WMGSE - PROVIDENCE NEPHROLOGY
301 W POPLAR ST STE 100	WALLA WALLA	WA	99362	SPECIALTY CLINIC
343 - WMGSE - PROVIDENCE PHYSICAL MED & REHAB
301 W POPLAR ST STE 210	WALLA WALLA	WA	99362	SPECIALTY CLINIC
344 - WMGSE - QUALICENTER OF WALLA WALLA
135 AVERY ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
345 - WMGSE - RADIATION
401 WEST POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
346 - WMGSE - REGENCY AT THE PARK
420 SOUTHEAST MYRA RD	COLLEGE PLACE	WA	99324	SPECIALTY CLINIC
347 - WMGSE - SACRED HEART MC
101 WEST 8TH AVE STE 4200	SPOKANE	WA	99204	SPECIALTY CLINIC
348 - WMGSE - ST MARY MEDICAL CENTER
401 WEST POPLAR ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
349 - WMGSE - SWEDISH MEDICAL CENTER
747 BROADWAY	SEATTLE	WA	98122	SPECIALTY CLINIC
350 - WMGSE - VALLEY RESIDENTIAL SERVICES
240 BUSH ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
351 - WMGSE - WA ODD FELLOWS HOME
534 BOYER AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
352 - WMGSE - WA STATE PENITENTIARY
1313 NORTH 13TH AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
353 - WMGSE FRESENIUS DIALYSIS
1213 S MAIN ST	MILTONFREEWATER	OR	97862	SPECIALTY CLINIC
354 - WMGSE WALLA WALLA GENERAL HOSPITAL
1025 SOUTH 2ND AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
355 - WMGSE WALLA WALLA VETERANS ADM MED CTR
77 WAINWRIGHT DR	WALLA WALLA	WA	99362	SPECIALTY CLINIC
356 - WMGSE WHEATLAND VIL ASSISTED LIVING
1500 CATHERINE ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
357 - WMGSE WHITMAN PLACE ASST LIVING
1018 WHITMAN ST	WALLA WALLA	WA	99362	SPECIALTY CLINIC
358 - WMGSW - CARDIAC SURGERY
525 LILLY RD NE STE 200	OLYMPIA	WA	98506	PRIMARY CARE
359 - WMGSW - CARDIOLOGY ASSOCIATES - ABERDEEN
1921 SUMNER AVE	ABERDEEN	WA	98520	SPECIALTY CLINIC
360 - WMGSW - CARDIOLOGY ASSOCS - CENTRALIA
1800 COOKS HILL RD STE K	CENTRALIA	WA	98531	SPECIALTY CLINIC
361 - WMGSW - CARDIOLOGY ASSOCIATES OLYMPIA
500 LILLY RD NE STE 100	OLYMPIA	WA	98506	SPECIALTY CLINIC
362 - WMGSW - CARDIOLOGY ASSOCIATES SHELTON
939 MT VIEW DR STE 120	SHELTON	WA	98584	SPECIALTY CLINIC
363 - WMGSW - CARDIOLOGY ASSOCIATES YELM
201 TAHOMA BLVD STE 204	YELM	WA	98597	SPECIALTY CLINIC
364 - WMGSW - CENTRALIA GENERAL SURGERY
1720 COOKS HILL RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
365 - WMGSW - CENTRALIA HOSPITAL
914 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
366 - WMGSW - CENTRALIA INTERNAL MEDICINE
1010 S SCHEUBER RD STE 3/4	CENTRALIA	WA	98531	PRIMARY CARE
367 - WMGSW - CENTRALIA PHYSICAL THERAPY
1900 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
368 - WMGSW - CENTRALIA WOMEN'S CENTER
1000 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
369 - WMGSW - CHEHALIS FAMILY MED & RESIDENTS
931 S MARKET BLVD	CHEHALIS	WA	98532	PRIMARY CARE
370 - WMGSW - CLINIC AT PANORAMA
1450 NORTHWEST LN SE STE A	LACEY	WA	98503	SPECIALTY CLINIC
371 - WMGSW - HARBOR REG HEALTH COMM HOSPITAL
915 ANDERSON DR	ABERDEEN	WA	98520	SPECIALTY CLINIC
372 - WMGSW - HAWKS PRAIRIE FAMILY MEDICINE
2555 MARVIN RD NE	LACEY	WA	98516	PRIMARY CARE
373 - WMGSW - HOSPITALISTS TEAM
413 LILLY RD NE	OLYMPIA	WA	98506	PRIMARY CARE
374 - WMGSW - MALLARD LANDING ASSISTED LIVING
813 SE CLARK AVE	BATTLE GROUND	WA	98604	SPECIALTY CLINIC
375 - WMGSW - MDPP BOLDT DIABETES
4800 COLLEGE ST SE	LACEY	WA	98503	SPECIALTY CLINIC
376 - WMGSW - MDPP CENTRALIA INTERNAL MEDICINE
1010 S SCHEUBER RD STE 3	CENTRALIA	WA	98531	SPECIALTY CLINIC
377 - WMGSW - MDPP HAWKS PRARIE FAMILY MED
2555 MARVIN RD NE	LACEY	WA	98516	SPECIALTY CLINIC
378 - WMGSW - MDPP WEST OLYMPIA FAMILY MED
1620 COOPER POINT RD SW	OLYMPIA	WA	98502	SPECIALTY CLINIC
379 - WMGSW - MONTESANO HEALTH & REHAB CENTER
800 N MEDCALF LN	MONTESANO	WA	98563	SPECIALTY CLINIC
380 - WMGSW -MULTI SPEC CLINIC & LACEY FAM MED
4800 COLLEGE ST SE	LACEY	WA	98503	PRIMARY CARE
381 - WMGSW - NURO SURGERY
615 LILLY RD NE STE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
382 - WMGSW -OLYMPIA INFECTIOUS DISEASE CLINIC
3525 ENSIGN RD NE STE F	OLYMPIA	WA	98506	SPECIALTY CLINIC
383 - WMGSW - OLYMPIA NEUROLOGY
525 LILLY RD NE STE 210	OLYMPIA	WA	98506	SPECIALTY CLINIC
384 - WMGSW - OLYMPIA OBGYN
615 LILLY RD NE STE 200	OLYMPIA	WA	98506	SPECIALTY CLINIC
385 - WMGSW - OLYMPIA PSYCHIATRY
525 LILLY RD NE STE 250	OLYMPIA	WA	98506	SPECIALTY CLINIC
386 - WMGSW -OLYMPIA TRANSITIONAL CARE & REHAB
430 LILLY RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
387 - WMGSW - ORCHARD POINTE
300 S KITSAP BLVD	PORT ORCHARD	WA	98366	SPECIALTY CLINIC
388 - WMGSW -PANORAMA CONVALESCENT & REHAB CTR
1600 SLEATER KINNEY RD SE	LACEY	WA	98503	SPECIALTY CLINIC
389 - WMGSW PRESTIGE POST-ACUTE & REH CTR CENT
917 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
390 - WMGSW - PUGET SOUND HEALTHCARE CENTER
4001 CAPITAL MALL DR SW	OLYMPIA	WA	98502	SPECIALTY CLINIC
391 - WMGSW - PULMONARY AND SLEEP MEDICINE
500 LILLY RD NE STE 204	OLYMPIA	WA	98506	SPECIALTY CLINIC
392 - WMGSW -REGENCY OLYMPIA REH & NURSING CTR
1811 22ND AVE SE	OLYMPIA	WA	98501	SPECIALTY CLINIC
393 - WMGSW - REGIONAL CANCER CENTER - SHELTON
2026 OLYMPIC HWY N STE 203	SHELTON	WA	98584	SPECIALTY CLINIC
394 - WMGSW - REG CANCER SYSTEM - ABERDEEN
954 ANDERSON RD	ABERDEEN	WA	98520	SPECIALTY CLINIC
395 - WMGSW - REG CANCER SYSTEM - CENTRALIA
2015 COOKS HILL RD STE 200	CENTRALIA	WA	98531	SPECIALTY CLINIC
396 - WMGSW - REGIONAL CANCER SYSTEM LACEY
4525 3RD AVE SE STE 200	OLYMPIA	WA	98503	SPECIALTY CLINIC
397 - WMGSW - RIVERSIDE NURSING AND REHAB
1305 ALEXANDER ST	CENTRALIA	WA	98531	SPECIALTY CLINIC
398 - WMGSW - ROO LAN HEALTH AND REHAB
1505 CARPENTER RD SE	LACEY	WA	98503	SPECIALTY CLINIC
399 - WMGSW - SHARON CARE CENTER
1509 HARRISON AVE	CENTRALIA	WA	98531	SPECIALTY CLINIC
400 - WMGSW - ST PETER FAMILY MEDICINE
525 LILLY RD NE	OLYMPIA	WA	98506	PRIMARY CARE
401 - WMGSW THE HAMPTON ALZHEIMER'S SPECIAL CC
1400 TROSPER RD SW	TUMWATER	WA	98512	SPECIALTY CLINIC
402 - WMGSW - THE SEQUOIA ASSISTED LIVING COMM
825 LILLY RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
403 - WMGSW - UROLOGY OLYMPIA
149 LILLY RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
404 - WMGSW - VASCULAR SURGERY (OLYMPIA)
128 LILLY RD NE STE 205	OLYMPIA	WA	98506	SPECIALTY CLINIC
405 - WMGSW W OLYMPIA FAM MED & IMMEDIATE CARE
1620 COOPER POINT RD SW	OLYMPIA	WA	98502	URGENT CARE
406 - WMGSW - WOMENS HEALTH SERVICES OLYMPIA
3425 ENSIGN RD NE STE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
407 - WMGSW MOTHER JOSEPH CARE CENTER
3333 ENSIGN RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
408 - WMJC - PROVIDENCE MOTHER JOSEPH CARE CTR
3333 ENSIGN RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
409 - WMSV - PROVIDENCE MOUNT ST VINCENT
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
410 - WNWHL
122 W 7TH AVE STE 232	SPOKANE	WA	99204	SPECIALTY CLINIC
411 - WNWHL
1600 E JEFFERSON ST STE 600	SEATTLE	WA	98122	SPECIALTY CLINIC
412 - WNWHL
2979 SQUALICUM PKWY STE 201	BELLINGHAM	WA	98225	SPECIALTY CLINIC
413 - WNWHL
5633 N LIDGERWOOD ST PROV HOLY	SPOKANE	WA	99208	SPECIALTY CLINIC	FAMILY H
414 - WNWHL
62 W 7TH AVE STE 110	SPOKANE	WA	99204	SPECIALTY CLINIC
415 - WNWHL
62 W 7TH AVE STE 300	SPOKANE	WA	99204	SPECIALTY CLINIC
416 - WNWHL ADVANCE HEART DISEASE & TRANSPLANT
62 W 7TH AVE STE 232	SPOKANE	WA	99204	SPECIALTY CLINIC
417 - WNWHL MULTICARE TACOMA GEN ALLENMORE HOS
315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	SPECIALTY CLINIC
418 - WNWHL - PROVIDENCE PULMONARY
105 W 8TH AVE STE 512C	SPOKANE	WA	99204	SPECIALTY CLINIC
419 - WNWHL - SPOKANE
62 W 7TH AVE STE 110	SPOKANE	WA	98024	SPECIALTY CLINIC
420 - WNWHL - SPOKANE HEART INSTITUTE
62 W 7TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
421 - WNWHL - ST LUKES REHAB
711 S COWLEY ST	SPOKANE	WA	99202	SPECIALTY CLINIC
422 - WNWHL - SWEDISH CHERRY HILL CAMPUS
500 17TH AVE	SEATTLE	WA	98122	SPECIALTY CLINIC
423 - WNWHL - VALLEY MEDICAL CENTER
808 PORT DRIVE	CLARKSTON	WA	99403	SPECIALTY CLINIC
424 - WNWHL AT DEACONESS MEDICAL CENTER
800 W 5TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
425 - WNWHL AT HOLY FAMILY HOSPITAL
5633 N LIDGERWOOD ST	SPOKANE	WA	99208	SPECIALTY CLINIC
426 - WNWHL AT SACRED HEART MEDICAL CENTER
101 W 8TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
427 - WNWHL AT SACRED HEART MEDICAL CENTER
122 W 7TH AVE	SPOKANE	WA	99204	SPECIALTY CLINIC
428 - WPIPS - EAST
15918 E EUCLID AVE	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
429 - WPIPS - WEST
3333 SOUTH 120TH PL STE 100	TUKWILA	WA	98168	SPECIALTY CLINIC
430 - WPM - MARIANWOOD
3725 PROVIDENCE POINT DR SE	ISSAQUAH	WA	98029	SPECIALTY CLINIC
431 - WPT - CHEHALIS PHYSICAL THERAPY
91 SW CHEHALIS AVE STE 104	CHEHALIS	WA	98532	REHAB & PHYSICAL THERAPY
432 - WPT - PHYSICAL AND AQUATIC CENTER
1809 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
433 - WPT - TUMWATER VALLEY PHYSICAL THERAPY
4833 TUMWATER VALLEY DR SE STE 150	TUMWATER	WA	98501	REHAB & PHYSICAL THERAPY
434 - WRFM - PROV ROCHESTER FAMILY MEDICINE
18313 PAULSON ST SW STE A	ROCHESTER	WA	98579	PRIMARY CARE
435 - WSHH - HOME HEALTH LACEY
4200 6TH AVE SE STE 201	LACEY	WA	98503	HOME HEALTH
436 - WSHH - HOSPICE SCHEUBER
1010 S SCHEUBER RD	CENTRALIA	WA	98531	HOME HEALTH
437 - WSHI
1200 W FAIRVIEW ST	COLFAX	WA	99111	SPECIALTY CLINIC
438 - WSHI
143 GARDEN HOMES DR	COLVILLE	WA	99114	SPECIALTY CLINIC
439 - WSHI
1600 E JEFFERSON STE 600	SEATTLE	WA	98122	SPECIALTY CLINIC
440 - WSHI
16528 E DESMET CT STE B3200	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
441 - WSHI
212 E CENTRAL AVE STE 240	SPOKANE	WA	99208	SPECIALTY CLINIC
442 - WSHI
2979 SQUALICUM PKWY STE 201	BELLINGHAM	WA	98225	SPECIALTY CLINIC
443 - WSHI
314 MARTIN LUTHER KING JR WAY STE	TACOMA	WA	98405	SPECIALTY CLINIC	202
444 - WSHI
411 FORTUYN RD	GRAND COULEE	WA	99133	SPECIALTY CLINIC
445 - WSHI
500 W BROADWAY ST	MISSOULA	MT	59802	SPECIALTY CLINIC
446 - WSHI
62 W 7TH AVE STE 232	SPOKANE	WA	99204	SPECIALTY CLINIC
447 - WSHI
62 W 7TH AVE STE 300	SPOKANE	WA	99204	SPECIALTY CLINIC
448 - WSHI
62 W 7TH AVE STE 450	SPOKANE	WA	99204	SPECIALTY CLINIC
449 - WSHI
714 W PINE ST	NEWPORT	WA	99156	SPECIALTY CLINIC
450 - WSHI
821 E BROADWAY AVE STE 5	MOSES LAKE	WA	98837	SPECIALTY CLINIC
451 - WSHI
825 SE BISHOP BLVD STE 140	PULLMAN	WA	99163	SPECIALTY CLINIC
452 - WSHI
905 E D ST	DEER PARK	WA	99006	SPECIALTY CLINIC
453 - WSHI - CLARKSON
808 PORT DR	CLARKSTON	WA	99403	SPECIALTY CLINIC
454 - WSHSP - SPOKANE
1000 N ARGONNE RD STE 201	SPOKANE VALLEY	WA	99212	HOME HEALTH
455 - WSJCC - PROVIDENCE ST JOSEPH CARE CENTER
17 E 8TH AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
456 - WSMHH - WALLA WALLA
209 W POPLAR ST	WALLA WALLA	WA	99362	HOME HEALTH
457 - WSP - DIAGNOSTIC IMAGING LACEY
4800 COLLEGE ST SE STE E	LACEY	WA	98503	SPECIALTY CLINIC
458 - WSP - PROVIDENCE ABUSE INTERVENTION CTR
3020 WILLAMETTE DR NE	LACEY	WA	98516	SPECIALTY CLINIC
459 - WSP - PROV ST PETER OP PALLIATIVE CARE
3525 ENSIGN RD NE STE F	LACEY	WA	98506	SPECIALTY CLINIC
460 - WSP - SEXUAL ASSAULT CL PACIFIC CO CA
1216 W ROBERT BUSH DRIVE WEST	SOUTH BEND	WA	98586	SPECIALTY CLINIC	PACIFIC COU
461 - WSP SEXUAL ASSAULT CL PACIFIC CO HHSD AF
7013 SANDRIDGE ROAD S PACIFIC	LONG BEACH	WA	98586	SPECIALTY CLINIC	COUNTY HHSD
462 - WSP SEXUAL ASSAULT CL PCH & ER CTR
914 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
463 - WSP - SEXUAL ASSAULT CLINIC WSO & ER CTR
413 LILLY RD	OLYMPIA	WA	98506	SPECIALTY CLINIC
464 - WSP SEXUAL ASSAULT CL A ADV CTR LEWIS CO
220 WASHINGTON WAY BLDG A	CENTRALIA	WA	98531	SPECIALTY CLINIC
465 - WVNA - HOME HEALTH
1000 N ARGONNE RD	SPOKANE VALLEY	WA	99212	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (18 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 6A:	ANNUAL COMMUNITY BENEFIT REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICPROVIDENCE 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 REGIONAL MEDICAL CENTER EVERETT FORMED THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) TO WORK TOWARDS A MORE HOLISTIC AND EQUITABLE SYSTEM WHERE LOCAL SERVICES BETTER SUPPORT ALL DIMENSIONS OF WELL-BEING FOR EVERY COMMUNITY MEMBER. THE GOAL IS TO INCREASE AWARENESS AND ACCESS TO RESOURCES AROUND SOCIAL AND ECONOMIC FACTORS LIKE FOOD SECURITY, HOUSING AND JOBS. PIHC SERVES AS A COMMUNITY HUB BRIDGING THE GAP BETWEEN TRADITIONAL MEDICAL CARE AND WHOLE HEALTH, MAKING IT EASIER FOR COMMUNITY MEMBERS TO FIND AND USE RESOURCE THEY NEED TO BE HEALTHY. IN 2023, PIHC COLLABORATED WITH COMMUNITY PARTNERS TO:- DISTRIBUTED 2096 COVID-19 MASKS TO A COMMUNITY HEALTH EQUITY PARTNERSHIP TO BE DISTRIBUTED TO LOW-INCOME FAMILIES.- PROVIDE ACCESS TO MORE THAN 2,400 COMMUNITY RESOURCE LISTINGS THAT MAKE IT EASIER FOR RESIDENTS TO FIND RESOURCES THAT SUPPORT HEALTH AND HEALING, WITH A FOCUS ON FOOD ASSISTANCE, SHELTER, TRANSITIONAL HOUSING, AND JOB TRAINING.- PROMOTE AWARENESS OF KEY PRIORITY PUBLIC HEALTH MESSAGES DURING 26 COMMUNITY HEALTH EVENTS FOR DIVERSE COMMUNITIES AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH A COMMUNITY HUB.- FACILITATE "EDGE OF AMAZING" (EOA) ANNUAL COMMUNITY HEALTH SUMMIT WHICH BRINGS TOGETHER OVER 300 MEMBERS TO IDENTIFY AND DEVELOP WAYS TO IMPROVE COMMUNITY HEALTH AND WELL-BEING ACROSS SNOHOMISH COUNTY. ATTENDEES REPRESENTED 94 DIVERSE COMMUNITY SOCIAL AND HEALTH SERVICES PARTNER ORGANIZATIONS.- SURVEY THE COMMUNITY AROUND SIX DIMENSIONS OF HEALTH AND WELL-BEING, INCLUDING SECURITY AND BASIC NEEDS (HOUSING, TRANSPORTATION, FOOD, UTILITIES, JOB AND EDUCATION, PERSONAL SAFETY, MEDICAL CARE, ETC.) EMPOWERING DIVERSE COMMUNITIES TO USE DATA TO IDENTIFY AND ADDRESS GAPS IN WELL-BEING.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALPROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.PROVIDENCE ST. MARY MEDICAL CENTERIN 2023, MEMBERS OF PROVIDENCE ST. MARY MEDICAL CENTER LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS RELATED TO ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, AND WORKFORCE DEVELOPMENT: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, CBC/WSU NURSING ADVISORY COMMITTEE, PORT OF WALLA WALLA, AND CHAMBER EVENTS.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09 AS DESCRIBED IN NOTE 1, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ALASKA MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE SHMC & CHILDREN'S HOSPITAL, PROVIDENCE ST. PETER HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, PROVIDENCE CENTRALIA HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER.EVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS TO RESPOND TO THOSE NEEDS. WE HAVE A COMMUNITY MISSION BOARD, A FOUNDATION BOARD, AS WELL AS AN INSTITUTE FOR HEALTHIER COMMUNITIES STRATEGIC OVERSIGHT COUNCIL. THE CIVIC LEADERS THAT SERVE ON THESE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS. ADDITIONALLY, PROVIDENCE CONDUCTS A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING SURVEY ANNUALLY TO REASSESS HOW THE MEMBERS OF THE COMMUNITY FEEL ABOUT THE COMMUNITY HEALTH STRENGTHS AND AREAS FOR IMPROVEMENTS. PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) PSMMC REPRESENTATIVES PARTICIPATE IN BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP) MEETINGS, REACH OUT WALLA WALLA MEETINGS, WALLA WALLA COUNCIL ON HOUSING MEETINGS, AND HAVE AN EFFECTIVE AND COLLABORATIVE WORKING RELATIONSHIP WITH WALLA WALLA COUNTY DEPARTMENT OF HEALTH. MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE. IN ADDITION TO THE CHNA, PSMMC'S LEADER OF STRATEGY AND BUSINESS DEVELOPMENT LED THE WORK ON THE ALIGNMENT OF THE INTEGRATED MARKET PLAN WITH MISSION AND COMMUNITY NEED. MISSION, POPULATION HEALTH, AND COMMUNITY HEALTH INVESTMENT LEADERS PARTICIPATED IN THE ALIGNMENT EVALUATION. PROVIDENCE KODIAK IS. MEDICAL CENTERIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEAR, KODIAK MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE MT. CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS. ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.
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. 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 INFORMATION: PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITALBASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITIES, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, LEWIS AND THURSTON COUNTIES IN SOUTHWEST WASHINGTON STATE COMPRISE THE PROVIDENCE SWEDISH SOUTH PUGET SOUND SERVICE AREA. PROVIDENCE CENTRALIA HOSPITAL IS LOCATED IN LEWIS COUNTY, IN CENTRALIA, WASHINGTON; PROVIDENCE ST. PETER HOSPITAL IS LOCATED IN THURSTON COUNTY, IN OLYMPIA, WASHINGTON.BASED ON DATA FROM THE 2022 AMERICAN COMMUNITY SURVEY AND THE 2023 COUNTY HEALTH RANKINGS:- OF 39 COUNTIES IN WASHINGTON, LEWIS COUNTY IS THE 16TH LARGEST COUNTY BY POPULATION, WITH 85,370 RESIDENTS. IT IS COMPRISED OF 2,402.8 SQUARE MILES OF LAND AND IS THE 6TH LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 33RD IN THE COUNTY HEALTH RANKINGS, THE 17TH PERCENTILE IN THE STATE.- THURSTON COUNTY IS THE 6TH LARGEST BY POPULATION, WITH 298,758 RESIDENTS. IT IS COMPRISED OF 722.5 SQUARE MILES OF LAND AND IS THE 32ND LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 17TH IN THE COUNTY HEALTH RANKINGS, THE 61ST PERCENTILE IN THE STATE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE SOUTH PUGET SOUND SERVICE AREA, ENCOMPASSING BOTH LEWIS AND THURSTON COUNTIES. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE SOUTH PUGET SOUND SERVICE AREA, 41 OF 82 CENSUS TRACTS (50%) SCORED ABOVE THE AVERAGE OF 45.1, INDICATING A HIGH NEED.WE HAVE DEVELOPED A DASHBOARD THAT MAPS EACH CHNA INDICATOR AT THE CENSUS TRACT LEVEL. THE DASHBOARD CAN BE FOUND HERE: HTTPS://EXPERIENCE.ARCGIS.COM/EXPERIENCE/A9990291518845709850F5520BDC6F93/.ABOUT ONE IN FOUR PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IS BETWEEN THE AGES OF 35 AND 54. THIS AGE GROUP, ALONG WITH PEOPLE BETWEEN THE AGES OF 55 AND 84, ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. PEOPLE AGES 18 TO 34 ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA.MALE AND FEMALE SEXES ARE ROUGHLY PROPORTIONAL ACROSS THE SERVICE AREAS.ALMOST 80% OF PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IDENTIFY AS WHITE, WHICH IS SLIGHTLY OVER-REPRESENTED IN THE BROADER SERVICE AREA COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA. PEOPLE IDENTIFYING AS TWO OR MORE RACES, SOME OTHER RACE, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, BLACK OR AFRICAN AMERICAN, ASIAN, AND AMERICAN INDIAN OR ALASKA NATIVE ARE SLIGHTLY OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. INDIVIDUALS IDENTIFYING AS HISPANIC/LATINO/LATINA ARE ALSO OVER-REPRESENTED IN THE HIGH NEED SERVICE ARE COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA.HOUSEHOLD MEDIAN INCOME INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. LEWIS'S COUNTY'S MEDIAN HOUSEHOLD INCOME IS NEARLY $20,000 BELOW THAT OF THURSTON COUNTY, AND MORE THAN $27,000 BELOW THAT OF THE BROADER NEED AREA OF SOUTH PUGET SOUND. THURSTON COUNTY ALSO FALLS SLIGHTLY BEHIND THE STATE IN THIS MEASURE.RENTER HOUSEHOLDS EXPERIENCING SEVERE HOUSING COST BURDEN ARE HOUSEHOLDS SPENDING 50% OR MORE OF THE INCOME ON HOUSING COSTS. THE INFORMATION OFFERS AN EXCELLENT MEASURE OF HOUSING AFFORDABILITY AND EXCESSIVE SHELTER COSTS. ABOUT 21% OF RENTER HOUSEHOLDS IN BOTH WASHINGTON STATE AND LEWIS COUNTY ARE SEVERELY HOUSING-COST BURDENED, WHILE 24% RENTERS IN THURSTON COUNTY AND 25% IN THE HIGH NEED AREA OF THE SOUTH PUGET SOUND ARE EXPERIENCING THIS STRAIN.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE MULTICARE CAPITAL MEDICAL CENTER AND ARBOR HEALTH.PROVIDENCE REGIONAL MEDICAL CENTER COLBY AND REGIONAL MEDICAL CENTER PACIFICTHE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY OF PRMCE'S INPATIENT POPULATION RESIDES. MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY AND FOR THIS REASON, THE PRIMARY COMMUNITY SERVED IS SNOHOMISH COUNTY.SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE WITH BOUNDARIES EXTENDING FROM SKAGIT COUNTY IN THE NORTH, KING COUNTY IN THE SOUTH, THE CASCADE MOUNTAINS IN THE EAST, AND PUGET SOUND IN THE WEST. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 840,079. AMONG SNOHOMISH COUNTY RESIDENTS, 62.7% OF RESIDENTS ARE WHITE, 13.1% ASIAN, AND 3.5% AFRICAN AMERICAN. AMERICAN INDIAN AND ALASKA NATIVE, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND SOME OTHER RACE EACH REPORT .6%. OF THE TOTAL POPULATION, 11.6% ARE HISPANIC, AND 7.2% REPORT TWO OR MORE RACES. NEARLY 22% OF THE POPULATION IS UNDER THE AGE OF 18 AND ALMOST 34% ARE 62 YEARS OF AGE OR OLDER. THE MEDIAN HOUSEHOLD INCOME IS $104,083, EXCEEDING THAT OF THE STATE OF WASHINGTON OF $90,325. 6.2% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE AND 17.9% OF THE POPULATION IS CONSIDERED LOW-INCOME (BELOW 200% OF THE FEDERAL POVERTY LEVEL).OTHER HOSPITALS IN SERVICE AREAHOSPITALS LOCATED IN SNOHOMISH COUNTY, WASHINGTON, IN ADDITION TO PROVIDENCE, ARE SWEDISH EDMONDS, CASCADE VALLEY HOSPITAL, EVERGREEN HEALTH MONROE, SMOKEY POINT BEHAVIORAL HOSPITAL, AND BHC FAIRFAX HOSPITAL EVERETT.
PART VI, LINE 5:	PROVIDENCE HEALTH AND SERVICES - WASHINGTON PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY MISSION BOARD COMPRISED OF EIGHT TO FIFTEEN BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO CLOSELY REPRESENT THE AGE, GENDER, RACE, AND ETHNIC PROFILE OF ITS SERVICE AREA. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE.2) OPEN MEDICAL STAFF, HEALTH PROFESSIONS EDUCATION PROGRAM THAT RESPONDS TO COMMUNITY NEED, SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 6:	AFFILIATED HEALTHCARE SYSTEM: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 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 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2023 HIGHLIGHTS AND KEY INSTITUTES:INVESTING IN THE COMMUNITIES WE SERVE IS AN ESSENTIAL WAY THE PROVIDENCE FAMILY OF ORGANIZATIONS LIVES ITS MISSION AND WORKS TOWARD OUR VISION OF HEALTH FOR A BETTER WORLD. FOR GENERATIONS, PROVIDENCE MINISTRIES AND AFFILIATES HAVE SERVED AS A VITAL SAFETY NET. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE WHO ARE VULNERABLE THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS. IN 2023, PROVIDENCE MINISTRIES AND AFFILIATES INVESTED NEARLY $2.1 BILLION IN COMMUNITY BENEFIT PROGRAMS, INCLUDING PROACTIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND FREE, DISCOUNTED AND UNCOMPENSATED CARE. THIS SIGNIFICANT INVESTMENT IN COMMUNITY BENEFIT PROGRAMS REPRESENTS AN INCREASED FOCUS ON ADDRESSING ROOT CAUSES OF COMMUNITY HEALTH ISSUES AND PROGRAMS THAT INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. INVESTMENTS WENT DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. AN EXAMPLE OF THIS IMPORTANT WORK CAN BE FOUND IN THE LAUNCH OF THE PROVIDENCE HEALTH EQUITY FELLOWSHIP, WHICH WAS CREATED TO BUILD CAREGIVERS' CAPACITY AND EXPERTISE THROUGH CLASSROOM LEARNING AND THE REAL-TIME APPLICATION OF HEALTH EQUITY PRINCIPLES. FELLOWS MOOJAN REZVAN AND SHELLEY SCHOEPFLIN SANDERS, M.D., HAVE DEDICATED THEIR PROJECTS TO IMPROVING THE HEALTH OUTCOMES OF SEPSIS PATIENTS. INITIAL OUTCOMES FROM BOTH PROGRAMS ARE PROMISING, WITH AVERAGE LENGTHS OF STAY AND READMISSION RATES IMPROVING. TOGETHER, CAREGIVERS AND COMMUNITY LEADERS AND ORGANIZATIONS TOUCHED THE LIVES OF THOUSANDS OF PEOPLE AND PATIENTS THROUGH THESE INVESTMENTS IN 2023. THEY ALSO HELPED TO BUILD AND STRENGTHEN COMMUNITY RESILIENCE AND THE HUMAN CONNECTION, ESPECIALLY IN TIMES OF NEED. OUR COMMITMENT TO MEETING THE DIVERSE NEEDS OF THE COMMUNITIES WE SERVE DOMESTICALLY AND ABROAD HAS NEVER BEEN STRONGER. FOR THE PAST SEVEN YEARS, PROVIDENCE HAS FUNDED HEALTH PARTNERS IN MANGOCHI DISTRICT, MALAWI TO BUILD CRITICAL HEALTH SYSTEM INFRASTRUCTURE FOR 1.5 MILLION PEOPLE. IN 2023, INVESTMENTS EXPANDED HEALTH CARE TRAINING AND WATER, SANITATION AND HYGIENE IMPROVEMENTS, INCLUDING A RELIABLE WATER SOURCE, ACCESSIBLE TOILETS AND SAFE MEDICAL WASTE DISPOSAL AT TWO CLINICS. MORE EXAMPLES OF THIS IMPORTANT WORK ARE CAPTURED THROUGHOUT PROVIDENCE'S 2023 ANNUAL REPORT TO OUR COMMUNITIES, WHICH WE INVITE CAREGIVERS, COMMUNITY PARTNERS AND OTHER STAKEHOLDERS TO READ. WE COULDN'T BE PROUDER OF THIS WORK, THESE PROGRAMS AND THEIR IMPACT.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHE 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 INVESTMENTS.OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.HEALTH EQUITY:CHANGE BEGINS WITH US:AT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY 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-RESPONSIBILITYENVIRONMENTAL STEWARDSHIP:THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA,OR,CA,MT,AK,TX
PART VI, LINE 4 (CONTINUED):	PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.PROVIDENCE ST. MARY MEDICAL CENTERPSMMC SERVICE AREA IS IN WALLA WALLA COUNTY AND SERVES WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES, WHICH INCLUDES A POPULATION OF APPROXIMATELY 144,442 PEOPLE.POPULATION AND AGEALMOST HALF OF THOSE LIVING IN WALLA WALLA COUNTY ARE AGES 18-54, WITH THE NEXT LARGEST AGE GROUP BEING THOSE 6-18, FOLLOWED BY AGES 65-84. THOSE AGES 6-54 ARE MORE LIKELY TO LIVE IN A HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. THE MALE-TO-FEMALE RATIO IS PROPORTIONAL WITH SLIGHTLY MORE MALES THAN FEMALES.RACE AND ETHNICITYPER THE U.S. CENSUS, 2019, AMONG WALLA WALLA COUNTY RESIDENTS, 82.5% WERE WHITE, 1.1% AMERICAN INDIAN, 1.5% ASIAN, 2.2% BLACK, 0.3% PACIFIC ISLANDER, 8.9% OTHER RACE, 3.6% TWO OR MORE RACES. AMONG COLUMBIA COUNTY RESIDENTS, 89.5% WERE WHITE, 1.5% AMERICAN INDIAN, 1.3% ASIAN, 0.9% BLACK, 0.3% PACIFIC ISLANDER, 2.5% OTHER RACE, 4.0% TWO OR MORE RACES. AMONG UMATILLA COUNTY RESIDENTS, 76.1% WERE WHITE, 3.6% AMERICAN INDIAN, 1.0% ASIAN, 1.1% BLACK, 0.2% PACIFIC ISLANDER, 14.5% OTHER RACE, 3.6% TWO OR MORE RACES.OF THE OVER 144,442 PERMANENT RESIDENTS OF WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES ROUGHLY 50% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES.INCOME AND HOUSINGTHE 2019 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $57,858 COMPARED TO 2017 RATE OF $54,157. THE MEDIAN INCOME IN THE HIGH NEED SERVICE AREA IS LESS THAN HALF OF THE MEDIAN INCOME IN WALLA WALLA COUNTY AND THE BROADER SERVICE AREA. THE PERCENT OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IS 24.5% IN WALLA WALLA COUNTY, 33.28% IN THE HIGH NEED SERVICE AREA, AND 13.97% IN THE BROADER SERVICE AREA.HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). PSMMC IS IN A PRIMARY CARE, MENTAL, AND DENTAL HEALTH HPSA. LARGE PORTIONS OF THE SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS. OTHER DESIGNATIONS WITHIN WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES INCLUDE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), CORRECTIONAL FACILITIES, AND LOW-INCOME, HOMELESS, AND/OR MIGRANT FARMWORKER POPULATIONS.OTHER HOSPITALS IN SERVICE AREAKADLEC REGIONAL MEDICAL CENTER IN RICHLAND, WA, ALSO SERVES RESIDENTS OF WALLA WALLA WASHINGTON.MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)THE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE.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 DISTRICTOTHER HOSPITALS IN SERVICE AREAIN ADDITION TO ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL ST. ELIAS, THE OTHER HOSPITALS IN ANCHORAGE INCLUDE ALASKA NATIVE MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA VETERANS ADMINISTRATION (VA) HEALTH CARE SYSTEM, AFMS-JOINT BASE ELMENDORF-RICHARDSON-673D MEDICAL GROUP AND ALASKA AREA NATIVE HEALTH SERVICES.
PART VI, LINE 4 (CONTINUED):	PROVIDENCE KODIAK IS. MEDICAL CENTERBEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, OUR SERVICE AREA IS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES, ENCOMPASSING THE ENTIRE POPULATION OF KODIAK ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISED OF 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM. THE POPULATION OF KODIAK ISLAND IS 13,621 PEOPLE.BEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, THE COMMUNITIES SERVED BY THE HOSPITAL ARE DEFINED AS THE ENTIRE ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES.- PORT LIONS- KARLUK- CITY OF KODIAK- LARSEN BAY- OLD HARBOR- OUSINKIECOMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. KEY DEMOGRAPHIC DATA ARE AS FOLLOWS:AGE- 27.9% YOUTH (0-19 YEARS)- 36.3% YOUNG ADULTS (20-44 YEARS)- 24.8% OLDER ADULTS (45-64 YEARS)- 11.1% SENIORS (65 YEARS AND OLDER)GENDER- 45.5% FEMALE- 54.5% MALEPOPULATION BY RACE- 49.6% WHITE- 23.8% ASIAN- 9.6% ALASKA NATIVE/AMERICAN INDIAN- 3.9% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER- 1.3% BLACK OR AFRICAN AMERICAN- 7.9% TWO OR MORE RACES- 1.0% OTHER RACEPOPULATION BY ETHNICITY- 9.1% HISPANICMEDIAN HOUSEHOLD INCOME- $79,173PERCENT LIVING IN POVERTY- 7.5%AVERAGE HOUSEHOLD SIZE- 3.08HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MUNICIPALITY OF ANCHORAGE SERVICE AREAS WITHIN IT THAT HAVE BEEN IDENTIFIED AS MENTAL HEALTH, PRIMARY CARE AND DENTAL HEALTH PROFESSIONS SHORTAGE AREAS.MEDICAL UNDERSERVED AREAMEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE."MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. THE MUNICIPALITY OF ANCHORAGE IS IDENTIFIED AS A MEDICALLY UNDERSERVED AREA.OTHER HOSPITALS IN SERVICE AREAANCHORAGE, AK1) ALASKA REGIONAL HOSPITAL2) ALASKA NATIVE MEDICAL CENTERKODIAK, AKPROVIDENCE KODIAK ISLAND MEDICAL CENTER IS THE ONLY HOSPITAL ON KODIAK ISLANDPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALPROVIDENCE MOUNT CARMEL AND PROVIDENCE ST. JOSEPH HOSPITALS ARE SITUATED IN STEVENS COUNTY, IN THE NORTHEAST CORNER OF WASHINGTON STATE. COUNTIES TO THE EAST AND EST OF STEVENS COUNTY (PEND OREILLE AND FERRY COUNTIES, RESPECTIVELY) MAKE UP THE TRI COUNTY AREA WITH STEVENS COUNTY, SHARING SIMILAR DEMOGRAPHICS AND RURAL CHARACTERISTICS.IN 2022, THE POPULATION TOTAL OF STEVENS COUNTY IS ESTIMATED TO BE 46,360, AN INCREASE OF 3.6% SINCE THE LAST CHNA WAS COMPLETED IN 2019. 79.2% OF THE POPULATION LIVES IN A RURAL AREA. PERCENTAGE POPULATION BY SEX IS SPLIT EVENLY. COMPARED TO WASHINGTON STATE, THE POPULATION OF STEVENS COUNTY IS MUCH OLDER, WITH 24.8% OF THE POPULATION BEING AGED 65+, COMPARED TO 16.2% FOR THE STATE (COUNTY HEALTH RANKINGS 2022).THE CITY OF COLVILLE IS THE STEVENS COUNTY'S SEAT AND MOST POPULOUS AREA OF STEVENS COUNTY, WITH AN ESTIMATED POPULATION OF 4,786 (US CENSUS BUREAU 2020).CHEWELAH AND KETTLE FALLS ARE THE NEXT MOST POPULOUS TOWNS, WITH POPULATIONS OF 2,645 AND 1,594 PEOPLE, RESPECTIVELY. THE SPOKANE INDIAN RESERVATION LIES ALMOST ENTIRELY WITHIN STEVENS COUNTY'S BOARDERS. THE SPOKANE TRIBE OF INDIANS GOVERNMENT OPERATIONS ARE BASED IN WELLPINIT, WITH AN ESTIMATED ENROLLED MEMBER POPULATION OF 2,900 PEOPLE.STEVENS COUNTY'S POPULATION IS GENERALLY MORE WHITE/NON-HISPANIC THAN WASHINGTON, WITH 89.1% OF STEVENS COUNTY IDENTIFIED AS WHITE, AND 96.3% AS NON-HISPANIC. 5% OF STEVENS COUNTY'S POPULATION IS AMERICAN INDIAN/ALASKA NATIVE, AND ANOTHER 3.8% OF THE COUNTY IDENTIFIES AS TOW OR MORE RACES.AT THE TIME OF THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE IN 2019, STEVENS COUNTY'S MEDIAN INCOME WAS $51,850, ALMOST 30% LOWER THAN THE MEDIAN INCOME FOR WASHINGTON STATE. IN THE HIGHEST NEED SERVICE AREA OF THE COUNTY, MEDIAN INCOME IS $44,218.DESPITE THE OVERALL MUCH LOWER MEDIAN HOUSEHOLD INCOME FOR HOUSEHOLDS IN STEVENS COUNTY, THERE ARE FEWER RENTER HOUSEHOLDS COMPARED TO WASHINGTON STATE THAT EXPERIENCE A SEVERE HOUSING COST BURDEN OF SPENDING 50% OR MORE OF INCOME ON HOUSING COSTS, AT 15.4% OF STEVENS COUNTY HOUSEHOLDS COMPARED TO 21.1% OF WASHINGTON STATE HOUSEHOLDS. PLEASE NOTE THAT THESE DATA REFLECT CIRCUMSTANCES PRIOR TO THE COVID-19 PANDEMIC, WHICH CONTINUES TO HAVE SIGNIFICANT IMPACT ON HOUSING ACROSS THE UNITED STATES.HEALTH PROFESSIONS SHORTAGE AREA - STEVENS COUNTYTHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MAPS BELOW DEPICT THESE SHORTAGE AREAS RELATIVE TO PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL LOCATIONS. CLICK ON THE LINK BELOW FOR FULL SIZED VERSIONS. OVERALL, STEVENS COUNTY HAS SHORTAGES IN EACH OF THESE AREAS WITH BOTH PRIMARY CARE AND MENTAL HEALTH PROVIDERS NEEDED FOR THE GENERAL POPULATION AND THE LOW-INCOME POPULATION AND DENTAL PROVIDERS ARE NEEDED FOR THE LOW-INCOME POPULATION.OTHER HOSPITALS IN SERVICE AREAPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE THE ONLY HOSPITALS IN STEVENS COUNTY.
PART VI, LINE 4 (CONTINUED):	PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTERIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY. ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION. DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE. HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN-SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.
PART VI, LINE 6 (CONTINUED):	THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL 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/INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS.THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (93 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
CATHOLIC SOCIAL SERVICES INC
3710 E 20TH AVE	ANCHORAGE	AK	99508	460418272	501(C)(3)	$2,455,000	$0	OPERATIONAL SUPPORT
EVERETT TRANSITIONAL CARE SERVICES FOUNDATION
916 PACIFIC AVENUE 4TH FLOOR	EVERETT	WA	98201	943264605	501(C)(3)	$2,160,000	$0	SPONSORSHIP
ANCHORAGE COALITION TO END HOMELESSNESS
PO BOX 243041	ANCHORAGE	AK	99524	461156688	501(C)(3)	$600,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COALITION TO PROTECT AMERICAS HEALTH CARE
PO BOX 30211	BETHESDA	MD	20824	522253225	501(C)(4)	$500,000	$0	OPERATIONAL SUPPORT
UNIVERSITY OF ALASKA
1815 BRAGAW ST STE 203	ANCHORAGE	AK	99508	926000147	501(C)(3)	$350,000	$0	SPONSORSHIP
CATHOLIC CHARITIES EASTERN WA
5400 SE KELLOGG CR DR	MILWAUKIE	OR	97222	910569880	501(C)(3)	$296,525	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SEWARD PREVENTION COALITION
PO BOX 482	SEWARD	AK	99664	475624328	501(C)(3)	$256,300	$0	OPERATIONAL SUPPORT
COVENANT HOUSE OF AK
755 A STREET	ANCHORAGE	AK	99501	133419755	501(C)(3)	$250,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
BRIGHTSIDE BENEFIT INC
55 N ARIZONA PL SUITE 200	CHANDLER	AZ	85225	042182395	501(C)(3)	$250,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SPOKANE PARKS FOUNDATION
PO BOX 8127	SPOKANE	WA	99023	916033504	501(C)(3)	$250,000	$0	OPERATIONAL SUPPORT
BEANS CAFE INC
1524 SHIP AVENUE	ANCHORAGE	AK	99501	920072522	501(C)(3)	$200,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
VOLUNTEERS OF AMERICA
1876 S SHERIDAN AVE	SHERIDAN	WY	82801	830280532	501(C)(3)	$200,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
AMER HEART ASSOC
UNION SQUARE BUILDING 601 UNION ST	SEATTLE	WA	98101	135613797	501(C)(3)	$150,505	$0	COMMUNITY BENEFIT RESTRICTED GRANT	SUITE 2420
FAMILY PROMISE OF SPOKANE
PO BOX 524	VALDEZ	AK	99686	920083034	501(C)(3)	$150,000	$0	OPERATIONAL SUPPORT
EVERETT GOSPEL MISSION
2222 52ND STREET	EVERETT	WA	98203	910780146	501(C)(3)	$147,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALASKA PRIMARY CARE ASSOCIATION
1911 E REZANOF DR	KODIAK	AK	99615	920154822	501(C)(3)	$140,000	$0	OPERATIONAL SUPPORT
NW JUSTICE PROJECT
2822 COLBY AVE SUITE 400	EVERETT	WA	98201	911687791	501(C)(3)	$140,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
UNITED WAY OF ANCHORAGE
701 WEST 8TH AVENUE SUITE 230	ANCHORAGE	AK	99501	920027948	501(C)(3)	$125,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SPOKANE TREATMENT AND RECOVERY
PO BOX 2845	SPOKANE	WA	99220	911108762	501(C)(3)	$120,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALASKA ADOPTION SERVICES
PO BOX 77185	EAGLE RIVER	AK	99577	841831744	501(C)(3)	$104,825	$0	OPERATIONAL SUPPORT
STANDING TOGETHER AGAINST RAPE INC - STAR
1057 W FIREWEED LN STE 230	ANCHORAGE	AK	99503	920071466	501(C)(3)	$102,000	$0	OPERATIONAL SUPPORT
FOOD BANK OF ALASKA
2192 VIKING DRIVE	ANCHORAGE	AK	99501	920073175	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
WORLD TELEHEALTH INITIATIVE
7402 HOLLISTER AVE	SANTA BARBARA	CA	93117	721203394	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SALVATION ARMY
615 SLATERS LN	ALEXANDRIA	VA	22314	132923701	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SPOKANE REGIONAL CHAMBER OF COMMERCE
801 W RIVERSIDE AVE 200	SPOKANE	WA	99201	910418800	501(C)(6)	$100,000	$0	SPONSORSHIP
ANCHORAGE PROJECT ACCESS
801 W RIVERSIDE AVE 200	SPOKANE	WA	99201	920152088	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
CATHOLIC CHARITIES OF SPOKANE
PO BOX 2253	SPOKANE	WA	99201	910569880	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
WABSWA ALLIANCE BETTER SCHOOL
18560 1ST AVE NE	SHORELINE	WA	91855	911698851	501(C)(3)	$100,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
AK LITERACY PROGRAM
12180 PARK AVE S135	TACOMA	WA	98447	237451172	501(C)(3)	$95,000	$0	SPONSORSHIP
PROVIDENCE NE WA HUNGER COALITION
347 W 2ND AVE SUITE G	COLVILLE	WA	99114	721582755	501(C)(3)	$90,000	$0	SPONSORSHIP
PARTNERS WITH FAMILIES
106 W MISSION AVE	SPOKANE	WA	99201	680576560	501(C)(3)	$90,000	$0	SPONSORSHIP
SEWARD PREVENTION COALITION
PO BOX 482	SEWARD	AK	99664	475624328	501(C)(3)	$75,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
LATINOS EN SPOKANE
1502 N MONROE ST	SPOKANE	WA	99201	852725630	501(C)(3)	$75,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
CHAS HEALTH FOUNDATION
611 N IRON BRIDGE WAY	SPOKANE	WA	99202	842173788	501(C)(3)	$75,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
NAMI SPOKANE
7402 HOLLISTER AVE	SANTA BARBARA	CA	93117	824657634	501(C)(3)	$70,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
FRONTIER BEHAVIORAL HEALTH SPOKANE MENTAL HEALTH
104 W 5TH AVE	SPOKANE	WA	99204	910853801	501(C)(3)	$68,250	$0	OPERATIONAL SUPPORT
NINE STAR ENTEREDUCATION
125 WEST 5TH AVENUE	ANCHORAGE	AK	99501	920069154	501(C)(3)	$65,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
B'NAI B'RITH INTERNATIONAL
1120 20TH STREET NW SUITE 300 N	WASHINGTON	WA	20036	530179971	501(C)(3)	$65,000	$0	SPONSORSHIP
GLOBAL MENTORSHIP INITIATIVE
15600 NE 8TH ST STE B1-800	BELLEVUE	WA	98008	841892894	501(C)(3)	$60,000	$0	OPERATIONAL SUPPORT
PRESCRIPTION DRUG ASSISTANCE FOUNDATION
1111 HARVARD AVE	SEATTLE	WA	98122	331134368	501(C)(3)	$60,000	$0	SPONSORSHIP
EASTERN WASHINGTON UNIVERSITY FOUNDATION
3000 LANDERHOLM CIR SE	BELLEVUE	WA	98005	911019819	501(C)(3)	$59,241	$0	OPERATIONAL SUPPORT
NEW LIFE DEVELOPMENT INC
3916 E 9TH AVE	ANCHORAGE	AK	99508	562356407	501(C)(3)	$50,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
RECOVER ALASKA
3201 C ST STE 111	ANCHORAGE	AK	99503	934489954	501(C)(3)	$50,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
YWCA OF SPOKANE
930 N MONROE ST	SPOKANE	WA	99201	910565025	501(C)(3)	$50,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
EMERGENCY ASSISTANCE AND FOOD BANK OF VALDEZ INC
PO BOX 848	VALDEZ	AK	99686	341986012	501(C)(3)	$48,532	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ECONOMIC ALLNCE SNOHOMISH CTY
808 134TH ST SW STE 101	EVERETT	WA	98204	910647005	501(C)(4)	$40,000	$0	SPONSORSHIP
SEWARD AREA HOSPICE INC
PO BOX 133	SEWARD	AK	99664	811372841	501(C)(3)	$38,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
NORTHEAST YOUTH CENTER
3004 E QUEEN AVE	SPOKANE	WA	99217	710886315	501(C)(3)	$37,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
WASHINGTON ASSOCIATION OF SHERIFFS AND POLICE CHIEFS
425 N HWY	COLVILLE	WA	99114	910961051	501(C)(3)	$35,568	$0	OPERATIONAL SUPPORT
SOUND WELLNESS ALLIANCE NETWORK
911 MEALS AVE	VALDEZ	AK	99686	820942210	501(C)(3)	$33,778	$0	COMMUNITY BENEFIT RESTRICTED GRANT
VALDEZ SENIOR CITIZENS CTR
1300 E HANAGITA ST	VALDEZ	AK	99686	920082275	501(C)(3)	$33,394	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SEAVIEW COMMUNITY SERVICES
PO BOX 1045	SEAWARD	AK	99664	920043803	501(C)(3)	$30,000	$0	SPONSORSHIP
TRANSITIONAL PROGRAMS FOR WOMEN
3128 N HEMLOCK ST	SPOKANE	WA	99205	911307272	501(C)(3)	$30,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
KODIAK ISLAND HEALTH CARE FOUNDATION
1911 REZANOF DR E	KODIAK	AK	99615	920146203	501(C)(3)	$26,633	$0	COMMUNITY BENEFIT RESTRICTED GRANT
BROTHER FRANCIS SHELTER
PO BOX 670	KODIAK	AK	99615	208594266	501(C)(3)	$26,633	$0	OPERATIONAL SUPPORT
HOSPICE AND PALLIATIVE CARE OF KODIAK INC
PO BOX 8682	KODIAK	AK	99615	452208200	501(C)(3)	$26,633	$0	OPERATIONAL SUPPORT
SENIOR CITIZENS OF KODIAK INC
302 ERSKINE AVE	KODIAK	AK	99615	237348249	501(C)(3)	$25,103	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALASKA COMMUNITY FOUNDATION
3201 C ST STE 110	ANCHORAGE	AK	99503	920155067	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SISTERS OF ST JOSEPH OF ORANGE
440 S BATAVIA ST	ORANGE	CA	92868	951643383	501(C)(3)	$25,000	$0	OPERATIONAL SUPPORT
INNOVIA FOUNDATION
818 W RIVERSIDE AVE STE 650	SPOKANE	WA	99201	910941053	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
WOMENS AND CHILDRENS FREE REST
1408 N WASHINGTON ST	SPOKANE	WA	99201	911399742	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
HISPANIC BUSINESS PROFESSIONAL ASSOCIATION FOUNDATION OF THE INLA
820 E FRANCIS AVE	SPOKANE	WA	99208	743200153	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
TACOMA COMMUNITY HOUSE
1314 S L ST	TACOMA	WA	98405	910570872	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ADVOCATES FOR VICTIMS
PO BOX 1859	FRISCO	CO	80443	840950954	501(C)(3)	$22,648	$0	COMMUNITY BENEFIT RESTRICTED GRANT
KODIAK WOMENS RESOURCE CRISIS
PO BOX 2122	KODIAK	AK	99615	920070130	501(C)(3)	$22,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
KODIAK KINDNESS PROJECT
PO BOX 8704	KODIAK	AK	99615	834102985	501(C)(3)	$22,500	$0	OPERATIONAL SUPPORT
GATHER CHURCH
100 S ROCK ST	CENTRALIA	WA	98531	273731709	501(C)(3)	$22,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COMMUNITY YOUTH SERVICES
711 STATE AVE NE	OLYMPIA	WA	98506	910859922	501(C)(3)	$21,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
HIP OF SPOKANE COUNTY
2001 N DIVISION ST STE 130	SPOKANE	WA	99207	911764236	501(C)(3)	$20,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
FAILSAFE FOR LIFE
PO BOX 28955	SPOKANE	WA	99228	813525568	501(C)(3)	$20,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
WASHINGTON POISON CENTER
155 NE 100TH ST STE 100	SEATTLE	WA	98125	943214597	501(C)(3)	$18,264	$0	COMMUNITY BENEFIT RESTRICTED GRANT
LUTHERAN COMMUNITY SERV NW
4040 S 188TH ST STE 300	SEATAC	WA	98188	930386860	501(C)(3)	$15,318	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALASKA NATIVE HERITAGE CENTER
8800 HERITAGE CENTER DR	ANCHORAGE	AK	99504	920127531	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
PROVIDENCE GENERAL FOUNDATION
916 PACIFIC AVE	EVERETT	WA	98201	911041617	501(C)(3)	$15,000	$0	SPONSORSHIP
YMCA SNOHOMISH COUNTY
PO BOX 419	EVERETT	WA	98206	910565561	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
PEER WASHINGTONPEER SPOKANE
1520 BELLEVUE AVE STE 100	SEATTLE	WA	98122	911327257	501(C)(3)	$15,000	$0	SPONSORSHIP
WALLA WALLA COMMUNITY COLLEGE
500 TAUSICK WAY	WALLA WALLA	WA	99362	911207033	501(C)(3)	$13,348	$0	SPONSORSHIP
FAMILY SUPPORT CTR OF S SOUND
3545 7TH AVE SW SUITE 200	OLYMPIA	WA	98502	912003828	501(C)(3)	$13,059	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ACCESS ALASKA INC
1217 E 10TH AVE	ANCHORAGE	AK	995014003	920089550	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALASKA CHILDRENS TRUST
6591 A ST 110	ANCHORAGE	AK	995181866	911765129	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
KODIAK AREA NATIVE ASSOCIATION
118 TRIDENT WAY	KODIAK	AK	99615	920038225	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ACCORDA MUSIC THANATOLOGY INSTITUTE
1907 NE 45TH AVE	PORTLAND	OR	972131417	863026785	501(C)(3)	$10,000	$0	SPONSORSHIP
UNITED WAY OF SPOKANE COUNTY
920 NORTH WASHINGTON STREET SUITE	SPOKANE	WA	99201	910606058	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	100
VANESSA BEHAN CRISIS NURSERY
2230 EAST SPRAGUE	SPOKANE	WA	99202	911196575	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
THE CITY GATE
170 S MADISON STREET	SPOKANE	WA	99201	522272180	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
CAMP FIRE INLAND NORTHWEST
406N ARGONNE RD STE B	SPOKANE	WA	99212	910567727	501(C)(3)	$10,000	$0	OPERATIONAL SUPPORT
ALASKA BLACK CAUCUS
PO BOX 20048	ANCHONGE	AK	99520	920065953	501(C)(3)	$7,500	$0	OPERATIONAL SUPPORT
THE STAR PROJECT
321 WELLINGTON AVENUE	WALLA WALLA	WA	99362	823137281	501(C)(3)	$7,500	$0	SPONSORSHIP
YWCA WALLA WALLA
213 1ST AVE	WALLA WALLA	WA	99362	911613315	501(C)(3)	$7,500	$0	SPONSORSHIP
BELLEVUE COMMUNITY COLLEGE
3000 LANDERHOLM CIR SE	BELLEVUE	WA	98007	911196378	501(C)(3)	$7,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ROOSEVELT ELEMENTARY PTA THURSTON COUNTY
412 LILY RD NE AND SOC SVCS	OLYMPIA	WA	98506	911488961	501(C)(3)	$7,409	$0	OPERATIONAL SUPPORT
LUMEN CHRISTI HIGH SCHOOL
8110 JEWEL LAKE RD	ANCHORAGE	AK	99502	832652406	501(C)(3)	$7,000	$0	SPONSORSHIP
PROVIDENCE PARISEAU
1801 LIND AVE SW STE 9016	RENTON	WA	98057	911289932	501(C)(3)	$5,001	$0	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	95	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	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
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (41 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
GUY HUDSON MD
DIV. CHIEF EXEC (NORTH) THRU 9/23	$990,685	$0	$3,710,211	$0	$1,454,710	$0	$9,900	$0	$29,752	$0	$6,195,258	$0	$1,292,605	$0
ERIK WEXLER
PRESIDENT/CEO	$1,601,628	$0	$2,527,326	$0	$1,025,420	$0	$426,357	$0	$35,336	$0	$5,616,067	$0	$366,950	$0
DEBRA CANALES
FRMR KE - PSJH EVP/CAO	$0	$1,184,847	$0	$3,373,872	$0	$467,914	$0	$25,456	$0	$44,483	$0	$5,096,572	$0	$411,575
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	$0	$586,192	$0	$2,482,541	$0	$1,369,183	$0	$17,325	$0	$15,337	$0	$4,470,578	$0	$450,986
LISA VANCE
PRES. STRAT & OPS (NORTH) THRU 6/23	$0	$527,810	$0	$2,182,668	$0	$1,619,441	$0	$29,700	$0	$17,116	$0	$4,376,735	$0	$489,509
GREG HOFFMAN
EVP & CFO/TREASURER	$1,088,176	$0	$2,008,809	$0	$107,609	$0	$297,744	$0	$37,211	$0	$3,539,549	$0	$80,207	$0
JO ANN ESCASA-HAIGH
FRMR EVP/ASSISTANT TREASURER	$0	$44,915	$0	$1,744,873	$0	$1,502,009	$0	$8,269	$0	$2,485	$0	$3,302,551	$0	$603,250
JOEL GILBERTSON
DIVISION CHIEF EXEC - CENTRAL	$995,985	$0	$1,650,000	$0	$187,824	$0	$292,215	$0	$41,047	$0	$3,167,071	$0	$145,427	$0
WASIF RASHEED
CHIEF REV AND GROWTH OFFICER	$807,433	$0	$1,915,388	$0	$150,368	$0	$219,646	$0	$41,132	$0	$3,133,967	$0	$399,324	$0
GREG TILL
CHIEF PEOPLE OFFICER	$782,020	$0	$1,541,386	$0	$193,375	$0	$483,583	$0	$36,597	$0	$3,036,961	$0	$318,252	$0
KEVIN BROOKS
DIVISION CHIEF EXEC - NORTH	$833,291	$0	$1,205,200	$0	$119,951	$0	$229,943	$0	$39,518	$0	$2,427,903	$0	$119,401	$0
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY	$853,122	$0	$1,025,045	$0	$39,037	$0	$407,728	$0	$4,817	$0	$2,329,749	$0	$36,047	$0
ARI ROBICSEK MD
CHIEF PROVIDENCE ANALYTICS OFFICER	$664,834	$0	$1,110,627	$0	$235,058	$0	$190,489	$0	$33,665	$0	$2,234,673	$0	$209,879	$0
KEVIN MANEMANN
DIVISIONAL CHIEF EXECUTIVE - SOUTH	$115,132	$0	$1,717,844	$0	$193,414	$0	$9,900	$0	$3,387	$0	$2,039,677	$0	$170,754	$0
AMY COMPTON-PHILLIPS MD
FRMR EVP/CHF CLIN. OFC.	$0	$0	$0	$897,583	$0	$1,120,393	$0	$0	$0	$0	$0	$2,017,976	$0	$0
HODA ASMAR
EVP SYSTEM CHIEF MEDICAL OFFICER	$782,438	$0	$899,443	$0	$27,403	$0	$263,228	$0	$27,033	$0	$1,999,545	$0	$0	$0
OREST HOLUBEC
FRMR KE - PSJH SVP/CHF COMM/EXT AFF	$0	$618,968	$0	$934,894	$0	$165,802	$0	$189,358	$0	$40,159	$0	$1,949,181	$0	$216,394
JEREMY ZOCH
CHIEF EXECUTIVE SJO	$403,819	$0	$713,904	$0	$755,567	$0	$9,900	$0	$27,093	$0	$1,910,283	$0	$505,924	$0
ALI SANTORE
CHIEF ADMIN OFFICER	$614,822	$0	$966,819	$0	$53,908	$0	$180,692	$0	$23,953	$0	$1,840,194	$0	$52,768	$0
TOM MAHOWALD
CFO CLINICAL CARE	$316,314	$0	$653,085	$0	$822,305	$0	$17,325	$0	$17,999	$0	$1,827,028	$0	$469,837	$0
RICHARD PARKS
EXECUTIVE ADVISOR	$798,561	$0	$743,521	$0	$243,512	$0	$9,900	$0	$27,155	$0	$1,822,649	$0	$206,534	$0
SCOTT O'BRIEN
DIVISION COO - CENTRAL	$624,500	$0	$812,832	$0	$135,781	$0	$192,776	$0	$15,595	$0	$1,781,484	$0	$104,947	$0
PK KHURANA
CHIEF STRATEGY OFF. - CARE DELIVERY	$715,404	$0	$702,317	$0	$102,854	$0	$197,217	$0	$40,408	$0	$1,758,200	$0	$120,848	$0
SARA VAEZY
EVP CHIEF STRATEGY AND DIGITAL OFF.	$583,364	$0	$890,441	$0	$51,804	$0	$164,530	$0	$33,771	$0	$1,723,910	$0	$93,059	$0
MARY CRANSTOUN
SVP TOTAL RWRDS-TLNT ACQ-THRU 3/23	$124,556	$0	$607,242	$0	$850,214	$0	$26,400	$0	$12,122	$0	$1,620,534	$0	$407,734	$0
SYLVAIN TREPANIER
SVP CHIEF NURSING OFFICER	$660,787	$0	$593,855	$0	$76,586	$0	$185,521	$0	$35,016	$0	$1,551,765	$0	$71,684	$0
ELLA GOSS
REGIONAL CHIEF EXEC - AK	$577,489	$0	$539,960	$0	$110,996	$0	$33,358	$0	$43,839	$0	$1,305,642	$0	$83,593	$0
MARYBETH FORMBY
DIVISION CFO - NORTH	$505,742	$0	$439,398	$0	$217,677	$0	$94,788	$0	$33,909	$0	$1,291,514	$0	$188,929	$0
JIM WATSON ESQ
ASSISTANT SECRETARY	$480,026	$0	$399,066	$0	$89,599	$0	$107,204	$0	$39,727	$0	$1,115,622	$0	$64,477	$0
DARIN GOSS
CHIEF EXEC SOUTH PUGET SOUND	$428,085	$0	$407,759	$0	$61,753	$0	$131,825	$0	$38,070	$0	$1,067,492	$0	$37,676	$0
KRISTY CARRINGTON
CE NORTH PUGET SOUND	$457,258	$0	$421,687	$0	$3,313	$0	$134,577	$0	$38,756	$0	$1,055,591	$0	$22,236	$0
MIKE WATERS
FRMR EVP AMBULATORY CARE NETWORK	$0	$0	$283,798	$0	$743,497	$0	$0	$0	$0	$0	$1,027,295	$0	$0	$0
MELISSA DAMM
DIVISION CFO - CENTRAL	$459,184	$0	$356,254	$0	$65,543	$0	$103,018	$0	$14,508	$0	$998,507	$0	$41,956	$0
RYAN THOMPSON
SVP CHIEF REV CYCLE OFFICER	$467,426	$0	$125,000	$0	$257,341	$0	$90,529	$0	$57,171	$0	$997,467	$0	$0	$0
PRASANNA MOHANTY
COO - PCN	$467,493	$0	$308,277	$0	$82,250	$0	$88,505	$0	$6,077	$0	$952,602	$0	$26,644	$0
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)	$435,246	$0	$339,361	$0	$54,321	$0	$83,489	$0	$32,146	$0	$944,563	$0	$52,013	$0
PRESTON SIMMONS
FRMR SVP CHIEF EXEC AK REGION	$0	$0	$200,782	$0	$686,233	$0	$0	$0	$0	$0	$887,015	$0	$0	$0
DAVID BROWN
FRMR SVP CAO AMBULATORY CARE	$0	$0	$111,633	$0	$436,825	$0	$0	$0	$0	$0	$548,458	$0	$0	$0
JOHN WHIPPLE
FRMR SECRETARY	$0	$0	$0	$0	$541,701	$0	$0	$0	$0	$0	$541,701	$0	$0	$0
DARREN REDICK
FRMR CHIEF EXEC PRMCE	$0	$0	$119,821	$0	$349,955	$0	$0	$0	$0	$0	$469,776	$0	$0	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$266,681	$0	$24,827	$0	$1,367	$0	$15,474	$0	$15,372	$0	$323,721	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES 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. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: GUY HUDSON, M.D. - $282,401 RHONDA MEDOWS, M.D. - $560,170 JO ANN ESCASA-HAIGH - $811,814 AMY COMPTON-PHILLIPS, M.D. - $1,112,800 JEREMY ZOCH - $158,766 TOM MAHOWALD - $276,000 MARY CRANSTOUN - $381,352 MIKE WATERS - $739,024 PRESTON SIMMONS - $686,234 DAVID BROWN - $436,825 JOHN WHIPPLE - $539,282 DARREN REDICK - $349,955 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: GUY HUDSON, M.D. - $1,120,375 ERIK WEXLER - $366,950 DEBRA CANALES - $411,575 RHONDA MEDOWS, M.D. - $450,986 LISA VANCE - $489,509 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JOEL GILBERTSON - $145,427 WASIF RASHEED - $147,746 GREG TILL - $151,890 KEVIN BROOKS - $119,401 ARI ROBICSEK, M.D. - $115,169 KEVIN MANEMANN - $170,754 OREST HOLUBEC - $122,559 JEREMY ZOCH - $505,924 ALI SANTORE - $52,768 TOM MAHOWALD - $469,837 RICHARD PARKS - $206,534 SCOTT O'BRIEN - $104,947 P.K. KHURANA - $79,214 SARA VAEZY - $43,415 MARY CRANSTOUN - $407,734 SYLVAIN TREPANIER - $71,684 ELLA GOSS - $83,593 MARYBETH FORMBY - $175,644 JIM WATSON, ESQ - $64,477 DARIN GOSS - $37,676 KRISTY CARRINGTON - $2,236 MELISSA DAMM - $41,956 JIM MARTIN - $52,013
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$4,743,414	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$1,315,120	TECH. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$402,114	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$259,679	MED. SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$208,205	MED. SVCS	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS RESPOND TO VULNERABLE COMMUNITIES: - ST. PETER FAMILY RESIDENCY HAS A COLLABORATIVE RELATIONSHIP WITH THE PROVIDENCE MOBILE OUTREACH PROGRAM AND WITH OLYMPIC HEALTH & RECOVERY SERVICES' HOMELESS OUTREACH AND STABILIZATION TEAM WHICH ALLOWS PRIMARY CARE PROVIDERS TO BRIDGE THE GAP BETWEEN UNHOUSED INDIVIDUALS AND THE BARRIERS THAT PREVENT THEM FROM ACCESSING TRADITIONAL CARE MODELS. - RESIDENTS PROVIDE CARE IN THE ST. PETER FAMILY MEDICINE PRENATAL CARE PROGRAM FOR ADOLESCENT PARENTS THAT INCORPORATES GROUP-BASED, RESIDENT/STUDENT-LED EDUCATION IN PREGNANCY AND NEWBORN CARE AND FACILITATION OF PEER SUPPORT FOR THIS HIGH-RISK POPULATION. - RESIDENTS ROTATE TO SUPPORT A MED FIRST CLINIC AND IDENTIFY PATIENTS FOR THE CHEHALIS FAMILY MEDICINE SUBSTANCE USE DISORDER TREATMENT CLINIC. PATIENTS THEN RECEIVE TREATMENT AT CHEHALIS FAMILY MEDICINE FOR SUBSTANCE USE/MISUSE AND ARE ALSO ENABLED TO ESTABLISH CARE WITH A PRIMARY CARE PROVIDER. RESIDENTS ALSO PARTNER WITH THE LEWIS COUNTY DRUG COURT TO HELP INDIVIDUALS WITH DRUG OFFENSES THROUGH THEIR TREATMENT PLANS. - AT THE CENTRALIA HOPE AND HEALTH FREE CLINIC, RESIDENTS ROTATE MONTHLY TO PROVIDE ACCESS TO CARE TO A HIGH NUMBER OF PATIENTS WITH UNDOCUMENTED STATUS AND MANY LANGUAGE BARRIERS. BEHAVIORAL HEALTH & RECOVERY: IN SOUTH PUGET SOUND, PROVIDENCE BEHAVIORAL HEALTH & RECOVERY PROVIDES A RANGE OF ESSENTIAL MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT SERVICES AND SUPPORT TO INDIVIDUALS ON AN OUTPATIENT BASIS, ALLOWING PATIENTS TO ATTEND GROUP THERAPY AND COUNSELING SESSIONS DURING THE DAY OR EVENING AND RETURN HOME AFTERWARD. INDIVIDUALIZED SERVICES ADDRESS A VARIETY OF SUBSTANCE USE AND MENTAL HEALTH CONCERNS. FOR ADOLESCENTS, WE FOCUS ON SUBSTANCE USE DISORDER TREATMENT. FOR ADULTS, SERVICES RANGE FROM SUBSTANCE USE DISORDER TREATMENT TO MENTAL HEALTH TREATMENT, CO-OCCURRING TREATMENT, AND TREATMENT FOR PROBLEM GAMBLING DISORDER. THIS PATIENT POPULATION IS OFTEN FORGOTTEN IN OTHER SETTINGS, INCLUDING HEALTHCARE. STAFF ARE DEDICATED TO HELPING PATIENTS IMPROVE THEIR LIVES AND, IN MANY CASES, HELP SAVE LIVES. MEDICAL RESIDENTS INCREASING ACCESS TO CARE: IN 2023, MEDICAL RESIDENTS AT PROVIDENCE REGIONAL MEDICAL CENTER EVERETT LOGGED MORE THAN 600 HOURS CARING FOR THE HEALTH AND WELL-BEING OF VULNERABLE CITIZENS IN SNOHOMISH COUNTY. THROUGH A PARTNERSHIP WITH PROVIDENCE, WASHINGTON STATE UNIVERSITY INTERNAL MEDICINE RESIDENCY PROGRAM, AND MERCY WATCH, MEDICAL RESIDENTS TREAT UNHOUSED CLIENTS AT HYGIENE STATIONS, POP-UP CLINICS, AND ON THE STREET. THIS IS HELPING TO IMPROVE ACCESS TO CARE AND BUILDING CONNECTIONS WITH A POPULATION THAT IS OFTEN DISTRUSTFUL OF THE MEDICAL ESTABLISHMENT. THE RELATIONSHIPS AND TRUST NURTURED BY THE MEDICAL RESIDENTS HAVE RESULTED IN MANY CLIENTS ESTABLISHING A CONNECTION WITH THE PROVIDENCE-WSU INTERNAL MEDICINE CLINIC FOR ONGOING CARE. ABUSE SURVIVORS ARE SEEN AND HEARD IN TIME OF NEED PROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE (PICAA) IS THE PRIMARY FACILITY IN SNOHOMISH COUNTY FOR MEDICAL AND FORENSIC EXAMS, THERAPY AND ADVOCACY SERVICES FOR SURVIVORS OF VIOLENCE. PICAA'S SEXUAL ASSAULT NURSES ALSO TRAVEL TO OTHER FACILITIES THROUGHOUT SNOHOMISH COUNTY, WHICH OFTEN DON'T HAVE TRAINED CLINICIANS AVAILABLE 24/7 TO PROVIDE EXAMS. PROVIDENCE PLACES A PRIORITY ON SERVING THIS VULNERABLE POPULATION IN SNOHOMISH COUNTY. IN 2023, PICAA PROVIDED 992 EXAMS, CARING FOR THOSE IMPACTED BY DOMESTIC VIOLENCE, SEXUAL ASSAULT OR WERE VICTIMS OF A CRIME. IN ADDITION, THEY PROVIDED HEALING SPACES THROUGH 28 SUPPORT GROUPS AND COMMUNITY EDUCATION/OUTREACH EVENTS THAT REACHED OVER 1,700 PARTICIPANTS. DEVELOPING COMMUNITY SOLUTION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, NON-PROFIT ORGANIZATIONS, AND THE PEOPLE OF SNOHOMISH COUNTY. ONE GOAL IS TO INCREASE AWARENESS AND ACCESS TO RESOURCES AROUND SOCIAL AND ECONOMIC FACTORS LIKE FOOD SECURITY, HOUSING, AND JOBS. PIHC SERVES AS A COMMUNITY HUB MAKING IT EASIER FOR COMMUNITY MEMBERS TO FIND AND USE RESOURCES, THEY NEED TO BE HEALTHY. IN 2023, 307 PEOPLE FROM 94 COMMUNITY ORGANIZATIONS ATTENDED THE ANNUAL "PIHC EDGE OF AMAZING CONFERENCE" TO LEARN NEW RESEARCH AND TRENDS, AMPLIFY EFFORTS, AND INCREASE THE POSITIVE IMPACT WE CAN MAKE TOGETHER TO IMPROVE THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY. ADDITIONALLY, 12,850 PEOPLE WERE REACHED THROUGH COMMUNITY HEALTH EVENTS, PROMOTING AWARENESS OF KEY PRIORITY PUBLIC HEALTH MESSAGES, AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH THE WWW.LIVEWELLLOCAL.ORG COMMUNITY RESOURCE HUB, WITH 2,411 LOCAL COMMUNITY RESOURCE LISTINGS. THE HEALTH & WELL-BEING MONITOR COMMUNITY SURVEY TO IDENTIFY GAPS IN WELL-BEING HAD A TOTAL OF 1,359 RESPONDENTS SHARING NEEDS AROUND SUCH AS HOUSING, TRANSPORTATION, FOOD, UTILITIES, EDUCATION, AND PERSONAL SAFETY AMONG OTHERS. ACCESS TO SPECIALTY CARE IN 2023, PROVIDENCE MOUNT CARMEL IN COLVILLE AND PROVIDENCE ST. JOSEPH'S IN CHEWELAH, BOTH LOCATED IN RURAL STEVENS COUNTY IN WASHINGTON, CONTINUED THEIR PARTNERSHIP WITH NORTHEAST WASHINGTON HUNGER COALITION (NEWHC). THIS PARTNERSHIP SUPPORTS NEWHC'S WORK TO REDUCE FOOD INSECURITY AND INCREASE ACCESS TO FRESH PRODUCE FOR THIS RURAL REGION. THIS PROGRAM BECAME EVEN MORE CRITICAL IN 2023 DUE TO THE CESSATION OF FOOD DELIVERY BY A NATIONAL ORGANIZATION TO 17 RURAL PANTRIES IN THE AREA. NEWHC NEGOTIATED WITH THIS ORGANIZATION TO RECEIVE FOOD AT A CENTRALIZED LOCATION, WITH NEWHC TRANSPORTING TO THE RURAL PANTRIES. A SAFE SPACE FOR YOUNG SURVIVORS IN 2023, PROVIDENCE PARTNERED WITH THE CHILDREN'S ADVOCACY CENTER IN SPOKANE TO PROVIDE A SAFE PLACE FOR CHILD AND TEEN SURVIVORS OR WITNESSES OF CHILD ABUSE, NEGLECT AND OTHER CRIMES. THIS IS THE ONLY AGENCY PROVIDING SPECIALIZED MEDICAL EXAMINATIONS, FORENSIC INTERVIEWS, MENTAL HEALTH SERVICES, CHILD LEGAL ADVOCACY AND HOLISTIC VICTIM SUPPORT SERVICES TO CHILD VICTIMS, ADULTS WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES UNDER ONE ROOF. LAW ENFORCEMENT OFFICERS, HEALTH CARE WORKERS AND OTHERS REFER CHILDREN TO THE CENTER. ONCE THEY ARE IN THE DOOR, ADVANCED REGISTERED NURSE PRACTITIONERS FUNDED BY PROVIDENCE INLAND NORTHWEST WASHINGTON COMMUNITY BENEFIT, TAKE THE KIDS UNDER THEIR CARE. IN 2023, 350 UNDUPLICATED INDIVIDUALS WERE SERVED BY THE CHILD ADVOCACY CENTER. FREE AND DISCOUNTED HEALTH CARE - PROVIDENCE COMMUNITY CLINIC SERVES THE MOST VULNERABLE COMMUNITY MEMBERS: PROVIDENCE COMMUNITY CLINIC LOCATED IN DOWNTOWN SPOKANE, WASHINGTON CONTINUED TO SERVE THE MOST VULNERABLE COMMUNITY MEMBERS IN 2023. THE CLINIC EMBODIES THE PROVIDENCE MISSION BY PROVIDING COMPASSIONATE SERVICE TO PEOPLE WITH UNMET HEALTH CARE NEEDS. THE PROVIDENCE COMMUNITY CLINIC OPERATES AT A FINANCIAL LOSS TO THE HOSPITAL TO ENSURE THAT CARE IS AVAILABLE TO PEOPLE WHO ARE UNINSURED/UNDER-INSURED OR EXPERIENCING CHRONIC HOMELESSNESS. THIS CLINIC CARES FOR MORE THAN 1,400 PEOPLE EVERY YEAR. TRANSITIONAL RESPITE CARE: IN 2023, PROVIDENCE CONTINUED OUR PARTNERSHIP WITH CATHOLIC CHARITIES HOUSE OF CHARITY AND VOLUNTEERS OF AMERICA-HOPE HOUSE (VOA) IN SPOKANE, WASHINGTON TO CREATE A TRANSITIONAL RESPITE CARE PROGRAM. THIS PROGRAM PROVIDES TRANSITIONAL RESPITE TO HELP PEOPLE EXPERIENCING HOMELESSNESS RECOVER FROM ACUTE MEDICAL ISSUES VIA 24/7 SHELTER, MEALS, TRANSPORTATION, AND MEDICAL SERVICES. CATHOLIC CHARITIES HOUSE OF CHARITY IMPLEMENTED AN EFFECTIVE WORKFLOW IN STAGES WITH PROVIDENCE COMMUNITY CLINIC, MEETING THE NEEDS OF THE CLINIC, HOSPITAL SOCIAL WORKERS, AND THE CLIENTS THEMSELVES. VOLUNTEERS OF AMERICA-HOPE HOUSE PROVIDED RESPITE TO WOMEN WHO WOULD OTHERWISE EXIT HOSPITAL TO THE STREET OR SHELTER. DESIGNATED CASE MANAGEMENT OFFERS EVIDENCE BASED PRACTICES LIKE HARM REDUCTION AND MOTIVATIONAL INTERVIEWING. CASE MANAGEMENT'S MAIN FUNCTION IS TO ASSIST WOMEN IN FINDING HOUSING AFTER THEY EXIT THE PROGRAM. SINCE THE BEGINNING OF THE FUNDING PROVIDED FROM PROVIDENCE, VOA'S RESPITE PROGRAM PROVIDED CARED AND SERVICES TO 59 UNDUPLICATED INDIVIDUALS, WITH 30 INDIVIDUALS GETTING INTO HOUSING UPON LEAVING THE PROGRAM.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	HEALTH JUSTICE INITIATIVE - A MEDICAL LEGAL PARTNERSHIP WITH A $140,000 GRANT FROM PROVIDENCE SACRED HEART MED, THE HEALTH JUSTICE INITIATIVE-MEDICAL LEGAL PARTNERSHIP ALLOWED NORTHWEST JUSTICE PROJECT (NJP) TO CONTINUE THE HEALTH JUSTICE INITIATIVE (HJI) IN SPOKANE. AS OF 2023, THE INITIATIVE WAS STILL THE FIRST AND ONLY MEDICAL-LEGAL-PARTNERSHIP SERVING EASTERN WASHINGTON. THE MEDICAL-LEGAL PARTNERSHIP MODEL SERVES TO ADDRESS HEALTH-HARMING CIVIL-LEGAL NEEDS. NJP PROVIDED DIRECT LEGAL SERVICES, TRAINED PARTNERS, MADE APPROPRIATE REFERRALS TO PRIVATE ATTORNEYS AND SPECIFIC TEAMS WITHIN NJP. 340 PEOPLE WERE REFERRED TO THE HJI IN 2023, WITH 101 OF THESE REFERRALS BEING RELATED TO TRIBAL LAW. HJI OPERATED TWO CLINICS ON THE SPOKANE INDIAN RESERVATION: GENERAL LEGAL NEEDS AT THE TRIBAL COURT AND A TRIBAL WILLS CLINIC FOR ELDER TRIBAL MEMBERS. BOTH CLINICS WERE VERY SUCCESSFUL WITH HIGH TURNOUT AND MEANINGFUL OUTCOMES. EMERGENCY DEPARTMENT DIVERSION SERVICES: KEY FUNDING WAS PROVIDED TO SPOKANE TREATMENT AND RECOVERY SERVICES (STARS) TO PROVIDE PROVIDENCE WITH A DEDICATED EMERGENCY DEPARTMENT (ED) DIVERSION TEAM MADE UP OF CARE COORDINATORS AND BEHAVIORAL HEALTH TECHNICIANS. THIS TEAM RESPONDED WHEN INDIVIDUALS PRESENTED AT THE ED WITH NON-EMERGENT BIOMEDICAL ISSUES AND SCREENED FOR BEHAVIORAL HEALTH CONCERNS THAT WOULD BE BETTER TREATED AT A LOWER LEVEL OF CARE SPECIFIC TO MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT OR TRIAGE SERVICES. SECURE TRANSPORTATION WAS ALSO PROVIDED. IN 2023, DIVERSION SERVICES WERE PROVIDED TO 964 PATIENTS, WITH 75% OF THOSE SERVED DIVERTED TO WITHDRAWAL MANAGEMENT AND/OR TREATMENT SERVICES. DIVERSION SERVICES ALSO INCLUDED WRAP-AROUND SERVICES WITH SCREENING, EXTENSIVE CASE MANAGEMENT, NAVIGATING BARRIERS, ADVOCACY, AND RESERVED BEDS FOR PATIENTS. STREET MEDICINE PROGRAM: IN 2023, PROVIDENCE SUPPORTED COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) IN IMPLEMENTING A STREET MEDICINE PROGRAM TO PROVIDE CARE TO PEOPLE WHO ARE UNSHELTERED OR UNSTABLY HOUSED IN SPOKANE. THE STREET MEDICINE PROVIDERS HAVE A WEEKLY ROTATION TO COVER DOWNTOWN SHELTERS, SOCIAL SERVICE ORGANIZATIONS INCLUDING CATHOLIC CHARITIES, ADDICTION RECOVERY SERVICES, AND HUD HOUSING SITES. IN 2023, 1,656 UNDUPLICATED PEOPLE WERE SERVED BY A TEAM OF PHYSICIANS, PHYSICIAN ASSISTANTS, RN, NURSE PRACTITIONER AND MEDICAL ASSISTANTS. OF THE 1,656 PEOPLE SERVED IN 2023, 42% OF THOSE HAD NOT RECEIVED CARE FROM THE STREET MEDICINE TEAM IN THE PRIOR TWO YEARS. FOR MORE INFORMATION ABOUT PROVIDENCE WASHINGTON GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON FOR MORE INFORMATION ABOUT PROVIDENCE ALASKA GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/ALASKA
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - WASHINGTON'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE DEPARTMENT OF LEGAL AFFAIRS. 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 AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, 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 THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS 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, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 140,198,497. MANAGEMENT AND GENERAL EXPENSES 101,450,533. FUNDRAISING EXPENSES 72,516. TOTAL EXPENSES 241,721,546. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 17,112,965. MANAGEMENT AND GENERAL EXPENSES 12,383,295. FUNDRAISING EXPENSES 8,852. TOTAL EXPENSES 29,505,112. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 146,848,119. MANAGEMENT AND GENERAL EXPENSES 106,262,337. FUNDRAISING EXPENSES 75,956. TOTAL EXPENSES 253,186,412. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 111,512,035. MANAGEMENT AND GENERAL EXPENSES 80,692,416. FUNDRAISING EXPENSES 57,679. TOTAL EXPENSES 192,262,130. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 440,942,874. MANAGEMENT AND GENERAL EXPENSES 319,075,387. FUNDRAISING EXPENSES 228,074. TOTAL EXPENSES 760,246,335. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 52,335,955. MANAGEMENT AND GENERAL EXPENSES 37,871,380. FUNDRAISING EXPENSES 27,070. TOTAL EXPENSES 90,234,405.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -228,168,208. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 571,906. INVESTMENT IN CORPORATE SUBSIDIARIES 47,115,693. CHANGE IN INVESTMENT IN JOINT VENTURE 46,492,883. OTHER CHANGES IN NET ASSETS 19,848,582.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (20 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
ALASKA HEALTH ALLIANCE WITH PROVIDENCE
3760 PIPER ST	ANCHORAGE	AK	99508	871348127	HEALTHCARE	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
COMMUNITY CARE ALLIANCE WITH PROVIDENCE LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	882688182	HEALTHCARE	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
EXPRESS CARE LLC
800 FIFTH AVE STE 1200	SEATTLE	WA	98104	831518217	HEALTHCARE	WA	$24,580,115	$33,274,460	PROVIDENCE HEALTH & SERVICES - WASHINGTON
HEALTH SERVICES ASSET MANAGEMENT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271698016	A/R & COLLECTIONS	WA	$0	-$3,175,240	PROVIDENCE HEALTH & SERVICES - WASHINGTON
LEGACY LLC
PO BOX 196606	ANCHORAGE	AK	99519	320252199	REAL ESTATE	AK	$4,215,203	$35,280,811	PROVIDENCE HEALTH & SERVICES - WASHINGTON
LEGACY 2 LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	923751469	REAL ESTATE	AK	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
LIND HOLDINGS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		INVESTMENTS	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PIONEER HEALTH LABS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	812389573	HEALTHCARE	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE ALASKA HOUSE I GP LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	882842722	SUPPORTIVE HOUSING	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE ASSURANCE LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	INSURANCE	AZ	$184,608,987	$766,619,120	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE DOLORES HOUSE LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	825497218	SUPPORTIVE HOUSING	WA	$370,341	$5,298,173	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE HOUSE OAKLAND GP LLC
540 23RD ST	OAKLAND	CA	94612	811481031	SUPPORTIVE HOUSING	CA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE JOHN GABRIEL HOUSE GP LLC
8632 160TH AVE NE	REDMOND	WA	98052		SUPPORTIVE HOUSING	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE JOSEPH HOUSE GP LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	273678218	SUPPORTIVE HOUSING	WA	$47,489	$8,526,895	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE MOTHER BERNARD HOUSE
1140 4TH ST	EUREKA	CA	95501	880667416	SUPPORTIVE HOUSING	CA	$599,700	$12,400,000	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE PROCUREMENT COMPANY LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	851587298	PROCUREMENT	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE WBT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931408474	HEALTHCARE	WA	$5,000	$91,828,638	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PSJ PROVIDER RECRUITMENT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	815464580	RECRUITING	WA	$25,965,214	$4,284,644	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PV MH INVESTMENT CO LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		INVESTMENTS	WA	$4,679	$9,934,519	PROVIDENCE HEALTH & SERVICES - WASHINGTON
ST ELIAS SPECIALTY HOSPITAL LLC
4800 CORDOVA ST	ANCHORAGE	AK	99503	260115489	HEALTHCARE	AK	$41,483,375	$12,472,194	PROVIDENCE HEALTH & SERVICES - WASHINGTON

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 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
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREET	LUBBOCK	TX	79410	881290850	HEALTHCARE	TX	501(C)(3)	PENDING	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920275096	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	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)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	LHH LLC	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PH GROUP LLC	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	HEALTHCARE	WA	501(C)(3)	3	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
40 VALLEY STREAM PKWY	MALVERN	PA	19355	752177401	HEALTHCARE	PA	N/A	0	Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH ST	LUBBOCK	TX	79410	871464045	REAL ESTATE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK		0	Yes (1)	PHS WA	RELATED	$5,418,611	$15,413,459	0.50000
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	474646059	REAL ESTATE	TX	N/A	0	Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVE	ORANGE	CA	92868	814376492	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA		0	Yes (1)	PHS WA	EXCLUDED	$45,501	$4,418,604	0.03030
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	882819223	SUPPORTIVE HOUSING	AK		0	0	PHS WA	N/A			1.00000
PROVIDENCE HOUSE OAKLAND LP
540 23RD ST	OAKLAND	CA	94612	811441264	SUPPORTIVE HOUSING	CA	N/A	0	Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK		0	0	PHS WA	RELATED	$8,068,871	$4,279,435	0.99000
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	Yes (1)	PHS WA	EXCLUDED	$90,907,632	$1,687,184,144	0.42460	-$277,465
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	881149413	AMBULATORY SURGERY CENTER	WA		0	0	PHS WA	RELATED	-$530,185	$3,076,491	0.50100
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200	CHASKA	MN	55318	411594648	HEALTHCARE	MN	N/A	0	Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA		0	Yes (1)	PHS WA	RELATED	$178,830	$4,594,982	0.50000
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA		0	Yes (1)	PHS WA	RELATED	$3,757,311	$2,139,735	0.50000	$1,139,454
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA		0	Yes (1)	PHS WA	RELATED	$77,648	$1,440,877	0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 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	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD	PEMBROKE	BD	HM08	BD
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	833037172	HEALTHCARE	DE	N/A	C	0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	931211733	HEALTHCARE	OR	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HOSPITAL CENTRAL SERVICES ASSOCIATION
1600 M STREET NW	AUBURN	WA	98001	910818155	REAL ESTATE RENTAL	WA		C	0						SHS & PHS - WA	$3,094,629	$7,037,010	0.14200
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					IN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
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	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PRAIA HEALTH INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	990552297	HEALTHCARE	DE		C	0						PHS WA			1.00000
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS			C	0					IN	PHS WA & PSJH	$75,637,468	$64,119,225	0.99000
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA		C	0						PHS WA		$25,451,559	1.00000
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	882962549	INVESTMENT	DE	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	902318536	HEALTHCARE	DE		C	0						PHS WA	$247,625	$400,000	1.00000
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400	ORANGE	CA	92868	330621539	CONDO ASSOCIATION	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	922370159	HEALTHCARE	DE		C	0						PHS WA			1.00000
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	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	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (57 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
A	$651,293	ACCRUAL
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
C	$328,515	ACCRUAL
SAINT JOHN'S CANCER INSTITUTE
C	$463,161	ACCRUAL
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
C	$1,300,283	ACCRUAL
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
C	$95,771	ACCRUAL
PROVIDENCE ALASKA FOUNDATION
C	$5,664,316	ACCRUAL
PROVIDENCE INLAND NORTHWEST FOUNDATION
C	$5,355,499	ACCRUAL
INSTITUTE FOR SYSTEMS BIOLOGY
C	$302,624	ACCRUAL
PROVIDENCE ST MARY FOUNDATION
C	$290,766	ACCRUAL
PROVIDENCE MOUNT ST VINCENT FOUNDATION
C	$1,333,497	ACCRUAL
PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION
C	$5,519,030	ACCRUAL
PROVIDENCE MARIANWOOD FOUNDATION
C	$322,889	ACCRUAL
PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY
C	$2,648,662	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
J	$297,379	ACCRUAL
SWEDISH HEALTH SERVICES
J	$1,723,019	ACCRUAL
PACMED CLINICS DBA PACIFIC MEDICAL CENTERS
J	$1,094,847	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
K	$2,535,023	ACCRUAL
PROVIDENCE HEALTH & SERVICES - MONTANA
K	$114,973	ACCRUAL
SWEDISH HEALTH SERVICES
K	$2,576,283	ACCRUAL
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
K	$1,738,650	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
K	$11,511,464	ACCRUAL
TARZANA MEDICAL CENTER LLC
K	$142,666	ACCRUAL
PROVIDENCE FACEY MEDICAL FOUNDATION
K	$656,127	ACCRUAL
SWEDISH HEALTH SERVICES
M	$352,222	ACCRUAL
PACMED CLINICS DBA PACIFIC MEDICAL CENTERS
M	$161,004	ACCRUAL
TARZANA MEDICAL CENTER LLC
M	$283,931	ACCRUAL
ST MARY MEDICAL CENTER
M	$570,920	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
M	$1,020,535	ACCRUAL
ST JOSEPH HEALTH NORTHERN CA LLC
M	$3,064,709	ACCRUAL
PROVIDENCE ST JOSEPH MEDICAL CENTER
M	$353,917	ACCRUAL
SWEDISH HEALTH SERVICES
M	$558,505	ACCRUAL
PROVIDENCE SAINT JOHNS HEALTH CENTER
M	$349,481	ACCRUAL
WESTERN HEALTH CONNECT
M	$154,435	ACCRUAL
SWEDISH EDMONDS
M	$211,954	ACCRUAL
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
M	$969,870	ACCRUAL
PROVIDENCE HEALTH & SERVICES - MONTANA
M	$382,488	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
M	$9,411,037	ACCRUAL
COVENANT HEALTH SYSTEM
M	$200,475	ACCRUAL
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
M	$4,211,398	ACCRUAL
PROVIDENCE TRINITYCARE HOSPICE
M	$163,876	ACCRUAL
COVENANT HOSPITAL HOBBS
M	$214,292	ACCRUAL
PROVIDENCE HEALTH & SERVICES - MONTANA
O	$295,350	ACCRUAL
PROVIDENCE MEDICAL INSTITUTE
O	$286,833	ACCRUAL
PACMED CLINICS DBA PACIFIC MEDICAL CENTERS
O	$84,604	ACCRUAL
SWEDISH HEALTH SERVICES
O	$12,282,931	ACCRUAL
SWEDISH HEALTH SERVICES
O	$343,421	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
O	$4,585,232	ACCRUAL
SWEDISH EDMONDS
O	$1,635,134	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
O	$1,522,402	ACCRUAL
PROVIDENCE FACEY MEDICAL FOUNDATION
O	$186,584	ACCRUAL
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
O	$355,796	ACCRUAL
SYSTEM SUPPORT SERVICES SJHS
P	$33,721,233	ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q	$160,018	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
R	$395,406	ACCRUAL
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
R	$2,773,573	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
R	$111,651	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
S	$576,540	ACCRUAL