2022-11-15T08:19:59-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2021-01-01 910655392 KADLEC REGIONAL MEDICAL CENTER KADL 5099464611 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 GREG HOFFMAN PRESIDENT/CEO & TREASURER 4255253985 2022-11-15 1 GREG HOFFMAN 999009999 AERRIAL M ORR P01598400 4048748300 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 847722306 0 X HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME X 1947 WA TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT IN TRI-CITIES, WA. 10 10 4402 100 80720 59616 23178825 12292388 702682627 764464204 25751813 19979808 32323299 32058527 783936564 828794927 3234868 2842187 0 0 308588826 322446202 0 0 480854 416980947 456014314 728804641 781302703 55131923 47492224 885488958 935169169 441474654 417151133 444014304 518018036 X THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT WE SERVE. 0 0 675985094 2842187 795670792 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.2021 PROGRAM SERVICE ACCOMPLISHMENTSKADLEC PARTNERS WITH GRACE CLINIC TO COVER UNMET NEEDS. GRACE CLINIC PROVIDES FREE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO THOSE WHO ARE UNINSURED. KADLEC SUPPORTS GRACE CLINIC THROUGH COMMUNITY BENEFIT FUNDING, EQUIPMENT DONATIONS, AND VOLUNTEER INVOLVEMENT BY CAREGIVERS. ONE OF KADLEC'S RECENT CONTRIBUTIONS WAS EQUIPMENT FOR CARDIAC STRESS TESTS. IN 2021, GRACE CLINIC SERVED 5,099 PATIENTS. COMMUNITY BENEFIT $54,159.KADLEC SUPPORTED THE "STAYING C.A.L.M.: OVERCOMING MENTAL HEALTH ISSUES AND STEREOTYPES" SOCIAL IMPACT INITIATIVE OF MISS TRI-CITIES OUTSTANDING TEEN, KAIYA BATES. WITH KADLEC SUPPORT, SHE ACCOMPLISHED HER GOAL OF HAVING A CALM KIT IN EVERY ELEMENTARY SCHOOL CLASSROOM IN PASCO SCHOOL DISTRICT SERVING AN ESTIMATED 5,600 STUDENTS. COMMUNITY BENEFIT $10,944.KADLEC'S COMMUNITY HEALTH DEPARTMENT INCLUDES A RESOURCE LENDING LIBRARY, SUPPORT GROUPS, EDUCATIONAL PROGRAMS, HEALTHY AGES, AND CATCH (COORDINATED APPROACH TO CHILD HEALTH). SUPPORT GROUPS INCLUDE THOSE FOR PEOPLE LIVING WITH NEUROLOGICAL DISORDERS AND CHRONIC CONDITIONS AND FOR FAMILY CAREGIVERS. EDUCATIONAL PROGRAMS IN 2021 INCLUDED ADULT AND YOUTH MENTAL HEALTH FIRST AID; QUESTION, PERSUADE, REFER; LIVING WELL WITH CHRONIC PAIN, PRESERVING THE BRAIN, ADVANCED CARE PLANNING, COVID & YOUR HEART, POSITIVE PHYSICAL APPROACH NORMAL VS NOT NORMAL AGING, METHYL/TETRA/HYDRO/FOLATE/ REDUCTASE (MTHFR), BUILDING RESILIENCE, LANGUAGE MATTERS, MAKING IT HEALTHY, COVID & STROKE, 10 WARNING SIGNS, LOW VISION, UNDERSTANDING GRIEF, COMPASSION FATIGUE, UNDERSTANDING DEMENTIA, UNDERSTANDING AND RESPONDING TO DEMENTIA BEHAVIOR, CAREGIVER CONFERENCE, EFFECTIVE COMMUNICATION, AND BUILDING A BETTER BODY IMAGE THROUGH THE HOLIDAYS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS. 5,669 PERSONS SERVED. COMMUNITY BENEFIT $304,353.THE UNPAID COST OF MEDICAID CARE FOR 37,193 PERSONS WAS $47,582,812. 675985094 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 110 0 1 4402 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0.00 65.00 X 0 3078475 427939 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0.00 65.00 X 0 2607205 314009 LISA VANCE FRMR KE - PSJH PRES. STRAT. OPS (NO) 0.00 65.00 X 0 2303141 608229 MIKE BUTLER FORMER PRESIDENT 0.00 2.00 X 0 2359254 7651 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0.00 65.00 X 0 1886882 303676 JOEL GILBERTSON FRMR KE - PSJH EVP CE WA/MT 0.00 55.00 X 0 1775625 396085 CINDY STRAUSS FORMER SECRETARY 0.00 0.00 X 0 1927096 17855 MIKE WATERS FRMR KE - PSJH EVP AMB. CARE NET. 0.00 55.00 X 0 1528914 396516 GREG TILL FRMR KE - PSJH CHF PEOPLE OFF. 0.00 55.00 X 0 1575980 217892 MELVIN WAHL PHYSICIAN 50.00 0.00 X 1615311 0 121104 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0.50 64.50 X 0 1456676 262400 GREG HOFFMAN PRESIDENT/CEO & TREASURER 0.50 64.50 X 0 1407278 273342 AARON MARTIN FORMER KE - PSJH EVP CHF MKT/DIG INN. 0.00 55.00 X 0 1436105 235997 JOSHUA BALES PHYSICIAN 50.00 0.00 X 1462256 0 118899 IYAD JAMALI PHYSICIAN 50.00 0.00 X 1197797 0 137020 FRANCIS FLEMING PHYSICIAN 50.00 0.00 X 1189628 0 130816 ARASH MOTAGHI PHYSICIAN 50.00 0.00 X 1198217 0 97162 OREST HOLUBEC FRMR KE - PSJH SVP/CHF COMM/EXT AFF OFF 0.00 55.00 X 0 1049938 191597 JOHN WHIPPLE SECRETARY 0.50 54.50 X 0 1038537 185449 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0.00 55.00 X 0 1111821 7762 MARY CRANSTOUN FRMR KE - PSJH SVP TOTAL REW. TALENT ACQ 0.00 55.00 X 0 861647 176670 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0.00 55.00 X 0 760088 126854 DAVID BROWN FRMR KE - PSJH SVP CAO AMB. CARE 0.00 55.00 X 0 706384 170700 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0.00 0.00 X 0 750000 0 ASLAM KALEEL CHIEF EXEC KADLEC REGION 55.00 0.00 X 0 504371 142846 KIRK HARPER COO KADLEC 55.00 0.00 X 337238 0 31543 SPENCER HARRIS CFO SERVICE AREA PSJH 50.00 0.00 X 0 274819 44413 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 242551 24080 RICHARD BLAIR DIRECTOR 0.50 13.50 X 0 90000 0 DAVE OLSEN DIRECTOR 0.50 12.50 X 0 50000 0 MARY LYONS PHD BOARD CHAIR 1.00 25.00 X 0 48750 0 CHARLES SORENSON MD DIRECTOR 0.50 12.50 X 0 40000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.00 X 0 30000 0 MICHAEL MURPHY DIRECTOR 0.50 12.50 X 0 30000 0 KATHARIN DYER DIRECTOR - THRU 8/21 0.50 12.50 X 0 20000 0 SISTER CAROL PACINI LCM DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 12.50 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 0.50 12.50 X 0 0 0 SR PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 12.50 X 0 0 0 7000447 30951537 5168506 622 1 1 0 ARFC PO BOX 100741 ANCHORAGE AK 99508 MEDICAL SERVICES 6922872 BOUTEN CONSTRUCTION COMPANY PO BOX 3507 SPOKANE WA 99220 CONSTRUCTION SVCS 6563445 PREMIER ANESTHESIA OF RICHLAND PO BOX 405815 ATLANTA GA 303845815 MEDICAL SERVICES 4345181 LOCUMSMART LLC 45 TECHNOLOGY PKWY S STE 235 NORCROSS GA 30092 TECHNOLOGY SERVICES 2581537 NUWEST GROUP HOLDINGS LLC PO BOX 40285 BELLEVUE AK 995035933 STAFFING SERVICES 2503162 65 263466 12028922 12292388 NET PATIENT REVENUE 622110 730677262 730677262 PHARMACY 446110 25912804 25912804 HOSPITAL FEES 622110 5483640 5483640 HEALTHCARE JVS 900099 2390498 2390498 764464204 3869199 80720 3788479 1114503 262564 851939 851939 851939 34775424 18628154 36661 16147270 -36661 16110609 16110609 INTERAFFILIATE REVENUE 900099 17203190 17203190 COST RECOVERIES 900099 6101089 6101089 CAFETERIA REVENUE 722514 716672 716672 7185637 7185637 31206588 828794927 795670792 80720 20751027 2842187 2842187 368782 368782 298559978 258057561 40314312 188105 4956036 4278419 674498 3119 224507 193811 30555 141 18336899 15829776 2495584 11539 166833 144023 22705 105 21520 18577 2929 14 838176 838176 51336807 44317754 6986749 32304 303259 261796 41272 191 8847000 7637389 1204044 5567 339994 293508 46272 214 28063952 24226892 3819400 17660 432017 372949 58796 272 375604 324250 51118 236 9382653 8099805 1276944 5904 21771984 18795198 2963086 13700 153294 132335 20863 96 SYSTEM COST ALLOCATION 170879265 147515703 23256033 107529 MEDICAL SUPPLIES 139405166 120344918 18972525 87723 HOSPITAL FEE 13467918 13467918 LICENSES AND TAXES 7911533 6829825 1076730 4978 2317339 2000500 315382 1457 781302703 675985094 104836755 480854 163137770 186096291 62679803 72309314 14604 8461017 6762029 1870317 1749917 466793807 154778576 327202941 312015231 243768753 268702768 17102732 22189597 22091205 21180838 39159816 44163184 885488958 935169169 44184787 50472150 4706365 526 392583502 366678457 441474654 417151133 X 437419341 504077732 6594963 13940304 444014304 518018036 885488958 935169169 X 47492224 5934164 20577344 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6453 6453 0 PART II-B, LINE 1: PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. 15218738 15218738 282687004 60482756 222204248 5526703 3088553 2438150 146970632 91207267 55763365 16390730 16390730 312015231 I/C - TAX-EXEMPT BOND LIABILITIES 241004783 DUE TO THIRD PARTY 49149873 OTHER LIABILITIES 38897286 DUE TO AFFILIATES 27862770 CAPITAL LEASE OBLIGATION 9763745 366678457 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 11053969 0 11053969 0.01410 134161111 86578299 47582812 0.06090 145215080 86578299 58636781 0.07500 528343 136008 392335 0.00050 5874565 1669819 4204746 0.00540 390061 207945 182116 0.00020 562060 0 562060 0.00070 7355029 2013772 5341257 0.00680 152570109 88592071 63978038 0.08180 10944 10944 0.00000 497 497 0.00000 1195 1195 0.00000 12636 12636 0.00000 0 258788179 281164042 -22375863 X 1 0 1 1 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BOULEVARD RICHLAND WA 99352 PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME HAC.FS.161 X X X INPATIENT REHAB KADLEC REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 20 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: THE 2019 CHNA WAS COMPLETED IN COLLABORATION WITH THE BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE AND BENTON FRANKLIN HEALTH DISTRICT. THE COLLABORATIVE ALSO INCLUDED REPRESENTATIVES FROM TRIOS HEALTH, LOURDES HEALTH, AND PROSSER MEMORIAL HEALTH. THE CHNA STEERING COMMITTEE RECOGNIZED THE VALUE IN HAVING COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS PARTICIPATE IN THE CHNA PROCESS AND SHARE THEIR PERSPECTIVES. AS THE PEOPLE WHO LIVE AND WORK IN THE COUNTIES, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY. TO GATHER COMMUNITY INPUT, LISTENING SESSIONS WERE CONDUCTED WITH COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS WERE INTERVIEWED AND SURVEYED. TEN LISTENING SESSIONS WERE COMPLETED BETWEEN APRIL 12, 2019 THROUGH MAY 30, 2019, IN ENGLISH AND SPANISH, WITH A TOTAL OF 96 COMMUNITY MEMBERS. (SEE APPENDIX 4 OF CHNA PG. 8 FOR DETAILED INFORMATION). PARTICIPANTS SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE HEALTH-RELATED NEEDS OF THE COMMUNITY, AND THE ASSETS THAT CURRENTLY HELP THE COMMUNITY BE HEALTHY. SURVEYS WERE COMPLETED BY 256 STAKEHOLDERS. THEY WERE ASKED TO IDENTIFY THEIR TOP FIVE HEALTH-RELATED COMMUNITY NEEDS. STAKEHOLDERS PRIORITIZED ONE HEALTH-RELATED NEED SUBSTANTIALLY ABOVE THE OTHERS: BEHAVIORAL HEALTH CHALLENGES, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER. TWO ADDITIONAL NEEDS WERE GIVEN HIGH PRIORITY AND TIED FOR IMPORTANCE: ACCESS TO BEHAVIORAL HEALTH SERVICES AND HOMELESSNESS/HOUSING INSTABILITY. THESE TOP THREE NEEDS MIRROR THOSE OF THE STAKEHOLDERS WHO WERE INTERVIEWED. THE STEERING COMMITTEE COMPLETED 16 COMMUNITY STAKEHOLDER INTERVIEWS, INCLUDING 40 STAKEHOLDERS WHO ARE PEOPLE INVESTED IN THE WELL-BEING OF THE COMMUNITY WITH FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. STAKEHOLDERS WERE ASKED TO RANK UNMET HEALTH-RELATED COMMUNITY NEEDS. FOR THOSE NEEDS, STAKEHOLDERS SHARED WHICH POPULATIONS ARE MOST AFFECTED, GAPS IN COMMUNITY SERVICES TO ADDRESS THE NEEDS, AND BARRIERS TO SERVICES. STAKEHOLDERS WERE SELECTED BY MEMBERS OF CHNA STEERING COMMITTEE BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. THE STEERING COMMITTEE AIMED TO ENGAGE STAKEHOLDERS FROM HOSPITALS, SOCIAL SERVICE AGENCIES, CLINICS, AND GOVERNMENT TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEE APPENDIX 4, PG. 16-17 OF CHNA FOR DETAILED INFORMATION)THROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. BENTON AND FRANKLIN COUNTIES, LOCATED IN SOUTH-CENTRAL WASHINGTON, HAVE A TOTAL POPULATION OF APPROXIMATELY 290,000 PEOPLE WITH 77% WHITE, 22.5% HISPANIC, 3% ASIAN, 2.5% MULTI-RACE, 1.5% BLACK, AND 0.5% AMERICAN INDIAN/ALASKA NATIVE. APPROXIMATELY 41,000 PEOPLE LIVING IN THE BI-COUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. INFORMATION COLLECTED INCLUDES PUBLIC HEALTH STATUS INDICATORS RELATED TO OBESITY, PHYSICAL HEALTH, SUICIDE AND MENTAL HEALTH, SEXUAL AND REPRODUCTIVE HEALTH, VIOLENCE AND COMMUNITY SAFETY, SUBSTANCE ABUSE, HOMELESSNESS AND POVERTY, ACCESS TO HEALTH CARE AND AGING ISSUES. COMMUNITY INPUT WAS GATHERED MAY THROUGH JULY OF 2019. LISTENING SESSIONS WERE HELD WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. STAKEHOLDER INTERVIEWS AND SURVEYS WERE CONDUCTED WITH PEOPLE WHO SERVE THESE POPULATIONS.STAKEHOLDERS INCLUDED (ORGANIZED BY ORGANIZATION, NAME)-ALZHEIMER'S ASSOCIATION, JOAN ACRE AND JOEL LOIACONO-BENTON-FRANKLIN HEALTH DISTRICT, CARLA PROCK, JAMES DAWSON-BENTON FRANKLIN RECOVERY COALITION, MICHELE GERBER-CHAPLAIN HEALTH CARE, GARY CASTILLO, TOM ADAMS-COLUMBIA BASIN VETERANS CENTER-COMMUNITIES IN SCHOOLS OF BENTON-FRANKLIN-DOMESTIC VIOLENCE SERVICES, DEBORAH CULVERHOUSE, ZAC SCHILEIKA-GRACE CLINIC, AVONTE JACKSON, CONNIE RODE, KATHY BRAULT, MARK BRAULT-KADLEC COMMUNITY HEALTH PROGRAMS, CHATERINE MANDERBACK, COREY WAKELEY, EDNA FELIX, KAREN HAYES, MEGAN FULLMER-LOURDES HEALTH, BETHANY HALE, CAMERON FORDMEIR, DEANNA PTERILLI-MY FRIEND'S PLACE, HEATHER SHINDEHITE, SIENNA SKEELS-PARENTS AND FRIENDS OF LESBIANS AND GAYS (PFLAG), CARLY COBURN, JEFFREY ROBINSON-PLANNED PARENTHOOD GREATER WASHINGTON AND IDAHO, SUSAN SISSON, CRISTAL ALATORRE, MARISOL LISTER- SUPPORT, ADVOCACY AND RESOURCES CENTER, DESIREE REYNOLDS, JODEE GARRETSON, ROSANNA HERRERA- TRI-CITIES FOOD BANK, FRANCES-ANN HIEMSTRA, HOWARD RICKARD PART V, SECTION B, LINE 6A: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH PART V, SECTION B, LINE 6B: ADVERSE CHILDHOOD EXPERIENCES (ACES) COLLABORATIVEAGING AND LONG-TERM CAREALZHEIMER'S ASSOCIATIONAMISTAD ELEMENTARYA NEW START IN LIFE (ANSIL)BEHAVIORAL HEALTH COMMITTEEBEN FRANKLIN TRANSITBENTON-FRANKLIN COMMUNITY HEALTH ALLIANCEBENTON-FRANKLIN EARLY LEARNING ALLIANCE (BFELA)BENTON-FRANKLIN HEALTH DISTRICTBENTON-FRANKLIN RECOVERY COALITIONBENTON-FRANKLIN YOUTH SUICIDE PREVENTION COALITIONBOYS AND GIRS CLUB OF BENTON AND FRANKLIN COUNTIESCHAPLAINCY HEALTHCARECOLUMBIA BASIN COLLEGE (CBC)COLUMBIA BASIN VETERAN'S CENTERCOMMUNITY IN SCHOOLS BENTON-FRANKLINDOMESTIC VIOLENCE SERVICES OF BENTON AND FRANKLIN COUNTIES (DVS)EDUCATIONAL SERVICE DISTRICT 123 (ESD123)EMERGENCY MEDICAL SERVICES (EMS)GRACE CLINICHUMAN SERVICES COALITIONLAW ENFORCEMENT/POLICE CHIEFSLOWER VALLEY KIWANISMY FRIEND'S PLACE; SAFE HARBORPARENTS AND FAMILIES OF LESBIANS AND GAYS (PFLAG)PEOPLE FOR PEOPLE; 2-1-1PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO (PPGWNI)PROSSER SCHOOL DISTRICTPROSSER THRIVE COALITIONSENIOR LIFE RESOURCES; MEALS ON WHEELSSUPPORT, RESOURCE, AND ADVOCACY CENTER (SARC)TIERRA VIDATRI-CITIES CANCER CENTERTRI-CITIES COMMUNITY HEALTH (TCCH)TRI-CITIES FOOD BANKTRI-CITIES RESIDENTIAL SERVICES (TCRS)TRI-CITY REGIONAL CHAMBER OF COMMERCELOURDES MOBILE OUTREACH TEAMTRI-CITY UNION GOSPEL MISSIONUNITED WAY OF BENTON AND FRANKLIN COUNTIESVINTAGE AT RICHLANDWASHINGTON STATE TRI-CITIES (WSUTC)WORLD RELIEFYOU MEDICAL PART V, SECTION B, LINE 7A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. PART V, SECTION B, LINE 10A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED ADDRESSED IN 2021 BY KADLEC REGIONAL MEDICAL CENTER WERE THE FOLLOWING: 1) BEHAVIORAL HEALTH CHALLENGES, 2) ACCESS AND COST OF HEALTH CARE, 3) SOCIAL DETERMINANTS OF HEALTH (SDOH), AND 4) OBESITY/MAINTAINING HEALHTY WEIGHT.PRIORITY 1: BEHAVIORAL HEALTH CHALLENGESONE STRATEGY UTIILIZED TO ADDRESS BEHAVIORAL HEALTH CHALLENGES IN 2021 WAS BY COMPLETING SUICIDE RISK ASSESSMENTS IN THE EMERGENCY DEPARTMENT (ED) ON PATIENTS PRESENTING WITH MENTAL HEALTH AS CHIEF COMPLAINT AND THOSE WITH DIAGNOSTIC TRIGGERS. IN JANUARY OF 2021, 67% OF SCREENINGS COMPLETED IN MEDICAL CENTER ED, INCREASING TO 72.9% IN DECEMBER OF 2021. IN JANUARY OF 2021, 77.6% OF SCREENINGS COMPLETED IN FREE STANDING EMERGENCY DEPARTMENT (FSED), INCREASING TO 84.4% IN DECEMBER OF 2021. ANOTHER STRATEGY WAS TO PROVIDE COMMUNITY EDUCATION PROGRAMS IN MENTAL HEALTH AND SUICIDE AWARENESS AND PREVENTION. PROGRAMS INCLUDED YOUTH AND ADULT MENTAL HEALTH FIRST AID (MHFA) TRAINIGS; QUESTION, PERSUADE, REFER (QPR); BUILDING RESILIENCY; LANGUAGE MATTERS; UNDERSTANDING GRIEF; AND COMPASSION FATIGUE. 554 COMMUNTIY MEMBERS PARTICIPATED IN THESE TRAININGS IN 2021. ANOTHER STRATEGY TO ADDRESS THIS NEED WAS THE INTEGRATION OF BEHAVIORAL HEALTH IN PRIMARY CARE. THERE ARE THREE SOCIAL WORKERS EMBEDDED IN THREE DIFFERENT CLINICS. WHILE NOT AN ACTIVE PARTICIPANT IN THE EFFORTS AND PROGRESS TOWARDS THE GOAL OF ESTABLISHING A DETOX AND RECOVERY CENTER IN BENTON OR FRANKLIN COUNTY, KADLEC SUPPORTED THE EFFORT BY STAYING INFORMED OF THE PROGRESS AND BY PROVIDING THE FORUM FOR IT TO BE PRESENTED AND DISCUSSED AT KADLEC POPULATION HEALTH COMMUNITY COLLABORATIVE COMMITTEE MEETINGS AND COMMUNITIY HEALTH COUNCIL MEETINGS. EFFORTS CONTINUED IN 2021 WITH BENTON COUNTY OFFICIALS TAKING THE LEAD.PRIORITY 2: ACCESS AND COST OF ALL HEALTH CAREACCESS AND COST OF HEALTH CARE IS BEING ADDRESSED BY CONTINUING PROVIDER RECRUITING EFFORTS; EXPANDING TELEMEDICINE SERVICES, INCLUDING TELEPSYCH; IMPLEMENTING A MEDICATION ASSISTANCE PROGRAM (MAP); IMPLEMENTING A DIVERSITY, EQUITY AND INCLUSION (DEI) PROGRAM, AND PROVIDING MEDICARE EDUCATION TO THOSE TURNING 65 AND OTHERS FOR FINANCIAL PLANNING. IN 2021, THE FOLLOWING PROVIDERS JOINED KADLEC PROVIDING CARE IN KADLEC CLINICS: AN INTERNAL MEDICINE PHYSICIAN, A FAMILY MEDICINE PHYSICIAN, A FAMILY MEDICINE FACULTY WITH THE RESIDENCY PROGRAM, AND TWO PRIMARY CARE NURSE PRACTICTIONERS. KADLEC DEVELOPED A STRATEGY TO RETAIN KADLEC FAMILY MEDICINE RESIDENCY PROGRAM RESIDENTS AND TO RECRUIT ADDITIONAL PRIMARY CARE PHYSICIANS TO KADLEC. THE STRATEGY ENABLED KADLEC TO SIGN SEVEN PRIMARY CARE PHYSICIANS TO JOIN KADLEC IN 2022. IN 2021, 37,260 TELEMEDICINE VISTIS WERE PROVIDED TO PATIENTS IN THE REGION. THE KADLEC MEDICATION ASSISTANCE PROGRAM SERVED 161 PEOPLE IN 2021. IN AUGUST OF 2021, ANNA FRANKLIN STARTED IN HER NEW ROLE AS THE REGION'S EXECUTIVE DIRECTOR OF DIVERSITY, EQUITY AND INCLUSION (DEI). DEI INITIATIVES ARE BEING APPROACHED AT THE SYSTEM AND REGIONAL LEVELS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS.PRIORITY 3: SOCIAL DETERMINANTS OF HEALTHCOMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ) MODEL IS A STRATEGY WE ARE STRIVING TO IMPLEMENT TO ADDRESS HOMELESSNESS. SEVERAL MEETINGS WERE HELD WITH THE BENTON COUNTY HUMAN SERVICES MANAGER TO ASCERTAIN INTEREST IN BFZ. A BFZ PRESENTATION TO THE BENTON AND FRANKLIN COUNTIES HOUSING CONTINUUM OF CARE TASK FORCED WAS SCHEDULED IN 2021 AND RESCHEDULED FOR 2022. KADLEC'S COMMUNITY RESOURCE DESK (CRD) PROGRAM CONNECTS COMMUNITY MEMBERS WITH RESOURCES AND SERVICES TO ADDRESS SDOH, SUCH AS HOUSING, FOOD BANKS, TRANSPORTATION, UTILITIES, AND MORE.PRIORITY 4: OBESITY/MAINTAINING HEALTHY WEIGHTTHE STRATEGY TO ADDRESS OBESITY AND MAINTAIN HEALTHY WEIGHT IS TO IMPLEMENT THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) PROGRAM IN PARTNERSHIP WITH SCHOOLS AND PROGRAMS. BOYS AND GIRLS CLUB AND TWENTY-FIRST CENTURY PROGRAM STAFF WERE TRAINED IN CATCH. STAFF SHORTAGES AND TURNOVER CREATED OBSTACLES TO CATCH IMPLEMENTATION. NUTRITION EDUCATION UTILIZING MY PLATE AND OTHER RESOUCES WAS PROVIDED TO 103 MIDDLE SCHOOL STUDENTS, 27 YOUTH AND PARENTS AT COLUMBIA BASIN RAQUET CLUB (CBRC) AND TEN CHILDREN AT CBRC PRE-SCHOOL.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, AND SOME NEEDS IDENTIFIED IN THE CHNA ARE THE MISSION OF OTHER ORGANIZATIONS. FOR EXAMPLE, ADDRESSING FOOD INSECURITY IS THE MISSION OF SECOND HARVEST, THE COMMUNITY ACTION COALITION, AND LOCAL FOOD BANKS. WHILE ADDRESSING FOOD INSECURITY IS NOT A DIRECT FOCUS OF THE KADLEC CHIP, FOOD INSECURITY IS ADDRESSED IN SEVERAL WAYS. KADLEC ORGANIZES AN ANNUAL FOOD DRIVE TO PROVIDE FOOD FOR THOSE IN NEED. KADLEC'S PROJECT HOMECOMING PROGRAM ADDRESSES THE NUTRITIONAL NEEDS OF PATIENTS WHEN THEY ARE DISCHARGED FROM THE MEDICAL CENTER THROUGH A PARTNERSHIP WITH MEALS ON WHEELS IF THEY WERE DIAGNOSED WITH MALNUTRITION WHILE IN OUR CARE. IN 2021, 426 MEALS WERE PROVIDED TO THE 18 PATIENTS WHO UTILIZED PROJECT HOMECOMING. WHILE POVERTY WILL NOT BE THE DIRECT FOCUS OF CHIP STRATEGIES OUTLINED FOR 2020-2022, KADLEC'S FINANCIAL AID PROGRAM (FAP) PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. POVERTY AND FOOD INSECURITY ARE ADDRESSED THROUGH THE COMMUNITY RESOURCES DESK BY CONNECTING COMMUNITY MEMBERS IN NEED WITH RESOURCES AND SERVICES. PART V, SECTION B, LINE 16A, FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 35 1 - TRI-CITIES CANCER CENTER 600 NW 11TH ST STE E23 HERMISTON OR 978388605 SPECIALTY CLINIC 2 - TRI-CITIES CANCER CENTER 7350 W DESCHUTES AVE BLDG A KENNEWICK WA 993367802 SPECIALTY CLINIC 3 - EXPRESS CARE AT WALLGREENS N RICHLAND 1601 GEORGE WASHINGTON WAY RICHLAND WA 993542626 SPECIALTY CLINIC 4 - EXPRESS CARE AT WALGREENS QUEENSGATE 2564 QUEENS GATE DR STE 2580 RICHLAND WA 993529109 SPECIALTY CLINIC 5 - EXPRESS CARE AT WALGREENS CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 993372484 SPECIALTY CLINIC 6 - EXPRESS CARE AT WALLGREENS PASCO 5506 N RD 68 PASCO WA 993019627 SPECIALTY CLINIC 7 - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 993524231 SPECIALTY CLINIC 8 - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 993524231 SPECIALTY CLINIC 9 - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 993524231 SPECIALTY CLINIC 10 - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 993524231 SPECIALTY CLINIC 11 - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 993524231 SPECIALTY CLINIC 12 - KADLEC CLINIC RICHLAND NEPHROLOGY 900 STEVENS DR 101 RICHLAND WA 993523535 SPECIALTY CLINIC 13 - KADLEC CLINIC RICHLAND NEPHROLOGY 900 STEVENS DR 101 RICHLAND WA 993523535 SPECIALTY CLINIC 14 - KADLEC CLINIC HERMISTON NEPHROLOGY 1050 W ELM AVE STE 160 HERMISTON OR 978382715 SPECIALTY CLINIC 15 - KADLEC CLINIC - PENDLETON NEPHROLOGY 3001 ST ANTHONY WAY PENDLETON OR 978013836 SPECIALTY CLINIC 16 - KADLEC OCCUPATIONAL MED KENNEWICK 510 N COLORADO ST STE A KENNEWICK WA 993367770 SPECIALTY CLINIC 17 - KADLEC OCCUPATIONAL MED KENNEWICK 510 N COLORADO ST STE A KENNEWICK WA 993367770 SPECIALTY CLINIC 18 - NORTHWEST ORTHOPEDICS AND SPORTS MED 1351 FOWLER ST RICHLAND WA 993524714 SPECIALTY CLINIC 19 - NORTHWEST ORTHOPEDICS AND SPORTS MED 1351 FOWLER ST RICHLAND WA 993524714 SPECIALTY CLINIC 20 - NORTHWEST ORTHOPEDICS AND SPORTS MED 1351 FOWLER ST RICHLAND WA 993524714 SPECIALTY CLINIC 21 - NORTHWEST ORTHOPEDICS AND SPORTS MED 875 SWIFT BLVD STE A RICHLAND WA 993523592 SPECIALTY CLINIC 22 - NORTHWEST ORTHOPEDICS AND SPORTS MED 875 SWIFT BLVD STE A RICHLAND WA 993523592 SPECIALTY CLINIC 23 - NORTHWEST ORTHOPEDICS AND SPORTS MED 875 SWIFT BLVD STE A RICHLAND WA 993523592 SPECIALTY CLINIC 24 - NORTHWEST ORTHOPEDICS AND SPORTS MED 3900 S ZINTEL WAY FL 1 KENNEWICK WA 993375092 SPECIALTY CLINIC 25 - PERINATAL CLINIC 969 STEVENS DR STE 3A RICHLAND WA 993523352 SPECIALTY CLINIC 26 - RICHLAND REHAB CENTER 1745 PIKE AVE RICHLAND WA 99354 REHAB & PHYSICAL THERAPY 27 - EAST KENNEWICK SENIOR HEALTH CLINIC 911 S WASHINGTON ST KENNEWICK WA 99336 SENIOR CARE 28 - KADLEC AMB ENDOSCOPY CTR LEE CAMPUS 1270 LEE BLVD STE B RICHLAND WA 993524231 SPECIALTY CLINIC 29 - KADLEC AMB ENDOSCOPY CTR LEE CAMPUS 1270 LEE BLVD STE B RICHLAND WA 993524231 SPECIALTY CLINIC 30 - AMBULATORY SURGERY CENTER SPAULDING 1351 FOWLER ST STE 100 RICHLAND WA 993524714 SPECIALTY CLINIC 31 - AMBULATORY SURGERY CENTER SPAULDING 1351 FOWLER ST STE 100 RICHLAND WA 993524714 SPECIALTY CLINIC 32 - AMBULATORY SURGERY CENTER SPAULDING 1351 FOWLER ST STE 100 RICHLAND WA 993524714 SPECIALTY CLINIC 33 - KADLEC CLINIC - HERMISTON ON 11TH 600 NW 11TH ST STE E23 HERMISTON OR 97838 SPECIALTY CLINIC 34 - KADLEC CLINIC ASSOCD PHYS FOR WOMEN 900 STEVENS DR STE 203 RICHLAND WA 993523535 SPECIALTY CLINIC 35 - KADLEC CLINIC ASSOCD PHYS FOR WOMEN 900 STEVENS DR STE 203 RICHLAND WA 993523535 SPECIALTY CLINIC PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: KADLEC (AFFILIATED WITH PROVIDENCE HEALTH & SERVICES - WASHINGTON - 51-0216586) PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/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: KADLEC IS PROUD TO SUPPORT COMMUNITY BUILDING ACTIVITIES BY PARTICIPATING IN COMMUNITY COLLABORATIONS THAT ADDRESS HEALTH AND SAFETY ISSUES. KADLEC LEADS THE COMMUNITY HEALTH COUNCIL, PARTICIPATES IN THE HEALTH EQUITY AND ACCESS TEAM, YOUTH SUICIDE PREVENTION COALITION, HUMAN SERVICES COALITION, AND BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE BEHAVIORAL HEALTH COMMITTEE.KADLEC'S EXECUTIVE TEAM MEMBER(S) PARTICIPATED ON THE FOLLOWING BOARDS: BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, TRI-CITIES DIVERSITY & INCLUSION COUNCIL, TRI-CITIES REGIONAL CHAMBER OF COMMERCE, AND TRI-CITY DEVELOPMENT COUNCIL (TRIDEC). PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2021. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY. PART VI, LINE 2: IN ADDITION TO THE CHNA, WE UTILIZE OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS TO UNDERSTAND COMMUNITY NEEDS. WE PARTICIPATE IN COMMUNITY MEETINGS AND HOLD COMMUNITY HEALTH COUNCIL MEETINGS EVERY OTHER MONTH TO BRING COMMUNITY PARTNERS TOGETHER WITH THE GOAL OF UNDERSTANDING COMMUNITY NEEDS AND DEVELOPING COLLABORATIONS TO ADDRESS THEM. WE UTILIZE CURRENT DATA, RELEVANT REPORTS, PUBLIC HEALTH INFORMATION, AND ECONOMIC AND COMMUNITY DEVELOPMENTS TO ESTIMATE COMMUNITY HEALTH NEEDS AND TO ADJUST PROGRAMS AND SERVICES ACCORDINGLY. KADLEC WORKS CLOSELY AND CONSISTENTLY WITH THE BENTON FRANKIN HEALTH DEPARTMENT TO UNDERSTAND AND ADDRESS HEALTH NEEDS. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:KADLEC POSTS 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.KADLEC 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 ASSISTANT POLICIES, KADLEC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.KADLEC SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: KADLEC REGIONAL MEDICAL CENTER'S SERVICE AREA INCLUDES BENTON AND FRANKLIN COUNTIES AND EXTENDS A 100 MILE RADIUS FROM THE MEDICAL CENTER. BENTON AND FRANKLIN COUNTIES ARE GEOGRAPHICALLY LOCATED ALONG THE CENTRAL PORTION OF THE SOUTHERN EDGE OF WASHINGTON STATE. COMBINED, THE TWO COUNTIES ARE HOME TO ABOUT 299,000 INDIVIDUALS (2018 US CENSUS ESTIMATES), WHICH ACCOUNTS FOR 3.9% OF THE STATE'S POPULATION. EACH OF THE THREE MAIN MUNICIPALITIES THAT MAKE UP THE TRI-CITIES ARE LOCATED WITHIN ONE OF THESE TWO COUNTIES: KENNEWICK AND RICHLAND WITHIN BENTON COUNTY AND PASCO WITHIN FRANKLIN COUNTY. THERE ARE NUMEROUS OTHER SMALLER CITIES WITHIN THIS JURISDICTION INCUDING PROSSER, CONNELL, ELTOPIA, BENTON CITY, WEST RICHLAND, FINLEY, MESA, BASIN CITY, AND KAHLOTUS. THE POPULATION ESTIMATES FOR THE CITIES AND TOWNS WITHIN BENTON AND FRANKLIN COUNTIES IN 2019: - BENTON CITY: 3,520 - CONNELL: 5,500 - KAHLOTUS: 165 - KENNEWICK: 83,670 - MESA: 495 - PASCO: 75,290 - PROSSER: 6,145 - RICHLAND: 56,850 - WEST RICHLAND: 15,340 GIVEN THESE NUMBERS, THE ESTIMATED POPULATION OF RESIDENTS LIVING IN UNINCORPORATED AREAS IN EITHER COUNTY (EX: FINLEY, ELTOPIA, BASIN CITY) IS 43,000 PEOPLE. WHILE THE POPULATION REMAINS PREDOMINANTLY WHITE, THERE IS A SUBSTANTIAL HISPANIC/LATINX POPULATION THAT HAS MORE THAN DOUBLED OVER THE PAST TWO DECADES. RACE: - WHITE: 70% IN BENTON COUNTY, 39% IN FRANKLIN COUNTY- HISPANIC (ANY RACE): 22.5% BENTON COUNTY, 55.5 % FRANKLIN COUNTY- BLACK: 1.5% BENTON COUNTY, 1.5% FRANKLIN COUNTY- AMERICAN INDIAN/ALASKAN NATIVE: .5% BENTON COUNTY, .5% FRANKLIN COUNTY- ASIAN: 3% BENTON COUNTY, 2% FRANKLIN COUNTY- MULTI-RACE: 2.5% BENTON COUNTY, 1.5% FRANKLIN COUNTYAPPROXIMATELY 41,000 PEOPLE LIVING IN THE BICOUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. THE AGE DISTRIBUTION FOR BENTON AND FRANKLIN COUNTIES IS APPROXIMATELY: - 0-17 YEARS: 28% - 18-34 YEARS: 22 % - 35-64 YEARS: 37% - 65+ YEARS: 13%THE REGION IS ALSO CONSIDERED TO BE A HEALTH CARE PROVIDER SHORTAGE AREA FOR PRIMARY CARE PROVIDERS, MENTAL HEALTH PROVIDERS, AND DENTAL PROVIDERS, MEANING THERE ARE NOT ENOUGH PROVIDERS FOR THE POPULATION SIZE, GEOGRAPHIC LOCATION, OR FACILITY TYPE. FRANKLIN COUNTY IS ALSO CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA WHICH THE FEDERAL GOVERNMENT CLASSIFIES AS AN AREA THAT HAS TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. THESE DEFINITIONS AND MORE INFORMATION CAN BE FOUND ON THE WEBSITE FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA).OTHER HOSPITALS IN THE TRI-CITIES AREA INCLUDE: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH. PART VI, LINE 5: KADLEC REGIONAL MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. KADLEC REGIONAL MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:- PROVIDENCE ACROSS SEVEN WESTERN STATES- COVENANT HEALTH IN WEST TEXAS- PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA- SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS A YEAR MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT PART VI, LINE 7, REPORTS FILED WITH STATES WA 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 501(C)(3) 1519390 0 SPONSORSHIP COLUMBIA BASIN COLLEGE FOUNDATION 2600 N 20TH AVE PASCO WA 99301 911307538 501(C)(3) 500000 0 OPERATIONAL SUPPORT GRACE CLINIC 800 W CANAL DR KENNEWICK WA 99336 770592408 501(C)(3) 54159 0 SPONSORSHIP ST VINCENT DE PAUL FOOD BANK AND COMMUNITY SERVICES 215 S 6TH AVE / PO BOX 4273 PASCO WA 99302 825338652 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE 7102 W OKANOGAN PLACE KENNEWICK WA 99336 030452352 501(C)(3) 18800 0 OPERATIONAL SUPPORT ELIJAH FAMILY HOMES 660 GEORGE WASHINGTON WAY STE G RICHLAND WA 99352 204058168 501(C)(3) 9000 0 COMMUNITY BENEFIT RESTRICTED GRANT DOMESTIC VIOLENCE SERVICES OF BENTON AND FRANKLIN COUNTIES 3311 W CLEARWATER STE C-140 KENNEWICK WA 99336 870704852 501(C)(3) 8000 0 COMMUNITY BENEFIT RESTRICTED GRANT 7 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0 1103566 0 671005 0 1303904 0 410295 0 17644 0 3506414 0 1251780 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0 1092734 0 536536 0 977935 0 294426 0 19583 0 2921214 0 925168 LISA VANCE FRMR KE - PSJH PRES. STRAT. OPS (NO) 0 1273462 0 766134 0 263545 0 580007 0 28222 0 2911370 0 211879 MIKE BUTLER FORMER PRESIDENT 0 0 0 0 0 2359254 0 7651 0 0 0 2366905 0 0 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0 988719 0 510324 0 387839 0 270192 0 33484 0 2190558 0 341291 JOEL GILBERTSON FRMR KE - PSJH EVP CE WA/MT 0 765306 0 518330 0 491989 0 364702 0 31383 0 2171710 0 194575 CINDY STRAUSS FORMER SECRETARY 0 228582 0 263565 0 1434949 0 6525 0 11330 0 1944951 0 397592 MIKE WATERS FRMR KE - PSJH EVP AMB. CARE NET. 0 682426 0 533015 0 313473 0 375762 0 20754 0 1925430 0 183238 GREG TILL FRMR KE - PSJH CHF PEOPLE OFF. 0 664080 0 699002 0 212898 0 188205 0 29687 0 1793872 0 175548 MELVIN WAHL PHYSICIAN 1377484 0 91646 0 146181 0 95717 0 25387 0 1736415 0 124972 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 810289 0 339019 0 307368 0 235035 0 27365 0 1719076 0 266274 GREG HOFFMAN PRESIDENT/CEO & TREASURER 0 875809 0 415999 0 115470 0 241752 0 31590 0 1680620 0 76348 AARON MARTIN FORMER KE - PSJH EVP CHF MKT/DIG INN 0 809570 0 351062 0 275473 0 222987 0 13010 0 1672102 0 251577 JOSHUA BALES PHYSICIAN 1203196 0 146850 0 112210 0 89362 0 29537 0 1581155 0 91570 0 IYAD JAMALI PHYSICIAN 1046897 0 1000 0 149900 0 108933 0 28087 0 1334817 0 125499 0 FRANCIS FLEMING PHYSICIAN 1118828 0 2140 0 68660 0 100557 0 30259 0 1320444 0 41636 0 ARASH MOTAGHI PHYSICIAN 960427 0 147508 0 90282 0 72026 0 25136 0 1295379 0 69641 0 OREST HOLUBEC FRMR KE - PSJH SVP/CHF COMM/EXT AFF 0 538173 0 309999 0 201766 0 160532 0 31065 0 1241535 0 164043 JOHN WHIPPLE SECRETARY 0 485477 0 301033 0 252027 0 156256 0 29193 0 1223986 0 180264 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0 1581 0 97000 0 1013240 0 7318 0 444 0 1119583 0 118519 MARY CRANSTOUN FRMR KE - PSJH SVP TOTAL REW. TALENT 0 478972 0 188541 0 194134 0 150948 0 25722 0 1038317 0 153592 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0 450443 0 287615 0 22030 0 94222 0 32632 0 886942 0 0 DAVID BROWN FRMR KE - PSJH SVP CAO AMB. CARE 0 411677 0 119936 0 174771 0 140142 0 30558 0 877084 0 152970 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0 0 0 0 0 750000 0 0 0 0 0 750000 0 0 ASLAM KALEEL CHIEF EXEC KADLEC REGION 0 401778 0 90525 0 12068 0 115751 0 27095 0 647217 0 10685 KIRK HARPER COO KADLEC 284034 0 49388 0 3816 0 27664 0 3879 0 368781 0 2381 0 SPENCER HARRIS CFO SERVICE AREA PSJH 0 204681 0 49902 0 20236 0 20496 0 23917 0 319232 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 210749 0 30761 0 1041 0 12268 0 11812 0 266631 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN 2021: MIKE BUTLER - $2,355,018 VENKAT BHAMIDIPATI - $750,000 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: DEBRA CANALES - $1,251,780 RHONDA MEDOWS, MD - $925,168 LISA VANCE - $211,879 AMY COMPTON-PHILLIPS, MD - $341,291 JOEL GILBERTSON - $194,575 CINDY STRAUSS - $397,592 MIKE WATERS - $183,238 GREG TILL - $175,548 MELVIN WAHL - $124,972 JO ANN ESCASA-HAIGH - $266,274 GREG HOFFMAN - $76,348 AARON MARTIN - $251,577 JOSHUA BALES - $91,570 IYAD JAMALI - $125,499 FRANCIS FLEMING - $41,636 ARASH MOTAGHI - $69,641 OREST HOLUBEC - $164,043 JOHN WHIPPLE - $180,264 DEBBIE BURTON - $118,519 MARY CRANSTOUN - $153,592 DAVID BROWN - $152,970 ASLAM KALEEL - $10,685 KIRK HARPER - $2,381 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART V, LINE 15: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF KADLEC REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS KADLEC REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE KADLEC REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE KADLEC REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 16,467,779. OTHER CHANGES IN NET ASSETS 7,112,248. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -3,002,683. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 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