PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-13
IRS object ID: 202143179349302754
Schema version: 2020v4.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-13T18:47:16-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	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	JO ANN ESCASA-HAIGH	PersonNm
Person Title	EVP/ASST. TREASURER	PersonTitleTxt
Phone	9493814000	PhoneNum
Signature	2021-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JO	PersonFirstNm
Person Last	ANN ESCASA-HAIGH	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GREG HOFFMAN	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	$8,637,596,740	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	38800	TotalEmployeeCnt
Total Volunteers	3710	TotalVolunteersCnt
Total Gross UBI	$2,914,033	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,604,467	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$31,683,586	PYContributionsGrantsAmt
CY Contributions Grants	$202,302,367	CYContributionsGrantsAmt
PY Program Service Revenue	$6,972,805,704	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,352,649,727	CYProgramServiceRevenueAmt
PY Investment Income	$125,763,770	PYInvestmentIncomeAmt
CY Investment Income	$214,399,031	CYInvestmentIncomeAmt
PY Other Revenue	$194,909,507	PYOtherRevenueAmt
CY Other Revenue	$187,365,189	CYOtherRevenueAmt
PY Total Revenue	$7,325,162,567	PYTotalRevenueAmt
CY Total Revenue	$7,956,716,314	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,071,490	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,806,952	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,254,638,658	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,487,928,256	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,774,502	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,056,489,634	PYOtherExpensesAmt
CY Other Expenses	$3,508,981,934	CYOtherExpensesAmt
PY Total Expenses	$7,323,199,782	PYTotalExpensesAmt
CY Total Expenses	$8,006,717,142	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,962,785	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$50,000,828	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,720,688,902	TotalAssetsBOYAmt
Total Assets EOY	$11,692,053,785	TotalAssetsEOYAmt
Total Liabilities BOY	$7,430,936,325	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,592,798,656	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,289,752,577	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,099,255,129	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	$3,921,213,091	ExpenseAmt
Grant	$9,806,952	GrantAmt
Revenue	$7,498,078,080	RevenueAmt
Desc	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 51 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-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, WA2020 - AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. IN 2020, WE INVESTED $1.7 BILLION IN COMMUNITY BENEFIT ACROSS SEVEN REGIONS, TO SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT CREATE LASTING CHANGE AT THE COMMUNITY LEVEL. THESE EFFORTS SEEK TO MITIGATE IMMEDIATE CHALLENGES WHILE FINDING SOLUTIONS TO DEEP-ROOTED PROBLEMS, IMPROVE ACCESS TO HEALTH CARE, AND ADVANCE INNOVATIVE CARE MODELS TO MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.CARING FOR OUR COMMUNITIES HAS NEVER BEEN MORE IMPORTANT. TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, OUR PROVIDENCE FAMILY OF ORGANIZATIONS FOCUSED ON FOUR COMMUNITY INITIATIVES IN 2020:1- FOUNDATIONS OF HEALTH;2- REMOVING BARRIERS TO CARE;3- COMMUNITY RESILIENCE; AND4- INNOVATING FOR THE FUTURE.WE CHOSE THESE FOCUS AREAS BECAUSE THEY ARE ALL FOUNDATIONAL TO HEALTH AND WELL-BEING, REPRESENTING IDENTIFIED NEEDS THAT ARE INTEGRAL TO IMPROVING QUALITY OF LIFE. 2020 PROGRAM SERVICE ACCOMPLISHMENTSIN 2020, PROVIDENCE WASHINGTON AND PROVIDENCE ALASKA CONTINUED THE TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE HIGHLIGHT ACCOMPLISHMENTS IN 2020.ACCESS TO VITAL HEALTH CARE SERVICESIN 2020, PROVIDENCE HEALTH & SERVICES ALASKA DIVERTED STAFF, RESOURCES AND EQUIPMENT TO AN EMERGENCY MAKESHIFT CLINIC TO HELP ENSURE THESE VULNERABLE ANCHORAGE RESIDENTS RECEIVE THE HEALTH CARE THEY NEED - WHEN THEY NEED IT. THE CLINIC IS ALSO LOCATED WHERE THEY NEED IT, JUST STEPS AWAY FROM THE MASS EMERGENCY SHELTER SET UP INSIDE THE SULLIVAN ARENA DURING THIS PAST YEAR'S COVID-19 PANDEMIC. THE BOX OFFICE - WHERE FANS ONCE CAME TO BUY TICKETS TO A CONCERT OR SPORTING EVENT - IS THE ARENA SPACE THAT HAS BEEN CONVERTED INTO A CLINIC.THREE AGENCIES/ORGANIZATIONS SUPPORTED THIS CLINIC - ANCHORAGE NEIGHBORHOOD HEALTH CENTER, SOUTHCENTRAL FOUNDATION AND PROVIDENCE. AND WITHIN PROVIDENCE, THE ALASKA FAMILY MEDICAL CENTER AND RESIDENCY, AND PROVIDENCE BEHAVIORAL HEALTH. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/NEWS/UF/654638986PARTNERSHIPS DRIVE HOUSING SOLUTIONS:IN OLYMPIA, WASHINGTON, PROVIDENCE HEALTH & SERVICES PARTNERS WITH AND INVESTS IN THE CITY'S ONGOING EFFORTS TO PROVIDE RESOURCES TO PEOPLE EXPERIENCING HOMELESSNESS. HEAR HOW PROVIDENCE SUPPORTED THE MICRO-HOUSING PROGRAM. PROVIDENCE HEALTH & SERVICES OF SOUTHWEST WASHINGTON PARTNERS WITH AND INVESTS IN THE COMMUNITY'S ONGOING EFFORTS TO PROVIDE RESOURCES TO PEOPLE EXPERIENCING HOMELESSNESS IN THE GREATER OLYMPIA AREA. ONE EXAMPLE IS SUPPORTING THE CITY OF OLYMPIA TO PROVIDE TEMPORARY MICRO-HOUSING FOR THE UNSHELTERED. MICRO-HOUSING UNITS ARE SMALL, HAND-BUILT STRUCTURES THAT, UNLIKE TENTS, PROVIDE DRY AND DURABLE SHELTER. THESE UNITS ARE BUILT AND PROVIDED THROUGH A PARTNERSHIP BETWEEN THE CITY, NONPROFIT AND FAITH-BASED ORGANIZATIONS, AND THE PORT OF OLYMPIA.WHAT BEGAN AS A SMALL VOLUNTEER PROJECT FOR ONE MEMBER OF THE UNITED CHURCHES OF OLYMPIA HAS BLOSSOMED INTO A CITY-SUPPORTED INITIATIVE THAT PROVIDES MORE PROTECTION FOR UNSHELTERED PEOPLE. MICRO-HOUSING UNITS ARE NOT INTENDED TO SERVE AS PERMANENT HOUSES, BUT THEY ARE ROBUST AND CAN BE LOCKED TO SECURE RESIDENTS' POSSESSIONS. THIS, COMBINED WITH CITY-INSTALLED FEATURES SUCH AS A WATER SPIGOT, DUMPSTER AND HAND-WASHING STATION, PROVIDES GREATER PROTECTION FOR THOSE EXPERIENCING HOMELESSNESS. HTTPS://BLOG.PROVIDENCE.ORG/COMMUNITY-PARTNERSHIPS/IN-OLYMPIA-PUBLIC-PRIVATE-PARTNERSHIPS-DRIVE-TEMPORARY-HOUSING-SOLUTIONSTHE CHILDREN'S LUNCHBOX:THE CHILDREN'S LUNCHBOX IN ANCHORAGE, ALASKA HAS PLAYED A VITAL ROLE IN FEEDING HUNGRY CHILDREN SINCE 1998. IN 2020, THE PROGRAM CONTINUED TO MEET GROWING NEEDS AND ENSURE NO CHILD WENT HUNGRY. LEARN MORE ABOUT HOW PROVIDENCE HELPED EXPAND EFFORTS DURING THE PANDEMIC. BUOYED BY A $125,000 INVESTMENT FROM PROVIDENCE HEALTH & SERVICES ALASKA IN PARTNERSHIP WITH PROVIDENCE ALASKA FOUNDATION, AND GENEROUS DONATIONS FROM OTHER INDIVIDUAL AND CORPORATE DONORS AND GRANTS, BEAN'S CAFE WAS ABLE TO EXPAND THE CHILDREN'S LUNCHBOX TO MEET THE GROWING NEED OF FAMILIES DURING THE PANDEMIC. SINCE MARCH OF 2020, CHILDREN'S LUNCHBOX HAS PROVIDED 254,000 MEALS TO FAMILIES AND CHILDREN IN ANCHORAGE. THAT NUMBER INCREASES DAILY. FRESH MEALS ARE ASSEMBLED EACH WEEK AND PACKAGED IN VACUUM-SEALED CONTAINERS. THE SHELF-STABLE PANTRY PACKS ARE PACKAGED BY VOLUNTEERS IN AN OFF-SITE WAREHOUSE, FOLLOWING COVID-19 SAFETY PROTOCOL, OR BY VOLUNTEERS AT HOME. THE PANTRY BOXES CONTAIN A BREAKFAST, LUNCH OR DINNER AND CAN BE PICKED UP VIA MOBILE PICK-UP OR DELIVERY AT DESIGNATED LOCATIONS THROUGHOUT TOWN. HTTPS://BLOG.PROVIDENCE.ORG/COMMUNITY-PARTNERSHIPS/PROGRAM-HELPS-FEED-HUNGRY-CHILDREN-AND-THEIR-FAMILIESCOMMUNITY HEALTH WORKERS:IN PROVIDENCE WALLA WALLA, WASHINGTON THE COMMUNITY HEALTH WORKERS (CHWS) BUILD TRUST BY ACCOMPANYING PATIENTS TO APPOINTMENTS, ADVOCATING FOR THEIR NEEDS, AND CONNECTING THEM TO SERVICES LIKE RENT ASSISTANCE, FOOD DELIVERY AND HEALTH INSURANCE. THESE SERVICES ARE VITAL TO SUPPORT STRONG COMMUNITY PARTNERSHIPS. LEARN HOW THE CHWS ARE GAINING ACCESS TO TRAINING AND EDUCATION SERVICES TO CONTINUE THIS IMPORTANT WORK: HTTPS://BLOG.PROVIDENCE.ORG/COMMUNITY-PARTNERSHIPS/COMMUNITY-PARTNERSHIPS-AND-COLLABORATION-ARE-THE-KEYS-TO-SUCCESS-IN-SOUTHEAST-WASHINGTONFOR MORE INFORMATION ABOUT PROVIDENCE WASHINGTON GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTONFOR MORE INFORMATION ABOUT PROVIDENCE ALASKA GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/ALASKA	Desc
Total Program Service Expenses	$3,921,213,091	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	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	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
IRP Document	2418	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	38800	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	IN	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	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	1	Form8282FiledCnt
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9493814000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROD F HOCHMAN MD
FORMER OFFICER - PSJH PRESIDENT/CEO	0.00	60.00	Yes (X)	$0	$9,299,594	$813,801
MIKE BUTLER
PRESIDENT - (PART YEAR)	39.00	21.00		$0	$8,708,237	$56,431	Yes (X)
DEBRA CANALES
FORMER KE - PSJH EVP/CAO	0.00	60.00	Yes (X)	$0	$2,003,884	$691,108
ERIK WEXLER
CHIEF EXECUTIVE, SOUTHERN CA	0.00	65.00		$1,864,281	$0	$448,015		Yes (X)
AMY COMPTON-PHILLIPS MD
FORMER KE - PSJH EVP/CHF CLIN. OFC.	0.00	55.00	Yes (X)	$0	$1,709,011	$533,089
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	0.00	60.00	Yes (X)	$0	$1,814,460	$328,861
VENKAT BHAMIDIPATI
EVP/TREASURER - (PART YEAR)	39.00	21.00		$0	$2,084,131	$22,680	Yes (X)
CINDY STRAUSS
SECRETARY - (PART YEAR)	39.00	21.00		$0	$1,745,541	$358,093	Yes (X)
GUY HUDSON MD
CE SWEDISH HEALTH SERVICES	1.00	49.00		$1,670,435	$0	$391,893		Yes (X)
VICTOR JORDAN
COO SO CA	1.00	49.00		$1,716,335	$0	$234,873		Yes (X)
MICHAEL L COTTON
PRESIDENT/CEO - HEALTH PLANS	0.00	60.00		$1,922,445	$0	$27,712		Yes (X)
LISA VANCE
FORMER KE - PSJH EVP REGIONAL CE OR.	0.00	60.00	Yes (X)	$0	$1,529,706	$411,248
ELAINE COUTURE
EVP CHIEF EXECUTIVE WA AND MT	39.00	21.00		$1,622,417	$0	$248,898			Yes (X)
MEDRICE COLUCCIO
CHIEF EXEC ST PETER HOSP-(PART YEAR)	39.00	21.00		$1,744,434	$0	$5,982			Yes (X)
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	33.00	27.00		$0	$1,311,654	$434,938	Yes (X)
BRYAN MITCHELL
PHYSICIAN ORTHOPEDIC SURGEON	40.00	0.00		$1,587,732	$0	$124,759		Yes (X)
GREG TILL
CHIEF PEOPLE OFFICER	42.00	23.00		$1,304,460	$0	$341,650			Yes (X)
AARON MARTIN
FRMR KE - PSJH EVP CHF MKT/DIG INN.	0.00	70.00	Yes (X)	$0	$1,307,753	$272,343
MIKE WATERS
EVP AMBULATORY CARE NETWORK	0.00	65.00		$1,120,486	$0	$223,207			Yes (X)
JOEL GILBERTSON
EVP COMMUNITY PARTNERSHIPS	39.00	21.00		$1,107,594	$0	$226,050			Yes (X)
PRESTON SIMMONS
SVP CHIEF EXEC AK REGION	42.00	23.00		$1,060,082	$0	$251,202			Yes (X)
OREST HOLUBEC
FORMER SVP/CHIEF COMM/EXT AFF OFF	0.00	55.00	Yes (X)	$0	$939,380	$203,274
JOHN WHIPPLE
SECRETARY	33.00	27.00		$963,651	$0	$176,306	Yes (X)
MARY CRANSTOUN
SVP TOTAL REWARDS - TALENT ACQ	39.00	21.00		$833,682	$0	$188,693			Yes (X)
PEG CURRIE
CHIEF EXEC SACRED HEART MEDICAL CTR	47.00	3.00		$749,057	$0	$151,248			Yes (X)
DAVID BROWN
SVP CAO AMBULATORY CARE	36.00	19.00		$708,463	$0	$156,898			Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY	6.00	54.00		$0	$744,481	$120,056	Yes (X)
KIM WILLIAMS
CHIEF EXEC PRMCE	40.00	1.00		$710,800	$0	$151,870			Yes (X)
SCOTT O'BRIEN
COO WA AND MT REGION	42.00	18.00		$672,235	$0	$147,490			Yes (X)
GREG HOFFMAN
PRESIDENT/CEO & TREAS. - (PART YEAR)	39.00	21.00		$675,947	$0	$122,495	Yes (X)
DEBBIE BURTON
SVP CHIEF NURSING OFFICER	39.00	21.00		$651,863	$0	$39,206			Yes (X)
HELEN ANDRUS
CFO WA AND MT REGION	42.00	18.00		$542,854	$0	$84,428			Yes (X)
ELLA GOSS
CHIEF EXEC ALASKA MEDICAL CENTER	40.00	0.00		$483,130	$0	$134,813			Yes (X)
BRUCE LAMOUREUX
FORMER CE/AK REGION	0.00	65.00	Yes (X)	$572,823	$0	$19,670
DARIN GOSS
CHIEF EXEC ST. PETER HOSPITAL	39.00	21.00		$267,302	$233,192	$85,440			Yes (X)
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER	0.00	58.00	Yes (X)	$485,249	$0	$30,532
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL	0.00	60.00	Yes (X)	$361,654	$0	$27,461
AMY MILLER
CFO AK REGION	42.00	23.00		$305,184	$0	$50,589			Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	39.00	21.00		$228,473	$0	$22,814	Yes (X)
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	33.00	27.00	Yes (X)	$105,105	$0	$17,660
DAVE OLSEN
BOARD CHAIR	0.10	7.00		$65,770	$0	$0				Yes (X)
MARY LYONS PHD
DIRECTOR	0.10	4.60		$62,020	$0	$0				Yes (X)
RICHARD BLAIR
PAST CHAIR	0.10	7.70		$60,270	$0	$0				Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR	0.10	7.00		$55,830	$0	$0				Yes (X)
KATHARIN DYER
DIRECTOR	0.10	5.00		$40,945	$0	$0				Yes (X)
MICHAEL MURPHY
DIRECTOR	0.10	5.00		$40,770	$0	$0				Yes (X)
CHARLES SORENSON MD
DIRECTOR	0.10	5.00		$40,000	$0	$0				Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR	1.90	0.10		$0	$0	$0				Yes (X)
SISTER LUCILLE DEAN SP
DIRECTOR	2.10	0.10		$0	$0	$0				Yes (X)
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR	5.00	0.10		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,403,778	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$33,431,024	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,377,776	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7837	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
MICROSOFT CORPORATION
PO BOX 844510	DALLAS	TX	752844510	TECHNOLOGY SERVICES	$55,471,578
MCKINSEY AND CO INC-US
400 WHITE CLAY CTR DR	NEWARK	DE	197115468	CONSULTANT SERVICES	$44,767,500
IBM CORP
PO BOX 676673	DALLAS	TX	752676673	TECHNOLOGY SERVICES	$35,971,756
MARSH USA INCORPORATED
PO BOX 846015	DALLAS	TX	752846015	INSURANCE SERVICES	$31,078,481
CARDINAL HEALTHPHARMACEUTICAL
3712 COLLECTIONS DR	CHICAGO	IL	606930037	PHARMACEUTICAL SERVICES	$30,015,191

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1354	CntrctRcvdGreaterThan100KCnt
Fundraising	$758,042	FundraisingAmt
Related Organizations	$15,706,825	RelatedOrganizationsAmt
Government Grants	$185,837,500	GovernmentGrantsAmt
Total Contributions	$202,302,367	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$4,392,103,864	$4,391,484,094	$619,770
CORPORATE SVCS FROM AF	900099	$2,906,784,280	$2,906,784,280
JV INCOME	900099	$29,382,028	$29,382,028
HOSPITAL FEE	621110	$24,379,555	$24,379,555

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,352,649,727	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,736,933	TotalRevenueColumnAmt
Unrelated Business Revenue	$26,901	UnrelatedBusinessRevenueAmt
Exclusion	$54,710,032	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$42,263,198	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$42,263,198	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,263,198	TotalRevenueColumnAmt
Exclusion	$42,263,198	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$775,342,159	SecuritiesAmt
Other	$56,834,987	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$672,515,048	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$102,827,111	SecuritiesAmt
Other	$56,834,987	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,662,098	TotalRevenueColumnAmt
Exclusion	$159,662,098	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$76,669	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$758,042	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$894,945	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$818,276	TotalRevenueColumnAmt
Exclusion	-$818,276	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$5,694,985	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$7,470,433	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,775,448	TotalRevenueColumnAmt
Exclusion	-$1,775,448	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
COST RECOVERY	900099	$34,508,469	$34,508,469
PHARMACY REVENUE	446110	$31,613,047	$30,178,671	$1,434,376
CAFETERIA REVENUE	722514	$10,136,614	$10,123,466	$13,148

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,437,585	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,617,747	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$819,838	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$147,695,715	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,956,716,314	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,497,458,310	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,914,033	UnrelatedBusinessRevenueAmt
Exclusion	$254,041,604	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	$8,957,744	TotalAmt
Program Services	$8,957,744	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$849,208	TotalAmt
Program Services	$849,208	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,817,231,056	TotalAmt
Program Services	$1,367,592,960	ProgramServicesAmt
Management And General	$1,448,650,970	ManagementAndGeneralAmt
Fundraising	$987,126	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$374,554,687	TotalAmt
Program Services	$181,823,337	ProgramServicesAmt
Management And General	$192,600,110	ManagementAndGeneralAmt
Fundraising	$131,240	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,097,927,247	TotalAmt
Program Services	$532,976,367	ProgramServicesAmt
Management And General	$564,566,179	ManagementAndGeneralAmt
Fundraising	$384,701	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$198,215,266	TotalAmt
Program Services	$96,221,360	ProgramServicesAmt
Management And General	$101,924,454	ManagementAndGeneralAmt
Fundraising	$69,452	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$37,903	TotalAmt
Program Services	$18,400	ProgramServicesAmt
Management And General	$19,490	ManagementAndGeneralAmt
Fundraising	$13	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$32,491,498	TotalAmt
Program Services	$15,772,630	ProgramServicesAmt
Management And General	$16,707,483	ManagementAndGeneralAmt
Fundraising	$11,385	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,296,698	TotalAmt
Program Services	$3,056,661	ProgramServicesAmt
Management And General	$3,237,831	ManagementAndGeneralAmt
Fundraising	$2,206	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$890,219	TotalAmt
Management And General	$890,219	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,243,892	TotalAmt
Management And General	$9,243,892	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,258,659,673	TotalAmt
Program Services	$611,002,106	ProgramServicesAmt
Management And General	$647,216,547	ManagementAndGeneralAmt
Fundraising	$441,020	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,833,700	TotalAmt
Program Services	$10,113,484	ProgramServicesAmt
Management And General	$10,712,916	ManagementAndGeneralAmt
Fundraising	$7,300	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$144,057,081	TotalAmt
Program Services	$69,930,881	ProgramServicesAmt
Management And General	$74,075,724	ManagementAndGeneralAmt
Fundraising	$50,476	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,441,898	TotalAmt
Program Services	$7,010,656	ProgramServicesAmt
Management And General	$7,426,182	ManagementAndGeneralAmt
Fundraising	$5,060	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$171,979,468	TotalAmt
Program Services	$83,485,488	ProgramServicesAmt
Management And General	$88,433,720	ManagementAndGeneralAmt
Fundraising	$60,260	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$13,791,381	TotalAmt
Program Services	$6,694,870	ProgramServicesAmt
Management And General	$7,091,679	ManagementAndGeneralAmt
Fundraising	$4,832	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$13,954,836	TotalAmt
Program Services	$6,774,217	ProgramServicesAmt
Management And General	$7,175,729	ManagementAndGeneralAmt
Fundraising	$4,890	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$201,095,251	TotalAmt
Program Services	$97,619,416	ProgramServicesAmt
Management And General	$103,405,374	ManagementAndGeneralAmt
Fundraising	$70,461	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$398,926,430	TotalAmt
Program Services	$193,654,325	ProgramServicesAmt
Management And General	$205,132,326	ManagementAndGeneralAmt
Fundraising	$139,779	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$27,670,274	TotalAmt
Program Services	$13,432,222	ProgramServicesAmt
Management And General	$14,228,357	ManagementAndGeneralAmt
Fundraising	$9,695	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$702,739,978	$341,137,176	$361,356,570	$246,232
HOSPITAL FEE	$66,680,450	$66,680,450
LICENSES AND TAXES	$53,186,689	$25,818,877	$27,349,176	$18,636
DUES & SUBSCRIPTIONS	$23,127,436	$11,226,952	$11,892,380	$8,104

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$348,877,179	TotalAmt
Program Services	$169,363,304	ProgramServicesAmt
Management And General	$179,392,241	ManagementAndGeneralAmt
Fundraising	$121,634	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,006,717,142	TotalAmt
Program Services	$3,921,213,091	ProgramServicesAmt
Management And General	$4,082,729,549	ManagementAndGeneralAmt
Fundraising	$2,774,502	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$617,648,703	BOYAmt
EOY	$510,507,793	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$442,565,907	BOYAmt
EOY	$1,023,433,319	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,034,290	BOYAmt
EOY	$7,523,687	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$556,642,241	BOYAmt
EOY	$557,150,022	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$17,083,405	BOYAmt
EOY	$7,200,335	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$60,955,582	BOYAmt
EOY	$117,113,303	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$71,683,792	BOYAmt
EOY	$132,250,696	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,711,523,422	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,154,351,562	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,585,823,836	BOYAmt
EOY	$2,557,171,860	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,379,078,348	BOYAmt
EOY	$2,954,641,737	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$237,953,823	BOYAmt
EOY	$317,246,610	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,521,205	BOYAmt
EOY	$118,832,468	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,598,697,770	BOYAmt
EOY	$3,388,981,955	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,720,688,902	BOYAmt
EOY	$11,692,053,785	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,477,718,135	BOYAmt
EOY	$2,038,439,889	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$14,808,308	BOYAmt
EOY	$80,118,369	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,116,191,621	BOYAmt
EOY	-$7,096,594	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,822,218,261	BOYAmt
EOY	$6,481,336,992	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,430,936,325	BOYAmt
EOY	$8,592,798,656	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	$3,216,831,481	BOYAmt
EOY	$3,020,792,608	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$72,921,096	BOYAmt
EOY	$78,462,521	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,289,752,577	BOYAmt
EOY	$3,099,255,129	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,720,688,902	BOYAmt
EOY	$11,692,053,785	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$50,000,828	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$150,875,853	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$291,372,473	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	$432,936	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$505,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$385,219	OtherActivitiesAmt
Total Lobbying Expenditures	$1,323,155	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	OUR 2020 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	ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

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

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,409,252	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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	$507,336,185	OtherCostOrOtherBasisAmt
Book Value	$507,336,185	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,241,708,637	OtherCostOrOtherBasisAmt
Depreciation	$1,210,828,820	DepreciationAmt
Book Value	$1,030,879,817	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$315,072,071	OtherCostOrOtherBasisAmt
Depreciation	$198,300,740	DepreciationAmt
Book Value	$116,771,331	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,005,680,516	OtherCostOrOtherBasisAmt
Depreciation	$2,526,473,426	DepreciationAmt
Book Value	$479,207,090	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$641,726,013	OtherCostOrOtherBasisAmt
Depreciation	$218,748,576	DepreciationAmt
Book Value	$422,977,437	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,557,171,860	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE OPERATING LEASES	$301,558,214
DUE FROM THIRD-PARTY	$17,252,165
HOSPITAL FEE RECEIVABLE	$12,053,878
ARTWORK	$20,000
DUE FROM AFFILIATES	$2,104,930,280
OTHER ASSETS	$594,083,161
INVESTMENT IN CORP SUBSIDIARIES	$359,084,257

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,388,981,955	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES	$1,000,850,883
ACCRUED RETIREMENT COMPENSATION	$1,101,507,964
DUE TO AFFILIATES	$2,893,749,709
CAPITAL LEASE OBLIGATIONS	$255,230,026
DUE TO THIRD-PARTY	$234,863,756
OTHER LIABILITIES	$995,134,654

Field	Value	IRS element (for citing)
Total Liability	$6,481,336,992	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	30	GRANTMAKING	$768,377
NORTH AMERICA	0	GRANTMAKING	$80,831
SUB-SAHARAN AFRICA	2	PROGRAM SERVICE	$64,073	PROVIDE EDUCATION TO FAMILY MEDICINE RESIDENTS AND HOSPITAL STAFF IN MALAWI
SOUTH ASIA	0	INVESTMENTS	$1,195,116
NORTH AMERICA	0	INVESTMENTS	$11,012,675
CENTRAL AMERICA AND THE CARIBBEAN	0	PROGRAM SERVICE	$143,536	FOREIGN TRAVEL
EAST ASIA AND THE PACIFIC	0	PROGRAM SERVICE	$49,438	FOREIGN TRAVEL
SOUTH AMERICA	0	PROGRAM SERVICE	$1,209	FOREIGN TRAVEL
SOUTH ASIA	0	PROGRAM SERVICE	$144,957	FOREIGN TRAVEL
SUB-SAHARAN AFRICA	0	PROGRAM SERVICE	$12,576	FOREIGN TRAVEL
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	PROGRAM SERVICE	$96,673	FOREIGN TRAVEL
NORTH AMERICA	0	PROGRAM SERVICE	$730	FOREIGN TRAVEL
MIDDLE EAST AND NORTH AFRICA	0	PRGORAM SERVICE	$14,393	FOREIGN TRAVEL

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	32	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	32	TotalEmployeeCnt
Subtotal Spent	$13,315,255	SubtotalSpentAmt
Continuation Spent	$269,329	ContinuationSpentAmt
Total Spent	$13,584,584	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	$768,377	CHECK
NORTH AMERICA	MEDICAL MISSION TRIPS	$80,831	CHECK

Field	Value	IRS element (for citing)
Total501c3 Org	2	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	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 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 III ACCOUNTING METHOD:
PART I, LINE 3, COLUMN (F)	THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	PROVIDENCE O'CHRISTMAS TREES	Event1Nm
Gross Receipts Event1	$834,711	GrossReceiptsEvent1Amt
Charitable Contri Event1	$758,042	CharitableContriEvent1Amt
Gross Revenue Event1	$76,669	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$36,102	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$858,843	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$834,711	GrossReceiptsTotalAmt
Charitable Contributions Tot	$758,042	CharitableContributionsTotAmt
Gross Revenue Total Events	$76,669	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$36,102	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$858,843	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$894,945	DirectExpenseSummaryEventsAmt
Net Income Summary	-$818,276	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
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	12060	PersonsServedCnt
Total Community Benefit Expns	$50,391,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,391,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	219570	PersonsServedCnt
Total Community Benefit Expns	$959,333,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$686,896,308	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$272,437,034	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	29	PersonsServedCnt
Total Community Benefit Expns	$124,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	231659	PersonsServedCnt
Total Community Benefit Expns	$1,009,849,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$686,946,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$322,903,268	NetCommunityBenefitExpnsAmt
Total Expense	0.04030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	82406	PersonsServedCnt
Total Community Benefit Expns	$9,206,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$470,424	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,736,328	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	28140	PersonsServedCnt
Total Community Benefit Expns	$48,636,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,480,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,156,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	5442	PersonsServedCnt
Total Community Benefit Expns	$96,667,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,222,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,444,921	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	90	ActivitiesOrProgramsCnt
Persons Served	96006	PersonsServedCnt
Total Community Benefit Expns	$7,294,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,293,802	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	212	ActivitiesOrProgramsCnt
Persons Served	211994	PersonsServedCnt
Total Community Benefit Expns	$161,805,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,173,934	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,631,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	212	ActivitiesOrProgramsCnt
Persons Served	443653	PersonsServedCnt
Total Community Benefit Expns	$1,171,654,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$769,119,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$402,534,844	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,062	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$43,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,059	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9528	PersonsServedCnt
Total Community Benefit Expns	$242,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$218,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	9528	PersonsServedCnt
Total Community Benefit Expns	$301,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$277,158	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$1,550,600,634	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,912,797,569	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$362,196,935	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

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	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 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	1321 COLBY AVENUE	EVERETT	WA	98201	WASHINGTON.PROVIDENCE.ORG/	00000084	Yes (X)	Yes (X)			Yes (X)	B
PROVIDENCE REGIONAL MED CTRPACIFIC
5	916 PACIFIC AVENUE	EVERETT	WA	98208	WASHINGTON.PROVIDENCE.ORG/	00000084	Yes (X)	Yes (X)			Yes (X)	B
PROVIDENCE HOLY FAMILY HOSPITAL
6	5633 NORTH LIDGERWOOD STREET	SPOKANE	WA	99208	WASHINGTON.PROVIDENCE.ORG/	00000139	Yes (X)	Yes (X)			Yes (X)	C
PROVIDENCE CENTRALIA HOSPITAL
7	914 S SCHEUBER ROAD	CENTRALIA	WA	98531	WASHINGTON.PROVIDENCE.ORG/	00000191	Yes (X)				Yes (X)	A
PROVIDENCE ST MARY MEDICAL CENTER
8	401 W POPLAR STREET	WALLA WALLA	WA	99362	WASHINGTON.PROVIDENCE.ORG/	00000050	Yes (X)	Yes (X)			Yes (X)
PROVIDENCE MT CARMEL HOSPITAL
9	982 EAST COLUMBIA	COLVILLE	WA	99114	WASHINGTON.PROVIDENCE.ORG/	00000030	Yes (X)	Yes (X)			Yes (X)	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

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	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
PROVIDENCE ST MARY MEDICAL CENTER (8)
8	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PROVIDENCE KODIAK IS 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)	19	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	20	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	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-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
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)	20	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	20	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - WASHINGTON (GROUP B - 4 & 5)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	20	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)		0	Yes (1)	Yes (X)
PHS - WASHINGTON (GROUP C - 2 & 6)
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - WASHINGTON (GROUP 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)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	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-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
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)	19	Yes (1)	0	0	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE-APPLICATION	Yes (X)	HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (51 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: BETWEEN MAY AND AUGUST OF 2016, HUNDREDS OF PARTICIPANTS SHARED THEIR IDEAS FOR THE FUTURE OF THE BLUE MOUNTAIN REGION IN A SERIES OF WORKSHOPS AND ROUNDTABLE DISCUSSIONS. IN AN EFFORT TO INCLUDE AS MANY PARTICIPANTS AS POSSIBLE, THE WORKSHOPS WERE HELD IN DIFFERENT LOCATIONS ACROSS THE REGION, MOSTLY IN THE EVENING, WITH ONE HELD DURING THE DAY. REFRESHMENTS AND CHILDCARE WERE PROVIDED AT ALL WORKSHOPS, AND SIMULTANEOUS SPANISH INTERPRETATION WAS PROVIDED AS NEEDED. IN ADDITION TO THE LARGE WORKSHOPS, UNITED WAY OF WALLA WALLA COUNTY CONDUCTED A NUMBER OF SMALLER ROUNDTABLE DISCUSSIONS AT BUSINESS OFFICES, SERVICE CLUB MEETINGS, AND YOUTH CENTERS. THE MEETINGS AND WORKSHOPS ARE DESCRIBED BELOW. WORKSHOPS: FIVE EVENING WORKSHOPS WERE HELD IN WALLA WALLA (MAY 23), MILTON-FREEWATER (MAY 24), DAYTON (MAY 25), CARRIE STREET COMMUNITY CENTER (JUNE 21), AND WAITSBURG (AUGUST 18); OVER 450 COMMUNITY MEMBERS ATTENDED. TO ACCOMMODATE THOSE WHO COULD NOT ATTEND ANY OF THE EVENING MEETINGS, A DAYTIME WORKSHOP WAS HELD IN WALLA WALLA (AUGUST 24). SIMULTANEOUS SPANISH INTERPRETATION WAS PROVIDED AS NEEDED AND UTILIZED AT TWO OF THE EVENTS - THE EVENING MEETINGS IN WALLA WALLA AND MILTON-FREEWATER. A WORKSHOP HELD AT THE CARRIE STREET COMMUNITY CENTER WAS CONDUCTED IN SPANISH AND ENGLISH INTERPRETATION WAS PROVIDED. AT ALL OF THE WORKSHOPS WHERE SPANISH WAS USED, PARTICIPANTS' IDEAS OFFERED WERE RECORDED IN ENGLISH AND SPANISH. CHILDCARE WAS OFFERED AT ALL OF THE EVENING EVENTS AND UTILIZED AT THREE OF THEM. RESULTS FROM EACH OF THE SEPTEMBER PRIORITIZATION MEETINGS WERE AS FOLLOWS: WALLA WALLA (126 ATTENDEES)
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERS FORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. COMMITTEE MEMBERS WERE: -CINDY BALDWIN, CLINIC OPERATIONS DIRECTOR, KODIAK AREA NATIVE ASSOCIATION-BARBARA BIGELOW, CEO PKIMC, PROVIDENCE KODIAK ISLAND MEDICAL CENTER -PAT BRANSON, EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK; MAYOR, CITY OF KODIAK -ELSA DEHART, RN, DIRECTOR, KODIAK PUBLIC HEALTH CENTER, STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES-MARY GUILAS HAWVER, PRESIDENT, FILIPINO AMERICAN ASSOCIATION; DIRECTOR, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER-CAROL JUERGENS, M.D., CO-OWNER KODIAK ISLAND MEDICAL ASSOCIATES-MERISSA KOLLER, COMMUNITY WELLNESS PROGRAM COORDINATOR, HEALTHY TOMORROWS KODIAK -JUDY CHRISTINE (JC) RATHJE, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER -DAN ROHRER, ASSEMBLYMAN, KODIAK ISLAND BOROUGH; BUSINESS OWNER, SUBWAY -RHONDA WALLACE, CHIEF OF POLICE, CITY OF KODIAKCOMMUNITY HEALTH SURVEYTHE 36 QUESTION SURVEY WAS FIELDED FROM MAY 18 - JUNE 1, 2019 WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE. 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, NINE COMMUNITY LEADERS WERE INTERVIEWED INDIVIDUALLY REGARDING THE HEALTH NEEDS OF THE COMMUNITY.COMMUNITY FORUMPROVIDENCE KODIAK ISLAND MEDICAL CENTER HOSTED A COMMUNITY FORUM (MAY 28, 2019) WITH THE GOAL OF LEARNING MORE ABOUT COMMUNITY MEMBERS' VISION FOR A HEALTHY COMMUNITY AND THE HEALTH-RELATED NEEDS THEY WOULD LIKE TO SEE PRIORITIZED (SEE APPENDIX 2B). COMMUNITY MEMBERS AND STAKEHOLDERS WERE DIVIDED INTO SIX GROUPS WHICH INCLUDED STAFF AND BOARD MEMBERS FROM PROVIDENCE ST. JOSEPH HEALTH - ALASKA REGION.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 6B: BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP: (BMRCHP) IS AN ACTION ORIENTED, CROSS-SECTOR COALITION CONSISTING OF PUBLIC HEALTH, EDUCATION, CLINICAL, PUBLIC SAFETY, SOCIAL SERVICES, LONG-TERM CARE, HOUSING, MANAGED CARE, LAW ENFORCEMENT, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, PHILANTHROPY, LONG-TERM CARE, EARLY LEARNING AND OTHER COMMUNITY BASED ORGANIZATIONS. THESE PARTNERS COORDINATE TO ASSESS THE NEEDS OF THE BLUE MOUNTAIN REGION AND DEVELOP A UNIFIED RESPONSE TO MEET THESE NEEDS.MEMBER ORGANIZATIONS LISTED ON PAGE 31 OF CHNA. AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: WALLA WALLA
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 11: THE PROVIDENCE ST. MARY MEDICAL CENTER'S COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2019-2021 IDENTIFIED THREE KEY COMMUNITY BENEFIT INITIATIVES: YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS (AGES 12-24), BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE), AND IMPROVE IMMUNIZATION RATES WITHIN THE COMMUNITY. THE FOLLOWING OCCURRED IN 2020 TO ADDRESS HOMELESS YOUTH AND YOUNG ADULTS: COMMUNITY HEALTH WORKER (CHW) ROUNDS AT SHELTERS AND HOMELESS HOTSPOTS, THERE IS A DEDICATED SHELTER COVID-19 PHONE LINE FOR QUESTIONS AND TO REQUEST TESTING OR ROUNDING, NURSE ROUNDING IS IN PLACE AT SHELTERS AND HOMELESS ENCAMPMENTS, OVER-THE-COUNTER MEDICATION GUIDES WERE CREATED OR SHELTERS IN ENGLISH AND SPANISH, A REFRIGERATOR WAS PURCHASED FOR THE SLEEP CENTER TO STORE GUEST'S INSULIN, FIRST AID KITS WERE DISTRIBUTED TO SHELTERS THROUGHOUT THE PANDEMIC, CLAMSHELLS WERE PROVIDED TO AREA CHURCHES SO LUNCH SERVICE COULD CONVERT TO TAKE-AWAY, PERSONAL PROTECTIVE EQUIPMENT (PPE) WAS DISTRIBUTED TO SHELTERS AND HOMELESS ENCAMPMENTS, TOUCHLESS THERMOMETERS WERE PROVIDED TO CHRISTIAN AID CENTER (CAC), THE SLEEP CENTER, AND THE WARMING SHELTER, COVID EDUCATION SESSIONS WERE AVAILABLE ON DEMAND FOR STAFF AND SHELTER GUESTS, ON-SITE RAPID TESTING WAS AVAILABLE AT SHELTERS TO MINIMIZE COMMUNITY MOVEMENT AND SPREAD, HOT WATER BOTTLES WERE DISTRIBUTED TO THE SLEEP CENTER AND CAC, A SUPPLY CLOSET WAS CREATED AND MAINTAINED TO INCLUDE CLOTHING, HYGIENE KITS, AND DIAPERS FOR THE EMERGENCY DEPARTMENT AND URGENT CARE, FURNISHED WATER AND HAND SANITIZING STATIONS AT CAC UNTIL THE CITY TOOK THAT OVER IN JUNE. THE FOLLOWING OCCURRED IN 2020 TO ADDRESS BEHAVIORAL HEALTH: INCREASED PROVIDER CAPACITY TO ASSESS AND PROVIDE DIRECT SERVICES FOR PATIENTS EXPERIENCING MENTAL HEALTH CRISIS, IMPLEMENTED "MEN IN THE MIDDLE" PROGRAM WHICH IS A PEER-LED INITIATIVE TO ADDRESS SUICIDE RATES, AND CONDUCTED COMMUNITY-WIDE DEPRESSION SCREENINGS DURING DRIVE-THROUGH FLU CLINICS. TO ADDRESS AND IMPROVE IMMUNIZATION RATES WITHIN THE COMMUNITY, THE NINTH ANNUAL DRIVE-THROUGH INFLUENZA VACCINE COMMUNITY EVENT WAS HELD ON OCTOBER 24 IN COLLABORATION WITH WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH (PUBLIC HEALTH) AND WALLA WALLA COMMUNITY COLLEGE SCHOOL OF NURSING, AND OTHER COMMUNITY VOLUNTEERS. IN A THREE-HOUR PERIOD, 536 DOSES OF FREE VACCINE WERE ADMINISTERED. THE EVENT WAS CONDUCTED AT THE PROVIDENCE SOUTHGATE CAMPUS AS AN EXERCISE TO DETERMINE IF THE LOCATION COULD BE USED FOR PENDING COVID-19 VACCINATIONS WHEN AVAILABLE AND TO PLAN THE LOGISTICS. WE PARTNERED WITH THE WALLA WALLA DEPARTMENT OF COMMUNITY HEALTH TO OFFER VACCINATIONS ON-SITE AT HOMELESS SHELTERS AND FIRST FRUITS. A LATINX TASK FORCE WAS CREATED TO ENGAGE AND INFORM LATINX COMMUNITY MEMBERS IN A TRUSTED VOICE CAMPAIGN, PARTICULARLY AROUND VACCINATIONS (FLUE AND COVID-19). WE PARTNERED WITH MCOS, MOLINA AND COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW), TO CLOSE THE CHILDHOOD IMMUNIZATION CARE GAP. NEEDS BEYOND THE HOSPITAL SERVICE AREANO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE PSMMC MINISTRY AND PUBLIC HEALTH CHNA WILL NOT BE ADDRESSED IN THE PSMMC CHIP AS TOP THREE PRIORITIES FOR RESOURCES OR IN-KIND EXPENDITURES OR COMMUNITY PROJECT WORK. FOR EARLY LEARNING INITIATIVES, THERE IS AN EXISTING COLLABORATION WITHIN THE COMMUNITY THAT WILL PRIORITIZE THIS WORK AND IT IS OUT OF SCOPE FOR THE PRIMARY EXPERTISE AVAILABLE AT PSMMC. OBESITY & HEALTHY LIFESTYLES WILL BE ADDRESSED WITHIN SMALLER COMMUNITY HEALTH EDUCATION AND ACTIVITIES WITHIN VARIOUS SERVICE LINES WITHIN THE ORGANIZATION.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 11: IN THE FALL OF 2019, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER (PKIMC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES AND 2020 ACCOMPLISHMENTS. WITH THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PKIMC/PKICC'S IMPLEMENTATION OF SERVICES AND DID NOT HAVE A PERMANENT HOSPITAL ADMINISTRATOR FOR A SIGNIFICANT PERIOD OF 2020. 1. BEHAVIORAL HEALTH (INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH) POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE. PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) PROVIDED SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICES.PKICC ADDRESSED THE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT NEEDS OF KODIAK YOUTH THROUGH THE YOUTH OUTPATIENT SUBSTANCE ABUSE PROGRAM, MENTAL HEALTH CLINICIANS IN THE SCHOOLS PROGRAM, ALCOHOL SAFETY ACTION PROGRAM (ASAP), KODIAK SCHOOLS SUBSTANCE ABUSE TASK FORCE AND ONGOING COLLABORATIONS WITH THE TEEN COURT AND OTHER COMMUNITY PARTNERS. PKICC ADDRESSED THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY HILL THROUGH THE COMMUNITY SUPPORT PROGRAM AND THROUGH CONTINUING EFFORTS TO FURTHER INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING CURRENTLY BEING DONE IN COLLABORATION WITH THE KODIAK COMMUNITY HEALTH CENTER. PKICC ADDRESSES THE SUBSTANCE ABUSE TREATMENT NEEDS OF THE COMMUNITY THROUGH ITS OUTPATIENT CHEMICAL DEPENDENCY TREATMENT PROGRAM SAFE HARBOR, THROUGH ITS CASE-MANAGEMENT PROGRAM ASAP AND THROUGH A RESIDENTIAL TREATMENT COLLABORATION WITH SALVATION ARMY. PKICC CONTINUED TO BE PROACTIVE IN ITS OUTREACH SERVICES IN COLLABORATION WITH MANY COMMUNITY PARTNERS SUCH AS THE BROTHER FRANCIS SHELTER, KODIAK WOMEN'S RESOURCE AND CRISIS CENTER AND MANY OTHER ORGANIZATIONS AND GOVERNMENT AGENCIES IN THE KODIAK COMMUNITY. PKICC CONTINUED TO BE A LEADER IN COMMUNITY EDUCATION, GRANT-SEEKING, ADVOCACY, COLLABORATION, PLANNING AND ACTION TO HELP IMPROVE THE HEALTH OF THE KODIAK COMMUNITY AND THE LIVES OF THOSE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE. 2. PRIMARY CARE UTILIZATION AND ACCESS THE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS A SIGNIFICANT ISSUES. AT PRESENT, KODIAK HAS ADEQUATE PRIMARY CARE CAPACITY WITH KODIAK AREA NATIVE ASSOCIATION CLINIC (KANA) AND MILL BAY HEALTH CENTER, KODIAK COMMUNITY HEALTH CENTER, THE U.S. COAST GUARD ROCKMORE-KING MEDICAL CLINIC, AND THE KODIAK ISLAND AMBULATORY CLINIC PROVIDING PRIMARY CARE SERVICES TO THE RESIDENTS OF KODIAK. BECAUSE OF THIS, PKIMC DOES NOT OFFER TRADITIONAL, NON-SPECIALIZED PRIMARY CARE SERVICES, BUT WILL CONTINUE TO WORK WITH KODIAK PRIMARY CARE PROVIDERS TO EXPLORE OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN THE EFFORT TO IMPROVE PRIMARY CARE UTILIZATION. IN ADDITION TO CONTINUED COLLABORATION WITH COMMUNITY PARTNERS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S INCLUDED SPECIFIC STEPS INCLUDING HIRING A PEDIATRICIAN TO SUPPORT ACCESS TO PRIMARY CARE IN ADDITION TO A RECENTLY HIRED OB/GYN TO SUPPORT WOMEN'S HEALTH. 3. HEALTHY LIFESTYLE/CHRONIC CONDITIONS SURVEY RESPONSES AND HEALTH DATA INDICATE DIFFICULTY WITH MAINTAINING A HEALTHY LIFESTYLE, ENGAGING IN PREVENTATIVE HEALTH, AND MANAGING CHRONIC DISEASE IN THE COMMUNITY. PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S IS IMPLEMENTING SPECIFIC STEPS TO ADDRESS HEALTHY LIFESTYLE AND CHRONIC CONDITIONS. THE PLAN INCLUDES A PAIN MANAGEMENT CLINIC OPERATED THROUGH THE SPECIALTY CLINIC.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 16J: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 16J: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 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 9:	PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 22, 2021, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 3: PROVIDENCE ST. PETER HOSPITAL, - FACILITY 7: PROVIDENCE CENTRALIA HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 5:	BETWEEN MAY 27 AND JULY 14, 2020 REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON CONDUCTED INTERVIEWS WITH REPRESENTATIVES FROM 5 COMMUNITY-BASED ORGANIZATIONS, INCLUDING 24 STAKEHOLDERS, PEOPLE WHO ARE INVESTED IN THE WELL-BEING OF THE COMMUNITY AND HAVE FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. A TOTAL OF 5 STAKEHOLDER INTERVIEWS, WHICH INCLUDED 24 PARTICIPANTS, WERE COMPLETED BY REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. PROVIDENCE SOUTHWEST WASHINGTON AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEVERAL ATTEMPTS WERE MADE TO CONNECT WITH REPRESENTATIVES FROM LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES AND THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, BUT DUE TO COMPETING PRIORITIES RELATED TO COVID-19, THEY WERE NOT ABLE TO PARTICIPATE IN STAKEHOLDER INTERVIEWS. DR. RACHEL WOOD, LEWIS COUNTY'S HEALTH OFFICER, IS A PROVIDENCE BOARD MEMBER AND SERVED ON THE CHNA OVERSIGHT COMMITTEE, PROVIDING INSIGHT DURING THE DATA REVIEW AND PRIORITIZATION PROCESSES. FOR DETAILED LIST OF STAKEHOLDERS GOT TO PG. 58 OF CHNA REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: OLYMPIA AND CENTRALIA.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2020 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SOUTHWEST WASHINGTON WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2021-2023 COMMUNITY BENEFIT EFFORTS: PRIORITY 1: HOMELESSNESS/LACK OF SAFE AND AFFORDABLE HOUSING HOMELESSNESS AND A LACK OF SAFE, AFFORDABLE HOUSING WAS PRIORITIZED BY ALL STAKEHOLDERS AND CONSISTENTLY RANKED AS THE MOST IMPORTANT ISSUE THAT NEEDS TO BE ADDRESSED IN THE SERVICE AREA. DESPITE EFFORTS TO ADDRESS HOUSING CHALLENGES, THERE IS A LACK OF HOUSING AVAILABLE IN THURSTON AND LEWIS COUNTIES, PARTICULARLY AFFORDABLE RENTAL UNITS AND PERMANENT SUPPORTIVE HOUSING. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE AND AFFORDABLE HOUSING INCLUDE: SUPPORT OF COMMUNITY BASED RESPITE CARE SERVICES; IMPLEMENTATION OF A CRISIS RESPONSE UNIT MODEL WITH COMMUNITY PARTNERS; COLLABORATION WITH PROVIDENCE REGIONAL EFFORTS TO IMPLEMENT COMMUNITY SOLUTIONS BUILT FOR ZERO MODEL.PRIORITY 2: BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE) THERE IS A LACK OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES IN THE COMMUNITY. GAPS INCLUDE A LACK OF BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE, SCHOOL-BASED MENTAL HEALTH SERVICES, A LOCAL INPATIENT DETOX FACILITY, AND CASE MANAGEMENT SERVICES. PEOPLE HAVE DIFFICULTY ACCESSING MENTAL HEALTH SERVICES DUE TO LONG WAIT TIMES, A LACK OF PROVIDERS WHO TAKE MEDICAID AND MEDICARE, AND TRANSPORTATION BARRIERS. THESE POPULATIONS INCLUDE SCHOOL-AGED CHILDREN, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE LIVING IN RURAL COMMUNITIES, VETERANS, PEOPLE WHO ARE UNDOCUMENTED, AND MONOLINGUAL SPANISH SPEAKERS. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE) INCLUDE: INTEGRATING HEALTH SERVICES IN PRIMARY AND BEHAVIORAL HEALTH CARE; INTEGRATED MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER; MENTAL HEALTH CRISIS RESPONSE FOR PEOPLE EXPERIENCING HOMELESSNESS. PRIORITY 3: ACCESS TO HEALTH CARE THERE ARE A NUMBER OF BARRIERS TO ACCESSING HEALTH CARE. A COMMON CONCERN WAS TRANSPORTATION, PARTICULARLY FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE LIVING IN RURAL COMMUNITIES. LANGUAGE BARRIERS PREVENT PEOPLE FROM RECEIVING APPROPRIATE AND RESPONSIVE CARE AND DOCUMENTATION STATUS IS A BARRIER TO ACCESSING HEALTH INSURANCE. STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE: IMPLEMENTATION OF CRISIS RESPONSE UNIT MOBILE OUTREACH CLINICS WITH COMMUNITY PARTNERS; SUPPORT OF PATIENTS IN NEED OF RESOURCES TO SAFELY DISCHARGE OR IN NEED OF ACCESS TO CARE. EQUITY FRAMEWORK STAKEHOLDERS CHOSE TO PRIORITIZE A FOURTH HEALTH-RELATED NEED, HEALTH AND RACIAL EQUITY, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL THREE NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING HOUSING, MENTAL HEALTH AND SUBSTANCE USE, AND ACCESS TO CARE, PROVIDENCE SOUTHWEST WASHINGTON WILL USE AN EQUITY FRAMEWORK FOR APPROACHING PLANNING AND IMPLEMENTATION. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS, PROVIDENCE SOUTHWEST IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: UNEMPLOYMENT AND LACK OF LIVING WAGE JOBS; FOOD INSECURITY; ACCESS TO ORAL HEALTH CARE. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2021-2023 CHIP, PROVIDENCE SOUTHWEST 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 16J:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS 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:	PROVIDENCE REGIONAL MEDICAL CENTER, EVERETT (PRMCE) FORMED THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) AS A PARTNERSHIP BETWEEN BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS, AND NON-PROFITS WITH THE GOAL OF ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE SMALL BUT IMPORTANT BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. RECOGNIZING THAT HEALTH IS MORE THAN HEALTHCARE, PIHC STARTS WITH A SHARED UNDERSTANDING OF HEALTH AS DEFINED BY OUR COMMUNITY AND WORKS TOGETHER TO CREATE A HEALTHIER FUTURE. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS TO SUPPORT HEALTH AND WELL-BEING. TO BETTER UNDERSTAND THE COMMUNITY'S PERSPECTIVE, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PIHC REACHES OUT AND LISTENS TO THE COMMUNITY, LETTING THEM DEFINE WHAT HEALTH AND HAPPINESS MEAN TO THEM. PIHC COLLECTS THIS FEEDBACK THROUGH VARIOUS METHODS INCLUDING THE HEALTH & WELL-BEING MONITORTM, THE EDGE OF AMAZING COMMUNITY HEALTH SUMMIT, PIHC STRATEGIC OVERSIGHT TEAM, PIHC STRATEGIC PLANNING COUNCIL, AND THE PIHC SUSTAINABILITY, INCLUSION AND CO-CREATION TASK FORCE. IN ADDITION, FEEDBACK WAS OBTAINED FROM THE PRMCE MISSION AND HEALTHIER COMMUNITIES COMMITTEE AND THE SNOHOMISH HEALTH DISTRICT COMMUNITY HEALTH ASSESSMENT TEAM. THROUGH THESE FORUMS, COMMUNITY MEMBERS, NONPROFIT ORGANIZATIONS, AND GOVERNMENT STAKEHOLDERS PROVIDE INPUT ON THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF SNOHOMISH COUNTY. COMMUNITY INPUT WAS OBTAINED BETWEEN JUNE THROUGH OCTOBER 2019. APPENDIX 3 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, PG. 71 LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS EVERETT WASHINGTON.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 11:	THERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL NEEDS IDENTIFIED IN A CHNA. BASED ON THE OUTCOME OF THE EVALUATION, PRMCE MADE A COMMITMENT TO FOCUS ON FOUR AREAS OF NEED (MENTAL HEALTH, OPIOID USE DISORDER, HOMELESSNESS, AND ACCESS TO PRIMARY CARE) BECAUSE WE BELIEVE THAT WE CAN HAVE THE GREATEST IMPACT AND POSITIVE INFLUENCE ON OUTCOMES. AT THE SAME TIME, PRMCE IS ALSO ACTIVELY INVOLVED IN SUPPORTING OUR COMMUNITY THROUGH MANY OTHER COMMUNITY BENEFIT PROGRAMS.PRMCE ANTICIPATES THAT IMPLEMENTATION STRATEGIES AND TACTICS MAY CHANGE AND THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE CHNA. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED IN THE CHIP. THE FOLLOWING INFORMATION OUTLINES PRMCE'S PLAN TO ADDRESS THE FOUR PRIORITY AREAS OVER A THREE-YEAR PERIOD. THE TARGET POPULATION FOR THE IMPROVEMENT PLAN IS THE SNOHOMISH COUNTY COMMUNITY, WITH EMPHASIS ON VULNERABLE POPULATIONS. 1. MENTAL HEALTH CARE IS FOUNDATIONAL TO AN INDIVIDUAL'S QUALITY OF LIFE AND PHYSICAL HEALTH. ACCESS TO MENTAL HEALTH CARE INCLUDES THE AVAILABILITY OF QUALITY, INTEGRATED CARE FOR INDIVIDUALS WITH A RANGE OF MENTAL DISORDERS. DUE TO THE LACK OF ACCESS TO MENTAL HEALTH CARE, PATIENTS ARE EITHER GOING WITHOUT CARE, HAVE LONG WAIT TIMES TO SEE A PROVIDER, OR ARE CARED FOR IN FACILITIES THAT ARE NOT EQUIPPED TO CARE FOR THEM. THE GOAL IS TO IMPROVE ACCESS TO QUALITY, TIMELY MENTAL HEALTH SERVICES IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS. A. IMPROVE WHOLE PERSON CARE BY EMBEDDING MENTAL HEALTH PROGRAMS INTO PRIMARY CARE. ACCOMPLISHMENTS INCLUDE 1) ADDED PEDIATRIC PSYCHIATRIST, THERAPIST AND SOCIAL WORKER IN PRIMARY CARE, AND 2) EXPANDED BEHAVIORAL HEALTH IN WOMEN'S SERVICES CLINIC. B. INCREASE ACCESS TO MENTAL HEALTH SERVICES. ACCOMPLISHMENTS INCLUDE 1) OPENED MENTAL HEALTH URGENT CARE CLINIC, AND 2) COMMENCED CONSTRUCTION OF INPATIENT PSYCHIATRIC UNIT. C. EDUCATE CAREGIVERS, PROVIDERS, AND THE COMMUNITY IN ORDER TO DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS. ACCOMPLISHMENTS INCLUDED 1) INCREASED STAFF AND PROVIDER EDUCATION ON TRAUMA INFORMED CARE, AND 2) IMPROVED BEHAVIORAL HEALTH COMPETENCIES OF STAFF. D. COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS MENTAL HEALTH CARE. ACCOMPLISHMENTS INCLUDE PROVIDING FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING MENTAL HEALTH SUCH AS UNITED WAY, CENTER FOR HUMAN SERVICES, AND COMPASS HEALTH. 2. OPIOID USE DISORDER HAS A SIGNIFICANT HEALTH AND SOCIAL IMPACT ON INDIVIDUALS AND THE COMMUNITY. MISUSE OF PRESCRIPTION OPIOIDS FOR PAIN SUCH AS MORPHINE, OXYCODONE, HYDROCODONE/FENTANYL, AND USE OF ILLEGAL DRUGS SUCH AS HEROIN ARE SERIOUS PROBLEMS IN SNOHOMISH COUNTY. THE GOAL IS TO IMPLEMENT PREVENTION AND INTERVENTION STRATEGIES TO REDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE MISUSE OF OPIOID MEDICATIONS AND USE OF ILLEGAL OPIOIDS IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH SUBSTANCE USE DISORDERS. A. INCREASE ACCESS TO TREATMENT OPTIONS. ACCOMPLISHMENTS INCLUDE THE CONTINUATION OF PRMCE SUBSTANCE USE DISORDER TREATMENT SERVICES. B. PREVENT INAPPROPRIATE OPIOID PRESCRIBING TO REDUCE OPIOID MISUSE. ACCOMPLISHMENTS INCLUDE 1) EXPANSION OF MEDICATION ASSISTED TREATMENT IN THE EMERGENCY DEPARTMENT, AND 2) EDUCATION ON PAIN CONTROL ALTERNATIVES TO PROVIDERS IN PERIOPERATIVE AND OBSTETRICS. C. PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON DRUG USE. ACCOMPLISHMENTS INCLUDE EXPANSION OF TOTAL HEALTH TO ADDITIONAL COMMUNITY PARTNERS (WORKFORCE SNOHOMISH, SEAMAR, SAFE HARBOR FREE CLINIC, COMMUNITY HEALTH CENTER, LATINO EDUCATIONAL TRAINING INSTITUTE, DOMESTIC VIOLENCE SERVICES) D. COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS OPIOID USE DISORDER. ACCOMPLISHMENTS INCLUDE 1) FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING MENTAL HEALTH SUCH AS POISON CONTROL, COMPASS HEALTH, MARCH OF DIMES, UNITED WAY, COCOON HOUSE, AND 2) PROVIDED "INSIDE OUT ORGAN SHOW" EDUCATION TO SCHOOLS WHERE REAL HUMAN ORGANS ARE SHOWN TO CHILDREN TO EDUCATE THEM ON THE IMPACT SUBSTANCE USE HAS ON INTERNAL ORGANS. 3. HOMELESSNESS HAS A HIGH NEGATIVE IMPACT ON AN INDIVIDUAL'S HEALTH STATUS AND PERSONS EXPERIENCING HOMELESSNESS HAVE INCREASED NEED OF MEDICAL SYSTEMS. THE TERM "HOMELESS" IS A PROGRAMMATIC DEFINITION APPLIES TO A PERSONS' EXPERIENCE WITHOUT PERMANENT HOUSING AS THEY WHO MAY LIVE ON THE STREETS, STAY IN A SHELTER, MISSION, SINGLE ROOM OCCUPANCY FACILITY, ABANDONED BUILDING OR VEHICLE, OR IN ANY OTHER UNSTABLE OR NON-PERMANENT SITUATION. THE GOAL IS TO REDUCE THE NUMBER OF INDIVIDUALS AND FAMILIES IN SNOHOMISH COUNTY EXPERIENCING HOMELESSNESS, CONNECT PRMCE PATIENTS TO STABLE HOUSING, AND DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH PERSONS EXPERIENCING HOMELESSNESS. A. IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE PERSONS WITHOUT HOUSING POST DISCHARGE. ACCOMPLISHMENTS INCLUDE 1) COLLABORATION WITH EVERETT GOSPEL MISSION FOR MEDICAL RESPITE AND MEDICAL REST BEDS, 2) PARTNER WITH BETHANY TO OPEN AND INTERIM CARE UNIT ON THE HOSPITAL CAMPUS, 3) COLLABORATING WITH AND PROVIDING FINANCIAL ASSISTANCE WITH THE NORTHWEST JUSTICE PROJECT TO ASSIST PATIENTS WITH REMOVING BARRIERS TO DISCHARGE TO A HOME SETTING, AND 4) LEADER PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES TO ADDRESS CONDITIONS AND DYNAMICS THAT CHALLENGE COMMUNITY MEMBERS IN MEETING THEIR HOUSING NEEDS. B. PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON HOUSING/HOMELESSNESS. ACCOMPLISHMENTS INCLUDE EXPANSION OF TOTAL HEALTH TO ADDITIONAL COMMUNITY PARTNERS (WORKFORCE SNOHOMISH, SEAMAR, SAFE HARBOR FREE CLINIC, COMMUNITY HEALTH CENTER, LATINO EDUCATIONAL TRAINING INSTITUTE, DOMESTIC VIOLENCE SERVICES). C. COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO ALLEVIATE BARRIERS TO HOUSING. ACCOMPLISHMENTS INCLUDE 1) FINANCIAL SUPPORT TO THE SNOHOMISH COUNTY COMMUNITY FOUNDATION FOR A COMMUNITY CONTAINMENT/PROTECTION PROGRAM TO PROVIDE HOTEL VOUCHERS, 2) FINANCIAL SUPPORT TO CLARE'S PLACE TO SUPPORT THE LOW-BARRIER HOUSING PROJECT, 3) PROVIDING STAFFING FOR ANGEL OF THE WINDS COVID ISOLATION/QUARANTINE CENTER FOR PERSONS EXPERIENCING HOMELESSNESS, AND 4) PROVIDE FINANCIAL SUPPORT TO OTHER ORGANIZATIONS DIRECTLY PROVIDING HOUSING NEEDS INTERVENTION (HOUSING HOPE, PEORIA HOME, HOUSING HOPE, VOLUNTEERS OF AMERICA, AMERICAN RED CROSS). 4. ACCESS TO PRIMARY CARE HAS ALWAYS BEEN A GREAT CHALLENGE FOR THE COMMUNITY. LACK OF ACCESS DISPROPORTIONATELY EFFECTS THOSE LIVING IN POVERTY AND PRESENTS BARRIERS TO GOOD HEALTH. ADDRESSING THESE BARRIERS WILL IMPROVE HEALTH AND HELP PEOPLE GET THE RIGHT CARE, AT THE RIGHT TIME, AND IN THE RIGHT CARE SETTING. INDIVIDUALS WHO HAVE A PRIMARY CARE PROVIDER ARE MORE LIKELY TO RECEIVE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND MEDICATION MANAGEMENT, ALL OF WHICH LEAD TO BETTER HEALTH OUTCOMES. THOSE WITHOUT ACCESS TO A PRIMARY CARE PROVIDER MAY CHOOSE TO RECEIVE CARE IN AN EMERGENCY DEPARTMENT FOR NON-EMERGENT CONDITIONS BECAUSE THEY FEEL THEY HAVE NOWHERE ELSE TO GO, OR THEY DEFER CARE UNTIL AN ILLNESS PROGRESSES. THE GOAL IS TO ASSIST SNOHOMISH COUNTY RESIDENTS WITH ACCESSING PRIMARY CARE AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. A. IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS. ACCOMPLISHMENTS INCLUDE 1) IMPLEMENTATION OF TELE-MEDICINE IN PRIMARY CARE AND 2) INCREASE IN THE NUMBER OF APPOINTMENTS AVAILABLE DURING EVENING AND WEEKEND HOURS WHEN IT'S MOST CONVENIENT FOR PATIENTS. B. COLLABORATE WITH COMMUNITY PARTNERS TO INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE SECTOR. ACCOMPLISHMENTS INCLUDE 1) PARTICIPATION IN THE SEAMAR FAMILY MEDICINE RESIDENCY PROGRAM, 2) SERVE AS A TRAINING SITE FOR THE WSU SCHOOL OF MEDICINE TEACHING FACILITY, AND 3) COLLABORATION WITH AREA COMMUNITY COLLEGES AND HIGH SCHOOLS ON HEALTHCARE EDUCATION, AND 4) PARTICIPATE IN PROJECT SEARCH, A PROGRAM TO PREPARE YOUNG PEOPLE WITH SIGNIFICANT DISABILITIES FOR SUCCESS IN COMPETITIVE INTEGRATED EMPLOYMENT. C. RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY WHERE IT IS CONVENIENT FOR THE PATIENT. ACCOMPLISHMENTS INCLUDE ADDING ADDITIONAL PRIMARY CARE PROVIDERS TO PMG NORTHWEST LOCATIONS.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 16J:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL
PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 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) PART V, SECTION B, LINE 5:	PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL REQUESTED INPUT FROM THE COMMUNITY IN THE LAST NEEDS ASSESSMENT THROUGH FOCUS GROUPS TAKING PLACE IN THE MONTH OF APRIL 2018 UNTIL A FINAL COMMUNITY PRIORITIZATION VOTE IN MAY. A LIST OF THOSE PARTICIPATING IS INCLUDED IN APPENDIX 4 OF THE NEEDS ASSESSMENT. PROVIDENCE MOUNT CARMEL HOSPITAL AND ST. JOSEPH HOSPITAL UTILIZED SURVEYS OF THE COMMUNITY THROUGHOUT THE MONTH OF APRIL 2019. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 38 OF THE NEEDS ASSESSMENT DOCUMENT. AVAILABLE ONLINE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS GO TO WASHINGTON: SPOKANE.
PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 6A:	SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY PROVIDENCE, AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA
PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 6B:	CHNA WAS CONDUCTED IN PARTNERSHIP WITH PRIORITY SPOKANE, SPOKANE, WA AND SPOKANE REGIONAL HEALTH DISTRICT, SPOKANE, WA.
PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2019 COMMUNITY BENEFIT EFFORTS: -REDUCE FAMILY VIOLENCE AND TRAUMA -INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES -INCREASE ACCESS TO AFFORDABLE HOUSING AS A RESULT OF CONTACT WITH THE HOSPITAL AND COURT-BASED ADVOCACY PROJECT, 80% OR MORE OF IDENTIFIED DOMESTIC VIOLENCE VICTIMS CREATED STRATEGIES FOR ENHANCING THEIR SAFETY PLANS WITH THE YWCA PARTNERSHIP. DATA IS STILL BEING COLLECTED TO DETERMINE ER USAGE. 37% OF GRANTS WENT TOWARD MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT ACCESS. 33% OF AVAILABLE FUNDING WENT TOWARD AFFORDABLE HOUSING ACCESS. STEVENS COUNTY SAW AN INCREASE IN FOOD DELIVERY TO 43,000 LBS. FROM 15,000 LBS. INCLUDING PROTEIN AND PRODUCE. ALL STUDENTS RECEIVING THE EMT SCHOLARSHIP WAS DELAYED IN 2020 DUE TO COVID, HOWEVER, 12 OF 14 STUDENTS TOOK THE TEST AND 10 PASSED. THEY HAVE SUCCESSFULLY DECREASED THE NUMBER OF UNCOVERED SHIFTS IN THE RURAL AREA. THERE ARE ADDITIONAL BARRIERS TO CHILDHOOD VACCINATIONS DUE TO INCREASED DIALOGUE AROUND THE COVID VACCINE. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH THE PROVIDENCE COMMUNITY BENEFITS GRANTING PROGRAM AND PARTNERING WITH LIKE-MINDED ORGANIZATIONS IN SERVICE TO OUR COMMUNITY.SOME OF THESE AREAS ARE OUT OF OUR SCOPE. HOWEVER, WE SEE THE INTERCONNECTEDNESS OF HEALTH, HOUSING, EDUCATION, AND INCOME. IF WE CAN IMPROVE THE HEALTH OF OUR WORKFORCE, THEY WILL BE BETTER EMPLOYEES AND MORE ABLE TO CONTRIBUTE TO THE ECONOMIC VITALITY OF OUR SERVICE AREA. IF WE CAN ADDRESS MEDICAL NEEDS IN HOUSING SITUATIONS, PEOPLE MAY BE ABLE TO STAY HOUSED LONGER. IN ADDITION, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL WILL COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. ECONOMIC VITALITY WILL NOT BE DIRECTLY ADDRESSED THROUGH PHC COMMUNITY BENEFIT INVESTMENTS. PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL BELIEVE JOB CREATION IS AN UNDERLYING ASPECT OF CONDUCTING BUSINESS IN OUR COMMUNITY. WE HAVE A COMMITMENT TO FAIR WAGES, A SUSTAINABLE WORKFORCE, AND TO CONTINUE TO PROVIDE COMPETITIVE LIVABLE WAGES AND SALARIES. EDUCATION WILL NOT BE DIRECTLY ADDRESSED THROUGH PHC COMMUNITY BENEFIT INVESTMENTS. BY ADDRESSING THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE NEEDS ASSESSMENT WE CAN HELP CREATE A POPULATION THAT IS READY TO LEARN. WE WILL PARTNER WITH ORGANIZATIONS ADDRESSING EDUCATION FOR PROGRAMS APPLYING A HEALTH LENS. ENVIRONMENT WILL NOT BE ADDRESSED AS THIS IS NOT OUR AREA OF EXPERTISE. HOWEVER, AS AN ORGANIZATION, WE ARE COMMITTED TO REDUCING OUR CARBON FOOTPRINT AND TAKING ACTIONS TO ALIGN WITH EFFORTS TO REDUCE THE IMPACTS OF CLIMATE CHANGE. HOUSING & TRANSPORTATION WILL NOT BE ADDRESSED OUTSIDE OF THE SPECIFIC NEEDS IDENTIFIED. OUR EXPERTISE IS NOT IN TRANSIT OR HOUSING OVERSIGHT. WE WILL PARTNER WITH THOSE WHO ARE EXPERIENCED IN THESE FIELDS.
PHS - WASHINGTON (GROUP C - 2 & 6) PART V, SECTION B, LINE 16J:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP C - 2 & 6) 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 THESIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5:	PAMC WITH ALASKA SPECIALTY HOSPITAL CONDUCTED THE 2018 CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE. THE PERSONS CONSULTED IN CONDUCTING THE CHNA TO ENSURE BROAD COMMUNITY REPRESENTATION AND PROCESS INTEGRITY WERE: DR. DICK MANDSAGER, RASMUSON FOUNDATION LILY GADAMUS - SOUTHCENTRAL FOUNDATION LISA AQUINO - CATHOLIC SOCIAL SERVICES LISA MCGUIRE DHSS, STATE OF ALASKA MICHELLE TIERNEY SOUTHCENTRAL FOUNDATION DR. MONICA GROSS - UNITED WAY OF ANCHORAGE NATASHA PINEDA AHD, MUNICIPALITY OF ANCHORAGE SHANNON SAVAGE - ANCHORAGE NEIGHBORHOOD HEALTH CENTER TAMMY GREEN - ANCHORAGE NEIGHBORHOOD HEALTH CENTER TARI O'CONNER DHSS, STATE OF ALASKA NATHAN JOHNSON PROVIDENCE HEALTH AND SERVICES ALASKA LINDSIE MILLS PROVIDENCE HEALTH AND SERVICES ALASKA CINDY GOUGH PROVIDENCE HEALTH AND SERVICES ALASKA ELLA GOSS PROVIDENCE HEALTH AND SERVICES ALASKA THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B:	THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL WAS PREPARED IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11:	PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2018 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD. GREAT ATTENTION HAS BEEN PAID TO STABLISHING 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. NOTE: THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PAMC IMPLEMENTATION OF SERVICES. PRIORITIZED COMMUNITY HEALTH NEEDS: 1. POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) HAS MADE THE FIGHT AGAINST HOMELESSNESS A PRIORITY SINCE 2015, PROVIDING ABOUT $2.5 MILLION PER YEAR IN FUNDING. THAT WORK HAS PRIMARILY LED TO ADVANCES IN INFRASTRUCTURE AND THE COLLECTING OF DATA SO THAT HOMELESS SERVICE PROVIDERS CAN GET A TRUE SENSE OF THE SCALE OF THE PROBLEM. THEN IN 2019, PROVIDENCE PARTNERED WITH RASMUSON FOUNDATION, PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, AND WEIDNER APARTMENT HOMES TO PLEDGE A COMBINED $40 MILLION TO CREATING SOLUTIONS FOR HOMELESSNESS IN THE STATE - A JOINT EFFORT THAT WAS SUCCESSFUL ENOUGH TO ATTRACT PARTNERS LIKE THE BEZOS FOUNDATION. WHEN THE PANDEMIC LANDED IN ALASKA, AND CROWDED HOMELESS SHELTERS AND FACILITIES HAD TO RETHINK THEIR SPACES TO ACCOMMODATE FOR ADEQUATE SOCIAL DISTANCING TO PREVENT THE SPREAD OF COVID-19, PROVIDENCE JOINED WITH THE CITY OF ANCHORAGE AND OTHER LOCAL AGENCIES TO CONVERT THE CITY'S 8,600-SEAT SULLIVAN ARENA INTO AN EMERGENCY SHELTER. IT'S SUCCESS IN PROVIDING SHELTER TO MORE THAN 400 PEOPLE AT A TIME AND KEEPING INFECTION RATES LOW AMONG ONE OF THE HIGHEST-RISK POPULATIONS GARNERED NATIONAL ATTENTION. 2. MENTAL HEALTH: PHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY. MENTAL HEALTH IS ANOTHER ISSUE THAT PERENNIALLY APPEARS ON PROVIDENCE'S COMMUNITY NEEDS ASSESSMENTS. BUT THE PANDEMIC - THE HEALTH CRISIS, ITSELF, THE ADVERSE ECONOMIC IMPACT, AND THE EFFECTS OF THE SOCIAL ISOLATION - HAS ONLY HEIGHTENED THE IMPORTANCE OF ACCESS TO BEHAVIORAL HEALTHCARE, PARTICULARLY FOR ADOLESCENTS. THAT'S WHY PROVIDENCE HAS PARTNERED WITH VOLUNTEERS OF AMERICAN ALASKA TO EMBED BEHAVIORAL HEALTH COUNSELORS IN ANCHORAGE SCHOOL DISTRICT (ASD) SCHOOLS. THIS WILL BOOST DELIVERY, RAISE AWARENESS OF THE NEED FOR SERVICES, AND BOLSTER THE COMMUNITY'S OVERALL ABILITY TO COORDINATE CARE AMONG YOUTH. IN 2020 PROVIDENCE PARTNERED WITH ANCHORAGE NEIGHBORHOOD HEALTH CENTER AND SOUTHCENTRAL FOUNDATION TO SET UP A FULL-SERVICE CLINIC IN THE BOX OFFICE OF THE SULLIVAN SPORTS ARENA THAT HAD BEEN CONVERTED INTO AN EMERGENCY HOMELESS SHELTER. PROVIDENCE DIVERTED STAFF, RESOURCES, AND EQUIPMENT TO PROVIDE MEDICAL CARE, BEHAVIORAL HEALTH CARE, AND EVEN AN ONSITE PHARMACY. THERE WAS ALSO HELP FOR SUBSTANCE USE, ADDICTION, AND WITHDRAWAL FROM PSYCHIATRISTS, BOTH IN PERSON AND VIA MAKESHIFT TELEHEALTH TERMINALS. 3. HEALTHY BEHAVIORS: PHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURY PREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE. THE COMMUNITY HEALTH WORKER PROGRAM WAS DEVELOPED IN 2020 AND FOUR COMMUNITY HEALTH WORKERS WERE HIRED, WHO CAME OUT OF PRIOR COHORTS OF OUR PEER NAVIGATOR PROGRAM. THEY SERVE AS COMMUNITY EDUCATORS AND LIAISON AROUND HEALTH ISSUES AND HEALTHY BEHAVIORS. PROVIDENCE ALASKA OVER $100,000 FUNDED THE ANCHORAGE LITERACY PEER LEADER PROGRAM WHICH WAS THE LEAD AGENCY IN THE COMMUNITY REACHING OUT TO MARGINALIZED COMMUNITIES TO ADDRESS VACCINE HESITANCY. 4. SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY PSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELP ADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES. CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD. 5. ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY. CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST-TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE. PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER. THE ALASKA MEDICAL CENTER HAS THE ONLY PRIMARY CARE RESIDENCY CLINIC THAT SERVES THE MEDICAID POPULATION OF ALASKA, AND ONE OF VERY FEW CLINICS THAT ACCEPT MEDICAID AND MEDICARE. IN ADDITION, IT IS TRAINING HEALTH CARE PROVIDERS TO SERVE MARGINALIZED COMMUNITIES.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 16J:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
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 2019. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 38 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 AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: CHEWELAH AND COLVILLE
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11:	PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALTHE FOLLOWING NEEDS WERE PRIORITIZED IN THE DISCUSSION GROUP. BASED ON ALL OF THE INPUT RECEIVED THROUGH THIS ASSESSMENT PROCESS, THE FOLLOWING IS THE RANK ORDERED LIST OF SIGNIFICANT HEALTH NEEDS. - SUPPORT FOR YOUTH AND FAMILIES 1. ADDRESS THE CYCLE OF POVERTY FOR FAMILIES WITH SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT ACCESS 2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS 3. PROPER NUTRITION FOR CHILDREN AND FAMILIES ACCOMPLISHMENTS: SUPPORT FOR HUNGER COALITION TO ADDRESS BASIC FOOD NEEDS AND POVERTY, PROVIDING 600 POUNDS OF FOOD. FUNDED THE CHEWELAH FAITH RESOURCE GROUP TO PROVIDE SUMMER LUNCHES FOR LOW-INCOME STUDENTS PROVIDING 122 CHILDREN AND 46 FAMILIES MEALS. PARTNERSHIP WITH COLVILLE FIRE DEPARTMENT TO MAP RURAL AREAS FOR INCREASED ACCESS AS WELL AS SUPPORT SCHOLARSHIPS FOR COMMUNITY MEMBERS TO TAKE EMT TESTS. KETTLE FALLS SCHOOL DISTRICT SUPPORT FOR EARLY CHILDHOOD EDUCATION. THE IMPACT IS STILL UNDER REVIEW.- CONTINUING CARE OF THE AGING POPULATION 1. GAP IN RURAL HOME HEALTH CARE NEEDS AND ISOLATION 2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS 3. PROPER NUTRITION FOR THE AGING POPULATION TO HELP WITH CHRONIC DISEASES. - ACCESS TO CARE 1. IMMUNIZATIONS 2. TRANSPORTATION 3. HEALTH EDUCATION-MEDICAID -DIABETES -NUTRITION -SUBSTANCE ABUSE -TECHNOLOGY -PALLIATIVE CARE -MENTAL HEALTH OUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH THE COMMUNITY BENEFITS GRANTING PROGRAM. SOME OF THESE AREAS MAY BE OUT OF OUR SCOPE. HOWEVER, WE SEE THE INTERCONNECTEDNESS OF HEALTH, HOUSING, EDUCATION, AND INCOME AND THIS NEEDS ASSESSMENT PROCESS IDENTIFIED NEEDS THAT WE WILL BE ADDRESSING. IF WE CAN IMPROVE THE HEALTH OF OUR WORKFORCE, THEY WILL BE BETTER EMPLOYEES. IF WE CAN ADDRESS MEDICAL NEEDS IN HOUSING SITUATIONS, THEY MAY BE ABLE TO LIVE IN THEIR HOMES LONGER. IN ADDITION, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHEWELAH WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 16J:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
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 (CONTINUED)	PHS - WASHINGTON (GROUP B - 4 & 5)NEEDS NOT BEING ADDRESSED DUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE WILL NOT ADDRESS OBESITY/DIET/EXERCISE OR ACCESS TO YOUTH DENTAL CARE. GIVEN THE SCOPE OF CARE WE PROVIDE TO OUR COMMUNITY, WE WILL HAVE AN INDIRECT IMPACT ON THESE COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH OTHER COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, SUICIDE WILL NOT BE DIRECTLY ADDRESS BY PRMCE. HOWEVER, WE ANTICIPATE THAT THE FOCUS ON ACCESS TO MENTAL HEALTH WILL ALSO HAVE A POSITIVE IMPACT ON SUICIDE.

Field	Value	IRS element (for citing)
Facility	220	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (220 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - HOSPICE AND HOME CARE OF SNOHOMISH COUNT
2731 WETMORE SUITE 500	EVERETT	WA	98201	IN-HOME SERVICES
2 - INFUSION AND PHARMACY SERVICES
10807 E MONTGOMERY SUITE 8	SPOKANE VALLEY	WA	99206	IN-HOME SERVICES
3 - PROVIDENCE DOMINICARE
110 S 3RD STREET EAST PO BOX 1070	CHEWELAH	WA	99109	IN-HOME SERVICES
4 - PROVIDENCE HOME SERVICES KING COUNTY
2811 S 102ND STREET SUITE 220	TUKWILA	WA	98168	IN-HOME SERVICES
5 - PROVIDENCE INFUSION AND PHARMACY SERVICE
3333 SOUTH 120TH PLACE SUITE 100	TUKWILA	WA	98168	IN-HOME SERVICES
6 - PROVIDENCE VNA HOME HEALTH
1000 N ARGONNE	SPOKANE VALLEY	WA	99212	IN-HOME SERVICES
7 - ST MARY HOME HEALTH
380 CHASE STREET	WALLA WALLA	WA	99362	IN-HOME SERVICES
8 - PROVIDENCE FAMILY MEDICINE CENTER
1201 EAST 36TH AVENUE	ANCHORAGE	AK	99508	PRIMARY CARE
9 - CHEHALIS FAMILY MEDICINE
931 S MARKET BLVD	CHEHALIS	WA	98532	PRIMARY CARE
10 - EAST OLYMPIA FAMILY MEDICINE
525 LILLY RD NE SUITE 250	OLYMPIA	WA	98506	PRIMARY CARE
11 - FAMILY MEDICINE
2902 164TH ST SW	LYNNWOOD	WA	98087	PRIMARY CARE
12 - FAMILY MEDICINE
4112 HARBOUR POINTE BLVD SW SUITE	MUKILTEO	WA	98275	PRIMARY CARE	100
13 - FAMILY MEDICINE - INDIAN TRAIL
5011 W LOWELL AVE SUITE 100	SPOKANE	WA	99208	PRIMARY CARE
14 - FAMILY MEDICINE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	PRIMARY CARE	160
15 - FAMILY MEDICINE - MILL CREEK COMMONS
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	PRIMARY CARE	201
16 - FAMILY MEDICINE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	PRIMARY CARE
17 - FAMILY MEDICINE - NORTH
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	PRIMARY CARE
18 - FAMILY MEDICINE - NORTHPOINTE
9911 N NEVADA STREET SUITE 200	SPOKANE	WA	99218	PRIMARY CARE
19 - FAMILY MEDICINE - SPOKANE VALLEY
13102 E MISSION AVENUE	SPOKANE VALLEY	WA	99216	PRIMARY CARE
20 - HAWKS PRAIRIE FAMILY MEDICINE
2555 MARVIN RD NE	LACEY	WA	98516	PRIMARY CARE
21 - NORTHEAST WASHINGTON MEDICAL GROUP - COL
1200 EAST COLUMBIA AVE	COLVILLE	WA	99114	PRIMARY CARE
22 - NORTHEAST WASHINGTON MEDICAL GROUP - FAM
100 W SOUTH AVE	CHEWELAH	WA	99109	PRIMARY CARE
23 - NORTHEAST WASHINGTON MEDICAL GROUP - GAR
143 GARDEN HOMES DRIVE	COLVILLE	WA	99114	PRIMARY CARE
24 - NORTHEAST WASHINGTON MEDICAL GROUP - KET
840 S MEYERS STREET	KETTLE FALLS	WA	99141	PRIMARY CARE
25 - PROVIDENCE FAMILY MEDICINE
380 CHASE AVENUE	WALLA WALLA	WA	99362	PRIMARY CARE
26 - PROVIDENCE FAMILY MEDICINE RESIDENCY CLI
624 E FRONT AVE	SPOKANE	WA	99202	PRIMARY CARE
27 - PROVIDENCE MEDICAL GROUP-BATTLE GROUND F
101 NW 12TH AVE SUITE 107	BATTLE GROUND	WA	98604	PRIMARY CARE
28 - PROVIDENCE MEDICAL GROUP-CAMAS
3101 SE 192ND AVE	VANCOUVER	WA	98683	PRIMARY CARE
29 - PROVIDENCE MEDICAL GROUP-MILL PLAIN
315 SE STONEMILL DRIVE SUITE 102	VANCOUVER	WA	98684	PRIMARY CARE
30 - ROCHESTER FAMILY MEDICINE
18313 PAULSON ST SW STE A	ROCHESTER	WA	98579	PRIMARY CARE
31 - ST PETER FAMILY MEDICINE
525 LILLY RD NE	OLYMPIA	WA	98506	PRIMARY CARE
32 - VALLEY FAMILY PHYSICIANS
16528 E DESMET COURT SUITE B3100	SPOKANE VALLEY	WA	99216	PRIMARY CARE
33 - WEST OLYMPIA FAMILY MEDICINE
1620 COOPER POINT ROAD SW	OLYMPIA	WA	98502	PRIMARY CARE
34 - PROVIDENCE REHABILITATION SERVICES
4411 BUSINESS PARK BLVD BUILDING	ANCHORAGE	AK	99503	REHAB & PHYSICAL THERAPY	M-20
35 - CENTRALIA PHYSICAL MEDICINE
1800 COOKS HILL ROAD SUITE E	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
36 - CENTRALIA PHYSICAL THERAPY
1900 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
37 - OLYMPIA PHYSICAL MEDICINE
410 PROVIDENCE LANE NE BUILDING 2	OLYMPIA	WA	98506	REHAB & PHYSICAL THERAPY
38 - PHYSICAL AND AQUATIC THERAPY
1809 COOKS HILL RD	CENTRALIA	WA	98531	REHAB & PHYSICAL THERAPY
39 - PROVIDENCE CHEHALIS PHYSICAL THERAPY
91 SW CHEHALIS AVE SUITE 104	CHEHALIS	WA	98532	REHAB & PHYSICAL THERAPY
40 - PROVIDENCE PHYSICAL MEDICINE AND REHABIL
301 W POPLAR STREET	WALLA WALLA	WA	99362	REHAB & PHYSICAL THERAPY
41 - TUMWATER VALLEY PHYSICAL THERAPY
4833 TUMWATER VALLEY DR STE 150	TUMWATER	WA	98501	REHAB & PHYSICAL THERAPY
42 - PROVIDENCE EXTENDED CARE
920 COMPASSION CIR	ANCHORAGE	AK	99504	SENIOR CARE
43 - PROVIDENCE HORIZON HOUSE
4140 FOLKER STREET	ANCHORAGE	AK	99508	SENIOR CARE
44 - PROVIDENCE MEDICAL GROUP SENIOR CARE
3300 PROVIDENCE DRIVE B TOWER SUITE	ANCHORAGE	AK	99508	SENIOR CARE	314
45 - PROVIDENCE TRANSITIONAL CARE CENTER
910 COMPASSION CIRCLE	ANCHORAGE	AK	99504	SENIOR CARE
46 - PROVIDENCE SEWARD MOUNTAIN HAVEN
2203 OAK STREET	SEWARD	AK	99664	SENIOR CARE
47 - ELDERPLACE FULL LIFE
7829 S 180TH STREET	KENT	WA	98032	SENIOR CARE
48 - EMILIE COURT
34 E 8TH AVENUE	SPOKANE	WA	99202	SENIOR CARE
49 - HERITAGE HOUSE AT THE MARKET
1533 WESTERN AVENUE	SEATTLE	WA	98101	SENIOR CARE
50 - PROVIDENCE ADULT DAY HEALTH
6018 N ASTOR STREET	SPOKANE	WA	99208	SENIOR CARE
51 - PROVIDENCE ELDERPLACE
4515 MARTIN LUTHER KING JR WAY S	SEATTLE	WA	98108	SENIOR CARE	SUITE 1
52 - PROVIDENCE ELDERPLACE WEST
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
53 - PROVIDENCE MARIANWOOD
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	98029	SENIOR CARE
54 - PROVIDENCE MOTHER JOSEPH CARE CENTER
3333 ENSIGN ROAD NE	OLYMPIA	WA	98506	SENIOR CARE
55 - PROVIDENCE MOUNT ST VINCENT
4831 35TH AVE SW	SEATTLE	WA	98126	SENIOR CARE
56 - PROVIDENCE ST JOSEPH CARE CENTER
17 E 8TH AVENUE	SPOKANE	WA	99202	SENIOR CARE
57 - PALLIATIVE CARE CLINIC
3851 PIPER STREET TOWER U STE LL002	ANCHORAGE	AK	99508	SPECIALTY CLINIC
58 - PROVIDENCE ALASKA NEUROSCIENCE CENTER
3851 PIPER STREET	ANCHORAGE	AK	99508	SPECIALTY CLINIC
59 - PROVIDENCE MEDICAL GROUP BEHAVIORAL HEAL
3760 PIPER STREET SUITE 1108	ANCHORAGE	AK	99508	SPECIALTY CLINIC
60 - PROVIDENCE MEDICAL GROUP MATERNAL-FETAL
3260 PROVIDENCE DRIVE SUITE C-522	ANCHORAGE	AK	99508	SPECIALTY CLINIC
61 - PROVIDENCE MEDICAL GROUP PEDIATRIC GASTR
3340 PROVIDENCE DRIVE SUITE A-567	ANCHORAGE	AK	99508	SPECIALTY CLINIC
62 - PROVIDENCE MEDICAL GROUP PEDIATRIC PULMO
3200 PROVIDENCE DRIVE SUITE D-338	ANCHORAGE	AK	99508	SPECIALTY CLINIC
63 - PROVIDENCE MEDICAL GROUP PEDIATRIC SUBSP
3340 PROVIDENCE DRIVE SUITE A-351	ANCHORAGE	AK	99508	SPECIALTY CLINIC
64 - PROVIDENCE MEDICAL GROUP PEDIATRIC SURGE
3340 PROVIDENCE DRIVE SUITE A-565	ANCHORAGE	AK	99508	SPECIALTY CLINIC
65 - PROVIDENCE MEDICAL GROUP U-MED
3260 PROVIDENCE DRIVE C TOWER SUITE	ANCHORAGE	AK	99508	SPECIALTY CLINIC	436
66 - PROVIDENCE PEDIATRIC ONCOLOGY & INFUSION
3851 PIPER ST SUITE U1-213	ANCHORAGE	AK	99508	SPECIALTY CLINIC
67 - PROVIDENCE EAGLE RIVER MEDICAL OFFICE BU
17101 SNOWMOBILE LANE	EAGLE RIVER	AK	99577	SPECIALTY CLINIC
68 - PROVIDENCE MEDICAL GROUP MAT-SU BEHAVIOR
2250 S WOODWORTH LOOP SUITE 202	PALMER	AK	99645	SPECIALTY CLINIC
69 - PROVIDENCE MEDICAL OFFICE BUILDING MAT-S
2250 SOUTH WOODWORTH LOOP	PALMER	AK	99645	SPECIALTY CLINIC
70 - ANTICOAGULATION - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	160
71 - ANTICOAGULATION - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
72 - CANCER CARE - PROVIDENCE REGIONAL CANCER
1717 13TH ST	EVERETT	WA	98201	SPECIALTY CLINIC
73 - CARDIAC AND THORACIC SURGERY - COLBY CAM
1330 ROCKEFELLER SUITE 400	EVERETT	WA	98201	SPECIALTY CLINIC
74 - CARDIOLOGY - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 310	EVERETT	WA	98201	SPECIALTY CLINIC
75 - CARDIOLOGY - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
76 - CARDIOLOGY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
77 - CARDIOLOGY ASSOCIATES - ABERDEEN
1921 SUMNER AVE	ABERDEEN	WA	98520	SPECIALTY CLINIC
78 - CARDIOLOGY ASSOCIATES - CENTRALIA
1800 COOKS HILL ROAD SUITE K	CENTRALIA	WA	98531	SPECIALTY CLINIC
79 - CARDIOLOGY ASSOCIATES - SHELTON
939 MOUNTAIN VIEW DR	SHELTON	WA	98584	SPECIALTY CLINIC
80 - CARDIOLOGY ASSOCIATES - YELM
201 TAHOMA BLVD SE SUITE 204	YELM	WA	98597	SPECIALTY CLINIC
81 - CENTRALIA GENERAL SURGERY
1720 COOKS HILL ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
82 - CENTRALIA INTERNAL MEDICINE
1010 SOUTH SCHEUBER ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
83 - CENTRALIA WOMEN'S CENTER
1000 S SCHEUBER ROAD	CENTRALIA	WA	98531	SPECIALTY CLINIC
84 - CLINIC AT PANORAMA
1450 NORTHWEST LANE SE SUITE A	LACEY	WA	98503	SPECIALTY CLINIC
85 - CRANIAL SPINE AND JOINT
1717 13TH ST SUITE 401	EVERETT	WA	98201	SPECIALTY CLINIC
86 - EAR NOSE AND THROAT - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
87 - EAR NOSE AND THROAT - MILL CREEK CAMPU
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	110
88 - ENDOCRINOLOGY - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 210	EVERETT	WA	98201	SPECIALTY CLINIC
89 - ENDOCRINOLOGY - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
90 - ENDOCRINOLOGY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
91 - EPILEPSY CENTER - SACRED HEART DOCTORS B
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
92 - FAMILY MEDICINE & MATERNITY CARE SOUTH
2020 E 29TH AVE	SPOKANE	WA	99203	SPECIALTY CLINIC
93 - GENETICS CLINIC
105 W 8TH AVE SUITE 454E	SPOKANE	WA	99204	SPECIALTY CLINIC
94 - GYNECOLOGIC ONCOLOGY
1717 13TH ST SUITE 300	EVERETT	WA	98201	SPECIALTY CLINIC
95 - HAWKS PRAIRIE INTERNAL MEDICINE
2555 MARVIN RD NE	LACEY	WA	98516	SPECIALTY CLINIC
96 - INFECTIOUS DISEASE - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 520	EVERETT	WA	98201	SPECIALTY CLINIC
97 - INTERNAL MEDICINE
820 S MCCLELLAN STREET SUITES 200	SPOKANE	WA	99204	SPECIALTY CLINIC	500
98 - INTERNAL MEDICINE - COLBY CAMPUS MOB
1330 ROCKEFELLER SUITE 210	EVERETT	WA	98201	SPECIALTY CLINIC
99 - INTERNAL MEDICINE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	180
100 - INTERNAL MEDICINE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
101 - MARYSVILLE CLINIC
11603 STATE AVE SUITE G	MARYSVILLE	WA	98271	SPECIALTY CLINIC
102 - MIDWIFERY - MILL CREEK COMMONS
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	SPECIALTY CLINIC	201
103 - MIDWIFERY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
104 - MIDWIFERY - PAVILION FOR WOMEN & CHILDRE
900 PACIFIC AVE SUITE 501	EVERETT	WA	98201	SPECIALTY CLINIC
105 - MINIMALLY INVASIVE HEART SURGERY
122 W 7TH AVENUE	SPOKANE	WA	99204	SPECIALTY CLINIC
106 - MULTIPLE SCLEROSIS CENTER
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
107 - NEPHROLOGY - HYPERTENSION KIDNEY CARE &
105 W 8TH AVE SUITE 7060	SPOKANE	WA	99204	SPECIALTY CLINIC
108 - NEUROLOGY NEUROSURGERY & SPINE
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
109 - NORTHWEST HEART & LUNG SURGICAL ASSOCIAT
122 W 7TH AVE SUITE 110	SPOKANE	WA	99204	SPECIALTY CLINIC
110 - OBSTETRICS AND GYNECOLOGY - MILL CREEK C
16708 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98012	SPECIALTY CLINIC	201
111 - OBSTETRICS AND GYNECOLOGY - MONROE CLINI
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
112 - OBSTETRICS AND GYNECOLOGY - PAVILLION FO
900 PACIFIC AVE SUITE 501	EVERETT	WA	98201	SPECIALTY CLINIC
113 - OCCUPATIONAL MEDICINE - DOWNTOWN
421 S DIVISION ST SUITE 2	SPOKANE	WA	99202	SPECIALTY CLINIC
114 - OCCUPATIONAL MEDICINE - NORTH
551 E HAWTHORNE ROAD	SPOKANE	WA	99218	SPECIALTY CLINIC
115 - OCCUPATIONAL MEDICINE - SPOKANE VALLEY
16528 E DESMET COURT SUITE A1600	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
116 - OLYMPIA CARDIAC SURGERY
525 LILLY RD NE SUITE 200	OLYMPIA	WA	98506	SPECIALTY CLINIC
117 - OLYMPIA ENDOCRINOLOGY
2555 MARVIN RD NE	LACEY	WA	98516	SPECIALTY CLINIC
118 - OLYMPIA INFECTIOUS DISEASE CLINIC
3525 ENSIGN RD NE SUITE R	OLYMPIA	WA	98506	SPECIALTY CLINIC
119 - OLYMPIA UROLOGY
149 LILLY ROAD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
120 - ORTHOPEDICS
820 S MCCLELLAN ST SUITE 300	SPOKANE	WA	99204	SPECIALTY CLINIC
121 - ORTHOPEDICS - NORTH
212 E CENTRAL AVE SUITE 245	SPOKANE	WA	99208	SPECIALTY CLINIC
122 - PEDIATRIC ASSOCIATES - NORTHPOINTE
9911 N NEVADA ST SUITE 200	SPOKANE	WA	99218	SPECIALTY CLINIC
123 - PEDIATRIC GASTROENTEROLOGY - SACRED HEAR
105 W 8TH AVE SUITE 150E	SPOKANE	WA	99204	SPECIALTY CLINIC
124 - PEDIATRIC PULMONOLOGY & CYSTIC FIBROSIS
105 W 8TH AVE SUITE 660E	SPOKANE	WA	99204	SPECIALTY CLINIC
125 - PEDIATRICS
2902 164TH ST SW	LYNNWOOD	WA	98087	SPECIALTY CLINIC
126 - PEDIATRICS
4112 HARBOUR POINTE BLVD SW SUITE	MUKILTEO	WA	98275	SPECIALTY CLINIC	100
127 - PEDIATRICS - INDIAN TRAIL
5011 W LOWELL AVE SUITE 100	SPOKANE	WA	99208	SPECIALTY CLINIC
128 - PEDIATRICS - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	190
129 - PEDIATRICS - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
130 - PEDIATRICS - NORTH
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
131 - PHYSIATRY - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
132 - PLASTIC AND RECONSTRUCTIVE SURGERY - MIL
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	260
133 - PROVIDENCE CARDIOLOGY ASSOCIATES
500 LILLY RD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
134 - PROVIDENCE EAR NOSE & THROAT
301 W POPLAR STREET SUITE 210	WALLA WALLA	WA	99362	SPECIALTY CLINIC
135 - PROVIDENCE GASTROENTEROLOGY
212 E CENTRAL AVE SUITE 440	SPOKANE	WA	99208	SPECIALTY CLINIC
136 - PROVIDENCE GASTROENTEROLOGY
301 W POPLAR STREET SUITE 210	WALLA WALLA	WA	99362	SPECIALTY CLINIC
137 - PROVIDENCE GENERAL SURGERY
380 CHASE AVE	WALLA WALLA	WA	99362	SPECIALTY CLINIC
138 - PROVIDENCE HIV CLINIC
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
139 - PROVIDENCE IN HOME PRIMARY CARE
1830 BICKFORD AVENUE	SNOHOMISH	WA	98290	SPECIALTY CLINIC
140 - PROVIDENCE INTERNAL MEDICINE
16528 E DESMET COURT SUITE B2100	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
141 - PROVIDENCE INTERNAL MEDICINE
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
142 - PROVIDENCE INTERNAL MEDICINE RESIDENCY C
624 E FRONT AVE	SPOKANE	WA	99202	SPECIALTY CLINIC
143 - PROVIDENCE LIVER AND PANCREAS
105 W 8TH AVE SUITE 7050	SPOKANE	WA	99204	SPECIALTY CLINIC
144 - PROVIDENCE MEDICAL PARK
16528 E DESMET COURT	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
145 - PROVIDENCE NEPHROLOGY
301 W POPLAR STREET SUITE 100	WALLA WALLA	WA	99362	SPECIALTY CLINIC
146 - PROVIDENCE NEUROLOGY
105 W 8TH AVE SUITE 318C	SPOKANE	WA	99204	SPECIALTY CLINIC
147 - PROVIDENCE OCCUPATIONAL HEALTH
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
148 - PROVIDENCE ORTHOPEDIC SURGERY
380 CHASE STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
149 - PROVIDENCE ORTHOPEDICS - SPOKANE VALLEY
16528 E DESMET COURT SUITE A2200	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
150 - PROVIDENCE REGIONAL CANCER CENTER
105 W 8TH AVE SUITE 550E	SPOKANE	WA	99204	SPECIALTY CLINIC
151 - PROVIDENCE REGIONAL CANCER SYSTEM
4525 THIRD AVENUE SE STE 200	LACEY	WA	98503	SPECIALTY CLINIC
152 - PROVIDENCE REGIONAL CANCER SYSTEM - ABER
954 ANDERSON DRIVE STE 102	ABERDEEN	WA	98520	SPECIALTY CLINIC
153 - PROVIDENCE REGIONAL CANCER SYSTEM - CENT
2015 COOKS HILL RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
154 - PROVIDENCE REGIONAL CANCER SYSTEM - SHEL
2026 OLYMPIC HIGHWAY N SUITE 203	SHELTON	WA	98584	SPECIALTY CLINIC
155 - PROVIDENCE REGIONAL CANCER SYSTEM - YELM
201 TAHOMA BLVD SE STE 204	YELM	WA	98597	SPECIALTY CLINIC
156 - PROVIDENCE SPOKANE CARDIOLOGY
122 W 7TH AVE SUITE 450	SPOKANE	WA	99204	SPECIALTY CLINIC
157 - PROVIDENCE SPOKANE HEART INSTITUTE
122 W 7TH AVENUE	SPOKANE	WA	99204	SPECIALTY CLINIC
158 - PROVIDENCE ST PETER CHEMICAL DEPENDENCY
4800 COLLEGE STREET SE	LACEY	WA	98503	SPECIALTY CLINIC
159 - PROVIDENCE ST MARY NEUROSCIENCE INSTITU
301 W POPLAR STREET	WALLA WALLA	WA	99362	SPECIALTY CLINIC
160 - PROVIDENCE ST PETER OUTPATIENT ORTHOPED
410 PROVIDENCE LANE NE 2ND FLOOR	OLYMPIA	WA	98506	SPECIALTY CLINIC
161 - PROVIDENCE UROLOGY
301 W POPLAR STREET SUITE 50	WALLA WALLA	WA	99362	SPECIALTY CLINIC
162 - PULMONARY AND SLEEP DISORDER CLINIC
212 E CENTRAL AVE SUITE 315	SPOKANE	WA	99208	SPECIALTY CLINIC
163 - PULMONARY ONCOLOGY - SACRED HEART DOCTOR
105 W 8TH AVE SUITE 550E	SPOKANE	WA	99204	SPECIALTY CLINIC
164 - SEXUAL ASSAULT CLINIC
420 GOLF CLUB ROAD SUITE 203	LACEY	WA	98503	SPECIALTY CLINIC
165 - SLEEP CENTER FOR SOUTHWEST WASHINGTON
500 LILLY RD NE SUITE 110	OLYMPIA	WA	98605	SPECIALTY CLINIC
166 - SLEEP HEALTH - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	160
167 - SLEEP HEALTH - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
168 - SLEEP LAB - PAVILION FOR WOMEN & CHILDRE
900 PACIFIC AVE 2ND FLOOR	EVERETT	WA	98201	SPECIALTY CLINIC
169 - SNOHOMISH CLINIC
1830 BICKFORD AVENUE SUITE 211	SNOHOMISH	WA	98290	SPECIALTY CLINIC
170 - SOUTH SOUND INTERNAL MEDICINE
3425 ENSIGN ROAD NE SUITE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
171 - SOUTH SOUND PULMONARY AND SLEEP MEDICINE
500 LILLY RD NE SUITE 201	OLYMPIA	WA	98506	SPECIALTY CLINIC
172 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU
2555 MARVIN RD NE LACEY	LACEY	WA	98516	SPECIALTY CLINIC
173 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU
1010 S SCHEUBER RD	CENTRALIA	WA	98531	SPECIALTY CLINIC
174 - SOUTHWEST WASHINGTON NEUROSURGERY
615 LILLY ROAD SUITE 220	OLYMPIA	WA	98506	SPECIALTY CLINIC
175 - ST PETER OUTPATIENT PEDIATRIC THERAPIES
410 PROVIDENCE LANE NE 2ND FLOOR	OLYMPIA	WA	98506	SPECIALTY CLINIC
176 - TRAVEL MEDICINE CLINIC
525 LILLY ROAD NE	OLYMPIA	WA	98506	SPECIALTY CLINIC
177 - VALLEY YOUNG PEOPLE'S CLINIC
1414 NORTH VERCLER ROAD 1	SPOKANE VALLEY	WA	99216	SPECIALTY CLINIC
178 - VASCULAR INSTITUTE - PROVIDENCE SPOKANE
122 W 7TH AVENUE SUITE 420	SPOKANE	WA	99204	SPECIALTY CLINIC
179 - VASCULAR SURGERY - COLBY CAMPUS MOB
1330 ROCKEFELLER AVE SUITE 520	EVERETT	WA	98201	SPECIALTY CLINIC
180 - VEIN CENTER
1923 S GRAND BLVD	SPOKANE	WA	99203	SPECIALTY CLINIC
181 - VEIN CENTER - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	270
182 - WALK-IN CARE - MILL CREEK CAMPUS
12800 BOTHELL-EVERETT HIGHWAY SUITE	MILL CREEK	WA	98208	SPECIALTY CLINIC	110
183 - WALK-IN CARE - MONROE CLINIC
19200 NORTH KELSEY STREET	MONROE	WA	98272	SPECIALTY CLINIC
184 - PROVIDENCE URGENT CARE
380 CHASE AVE	WALLA WALLA	WA	99362	URGENT CARE
185 - URGENT CARE - 5TH & DIVISION
421 S DIVISION STREET	SPOKANE	WA	99202	URGENT CARE
186 - URGENT CARE - HAWTHORNE
551 E HAWTHORNE ROAD	SPOKANE	WA	99218	URGENT CARE
187 - URGENT CARE - SPOKANE VALLEY
16528 E DESMET COURT SUITE A1200	SPOKANE VALLEY	WA	99216	URGENT CARE
188 - WEST OLYMPIA IMMEDIATE CARE
1620 COOPER POINT ROAD SW	OLYMPIA	WA	98502	URGENT CARE
189 - PROVIDENCE EXPRESSCARE
1389 HUFFMAN RD STE 110	ANCHORAGE	AK	99515	URGENT CARE
190 - PROVIDENCE PRIMARY CARE
1389 HUFFMAN RD STE 202	ANCHORAGE	AK	99515	PRIMARY CARE
191 - ALASKA CARES
4901 A STREET	ANCHORAGE	AK	99503	SPECIALTY CLINIC
192 - PROVIDENCE CHINIAK BAY ELDER HOUSE
1915 E REZANOF DR	KODIAK	AK	99615	SENIOR CARE
193 - PROVIDENCE SAFE HARBOR
717 E REZANOF DR	KODIAK	AK	99615	SPECIALTY CLINIC
194 - PROVIDENCE IN HOME SERVICES
4001 DALE ST	ANCHORAGE	AK	99508	IN-HOME SERVICES
195 - SPOKANE CARDIOLOGY-LEWISTON
2315 8TH STREET	LEWISTON	ID	83501	SPECIALTY CARE
196 - RADIANT CARE ABERDEEN
1200 BASICH BOULEVARD	ABERDEEN	WA	98520	SPECIALTY CARE
197 - PROVIDENCE IMAGING CENTER
908 S SCHEUBER RD	CENTRALIA	WA	98531	IMAGING
198 - PMG SE WA UNIVERSITY CLINIC
295 S COLLEGE AVE	COLLEGE PLACE	WA	99324	SPECIALTY CARE
199 - PMG WWMG SILVER LK CARDIO
12728 19TH AVENUE SE SUITE 200 300	EVERETT	WA	98208	SPECIALTY CARE
200 - INTERVENTION CENTER
1509 CALIFORNIA ST DAWSON PL CHILD	EVERETT	WA	98201	SPECIALTY CARE	ADV
201 - UROLOGY & PHARMACY
4310 COLBY AVENUE SUITE 203	EVERETT	WA	98203	SPECIALTY CARE
202 - PACE ALDER
1404 CENTRAL AVE SOUTH SUITE 110	KENT	WA	98030	SENIOR SERVICES
203 - VASCULAR SURGERY
128 LILLY ROAD SUITE 205	LACEY	WA	98506	SPECIALTY CARE
204 - PROV VALLEY YOUNG PEOPLE
23813 E APPLEWAY AVENUE	LIBERTY LAKE	WA	99019	SPECIALTY CARE
205 - COMMUNITY CARE CENTER
225 STATE AVE NE SUITES 100 AND 200	OLYMPIA	WA	98501	SPECIALTY CARE
206 - G AND A HS SOUND
2146 WEST RAILROAD AVENUE	SHELTON	WA	98584	HOME SERVICES
207 - CLEARVIEW CLINIC
17432 STATE RD 9 SE SUITE 201	SNOHOMISH	WA	98296	PRIMARY CARE
208 - PMG PEDS NORTH
1111 E WESTVIEW COURT SUITE B	SPOKANE	WA	99218	PRIMARY CARE
209 - PROV GRAND PEDIATRICS
1402 S GRAND BOULEVARD	SPOKANE	WA	99203	PRIMARY CARE
210 - PROV PEDIATRIC ASSOCIATES
1919 S GRAND BOULEVARD	SPOKANE	WA	99203	PRIMARY CARE
211 - INLAND NEUROSURGERY & SPINE & RISE ADULT
235 E ROWAN AVE	SPOKANE	WA	99207	SPECIALTY CARE
212 - ANTICOAGULATION OP CLINIC
46 E ROWAN AVENUE	SPOKANE	WA	99207	SPECIALTY CARE
213 - PMG KENDALL YARDS
546 N JEFFERSON LN SUITE 100	SPOKANE	WA	99260	PRIMARY CARE
214 - PROV ROWAN INTERNAL MEDICINE
9631 NORTH NEVADA ST STE 301/2/4/10	SPOKANE	WA	99218	PRIMARY CARE
215 - PMG INNOVATIVE CLINIC
1212 N PINES ROAD	SPOKANE VALLEY	WA	99206	PRIMARY CARE
216 - PMG SE WA SPORTS MEDICINE
1017 SOUTH SECOND AVENUE	WALLA WALLA	WA	99362	SPECIALTY CARE
217 - PMG SE WA OCCUPATIONAL MED
1025 S 2ND AVE	WALLA WALLA	WA	99362	SPECIALTY CARE
218 - PMG SE WA FAMILY PRACTICE
1111 S 2ND AVE	WALLA WALLA	WA	99362	PRIMARY CARE
219 - HOME HEALTH
201 W POPLAR ST	WALLA WALLA	WA	99362	HOME SERVICES
220 - PHYSICAL THERAPY
340 S PARK STREET	WALLA WALLA	WA	99362	SPECIALTY CARE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE AND SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:- PROVIDENCE LIVEWELL LOCAL - CONNECTS PEOPLE WITH A CLEARINGHOUSE THAT MAKES IT EASIER TO FIND AND ACCESS HEALTH AND WELL-BEING INFORMATION AND TOOLS AND CONNECT WITH THE COMMUNITY ASSETS THROUGHOUT THE COUNTY THAT SUPPORT HEALTH AND HEALING. - PROVIDENCE HEALTH AND WELL-BEING MONITOR PROVIDENCE PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL DETERMINATES OF HEALTH ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS. - PROVIDENCE TOTAL HEALTH A SCREENING TOOL USED IN A PRIMARY CARE CLINIC TO SCREEN FOR SOCIAL DETERMINANT NEEDS AND REFERRING THOSE PERSONS IDENTIFIED AS HAVING AN UNMET NEED TO COMMUNITY SERVICES.- PROVIDENCE EDGE OF AMAZING ANNUAL COMMUNITY HEALTH SUMMIT THAT BRINGS TOGETHER PEOPLE FROM ORGANIZATIONS THAT ARE COMMITTED TO IMPROVING COMMUNITY HEALTH AND EQUITY. PARTICIPANTS OF THE SUMMIT SHARE PROJECTS AND GOALS TO HELP CREATE COLLABORATIVE PARTNERSHIPS THAT WILL INCREASE IMPACT AND EFFICIENCIES OF COMMUNITY BUILDING ACTIVITIES. - PROVIDENCE HEALTH EDUCATION PROMOTION COLLECTIVELY WITH OUR COMMUNITY PARTNERS, WE PROMOTE AWARENESS OF KEY PRIORITY PUBLIC HEALTH, HEALTH EDUCATION, AND PREVENTION MESSAGES FOR OUR COMMUNITIES. CLASSES, SUPPORT GROUPS, AND EDUCATIONAL EVENTS ARE HELD IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. TOPICS ARE TAILORED TO THE AUDIENCE AND COVER A WIDE VARIETY OF HEALTH AND WELL-BEING AREAS.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-TRI COUNTY ECONOMIC DEVELOPMENT DISTRICTWE ARE ALSO MEMBERS OF MANY BOARDS IN THE COMMUNITY INCLUDING:-COLVILLE CHAMBER OF COMMERCEPROVIDENCE SACRED HEART, CHILDREN'S HOSPITAL, AND HOLY FAMILY ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN BRAIN TUMOR ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-CANCER PATIENT CARE-CATHOLIC CHARITIES-HOPE HOUSE-INLAND NW BLOOD CENTER-MARCH OF DIMES-SPECIAL OLYMPICS-SPOKANE REGIONAL LAW AND JUSTICE COUNCIL-WOMEN HELPING WOMEN-YWCAPROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. PROVIDENCE MEDICAL GROUP PHYSICIANS OFFER FREE SPORTS PHYSICALS TO WALLA WALLA STUDENTS GRADES 6-11 IN COORDINATION WITH WALLA WALLA PUBLIC SCHOOLS, PROVIDENCE ST. MARY REHABILITATION AND PROVIDENCE ST. MARY FOUNDATION.A PROVIDENCE MEDICAL GROUP PRACTICE MANAGER CONTRIBUTES TIME TO THE SOS HEALTH SERVICES BOARD, WHICH SERVES ALL PEOPLE IN THE WALLA WALLA VALLEY, PARTICULARLY THOSE WITHOUT INSURANCE COVERAGE, AND REGARDLESS OF IMMIGRATION STATUS. THE PRACTICE MANAGER ALSO PROVIDES MENTORSHIP TO THE CLINIC'S COORDINATOR. A PROVIDENCE ST. MARY PHYSICIAN ALSO VOLUNTEERS AT THE SOS CLINIC.
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:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:	NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ALASKA MEDICAL CENTER LEADERSHIP PARTICIPATES 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 ST. PETER HOSPITAL & CENTRALIA HOSPITALEVERY 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 & PACIFICTHE CHNA PROCESS IS BASED UPON THE UNDERSTANDING THAT HEALTH AND WELLNESS HAPPEN ACROSS OUR COMMUNITIES, NOT JUST IN MEDICAL FACILITIES. IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. WE ALSO INVITED KEY STAKEHOLDERS AND COMMUNITY MEMBERS TO PROVIDE ADDITIONAL CONTEXT TO THE DATA THROUGH COMMUNITY SURVEYS AND COMMUNITY FORUMS. PRMCE UTILIZED A THREE-STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS. NEEDS IDENTIFIED IN THE SNOHOMISH HEALTH DISTRICT CHNA WERE EVALUATED IN THE FIRST PHASE OF PRIORITIZATION. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE. PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC PARTICIPATED DURING 2017-2018 IN A COMMUNITY HEALTH PARTNERSHIP LEAD BY WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH (PUBLIC HEALTH) AND THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP). THE BMRCHP INCLUDES PARTICIPATION FROM A BROAD BASE OF SECTORS IMPORTANT TO OVERALL COMMUNITY HEALTH INCLUDING PUBLIC HEALTH, EDUCATION (INCLUDING PUBLIC SCHOOL DISTRICTS, LOCAL COLLEGES, AND PRE-SCHOOL EARLY LEARNING ADVOCATES), HEALTHCARE AGENCIES, PUBLIC SAFETY & LAW ENFORCEMENT, SOCIAL SERVICES AND MANAGED CARE, LONG-TERM HOUSING, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF THE PUBLIC. GEOGRAPHICAL REPRESENTATION INCLUDES MEMBERS FROM WALLA WALLA COUNTY, COLUMBIA COUNTY, AND THE MILTON-FREEWATER, OREGON COMMUNITIES WHICH ARE INCLUDED IN THE PRIMARY SERVICE AREA OF PSMMC. THE BMRCHP MEETS MONTHLY AND HAS UTILIZED FACILITATED GROUP PROCESSES TO IDENTIFY NEEDS AND PRIORITIZE HEALTH INDICATORS AMONG COMMUNITY STAKEHOLDERS AT SEVERAL WORK SESSIONS INCLUDING A SERIES OF OPEN MEETINGS IN 2018 WHERE THE PUBLIC WAS INVITED. THE GOAL OF THIS PARTNERSHIP IS TO CREATE A HEALTHIER COMMUNITY THROUGH CROSS-SECTOR COLLABORATION WITH PROVIDERS, PARTNERS, AND ORGANIZATIONS THROUGHOUT THE BLUE MOUNTAIN REGION TO ENSURE RESIDENTS IN THE BLUE MOUNTAIN REGION HAVE ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE AND RESOURCES TO SUSTAIN A HEALTHY LIFESTYLE.KODIAK MEDICAL CENTERIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, 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 SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND HOLY FAMILYEVERY 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 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.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 CENTRALIA HOSPITAL THE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS INCLUDES THE SOUTHWEST WASHINGTON SERVICE AREA AND CONSISTS OF FIVE COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 506,000. WITHIN THIS GEOGRAPHICAL AREA, THURSTON AND LEWIS COUNTIES ARE DESIGNATED AS THE PRIMARY SERVICE AREA FOR THE TWO HOSPITALS, WITH A POPULATION OF APPROXIMATELY 368,367 PEOPLE, AN INCREASE OF 6.3% FROM THE PRIOR ASSESSMENT. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES. OF THE OVER 368,000 PERMANENT RESIDENTS OF THURSTON AND LEWIS COUNTIES, ROUGHLY 47% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS ACROSS THE COUNTY. FOR REFERENCE, IN 2020, 200% FPL REPRESENTS AN ANNUAL HOUSEHOLD INCOME OF $52,400 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. THE HIGH NEED SERVICE AREA CONSISTS OF A DISPROPORTIONATE AMOUNT OF RESIDENTS AGES 18 TO 34, WHILE OLDER ADULTS, AGES 65 TO 84 ARE LESS LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA. LEWIS AND THURSTON COUNTIES HAVE HIGHER PERCENTAGES OF PEOPLE OVER AGE 65 THAN THE STATE. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS SOUTHWEST WASHINGTON GEOGRAPHIES. IN THE SERVICE AREA, THE MAJORITY POPULATION (80.3%) ARE WHITE. 5.9% OF SERVICE AREA RESIDENTS IDENTIFY AS TWO OR MORE RACES, 5.9% ARE ASIAN/PACIFIC ISLANDER, 3.4% ARE ANOTHER RACE, 2.9% ARE BLACK, AND 1.6% ARE AMERICAN INDIAN. IN THE HOSPITALS' SERVICE AREA, 9.77% OF THE POPULATION IS OF HISPANIC ETHNICITY. WITHIN THE HIGH NEED PORTION OF THE SERVICE AREA, 11.07% OF THE POPULATION IS OF HISPANIC ETHNICITY. INDIVIDUALS WHO IDENTIFY AS HISPANIC OR "OTHER" RACE ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS THAN THEIR PEERS OF OTHER RACES. PEOPLE WHO IDENTIFY AS WHITE ARE SLIGHTLY LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS, HIGHLIGHTING INEQUITIES BY RACE. THE HOSPITALS' SERVICE AREA HAS A LOWER ECONOMIC STATUS WHEN COMPARED TO THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $66,242. OVER ONE QUARTER (29.4%) OF THE AREA IS CONSIDERED LOW-INCOME, LIVING AT 200% OF LESS OF THE FEDERAL POVERTY LEVEL (FPL). 6.7% OF AREA ADULTS ARE UNEMPLOYED AND 16.1% ACCESS SNAP (FOOD STAMP) BENEFITS. AMONG AREA RENTERS, 25.6% EXPERIENCE A SEVERE HOUSING COST BURDEN, AS THEY SPEND 50% OR MORE OF THEIR INCOME ON RENT. OTHER HOSPITALS IN THE COMMUNITY INCLUDE, MASON GENERAL HOSPITAL AND FAMILY CLINICS, GRAYS HARBOR COMMUNITY HOSPITAL, WILLAPA HARBOR HOSPITAL, OCEAN BEACH HOSPITAL AND MEDICAL CLINICS.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. AS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN, AND SNOHOMISH COUNTIES. HOWEVER, MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY. PRMCE SERVES ONE OUT OF EVERY FOUR RESIDENTS OF SNOHOMISH COUNTY AND FOR THIS REASON THE GEOGRAPHIC DEFINITION FOR THE CHNA IS SNOHOMISH COUNTY. SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE. THE COUNTY LAND AREA IS COMPRISED OF 68 PERCENT FOREST LAND, 18 PERCENT RURAL, 9 PERCENT URBAN/CITY, AND 5 PERCENT AGRICULTURAL. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 805,624. AMONG SNOHOMISH COUNTY RESIDENTS, 73% OF RESIDENTS ARE WHITE, 12% ASIAN, AND 4% AFRICAN AMERICAN. OF THE TOTAL POPULATION, 11% ARE HISPANIC, AND 5% REPORT TWO OR MORE RACES. THE MEDIAN AGE FOR SNOHOMISH COUNTY IS 38.6 YEARS FOR MALES AND 40.5 YEARS FOR FEMALES. NEARLY 25% OF THE POPULATION IS UNDER THE AGE OF 19. IN THE NEXT FIVE YEARS, THE POPULATION OVER THE AGE OF 65 IS EXPECTED TO INCREASE. THE MEDIAN FAMILY INCOME EXCEEDS THAT OF THE STATE AND THE NATIONAL MEDIAN AT $91,181 AND 7.78% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. HEALTH PROFESSION SHORTAGE AREA THE 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). SNOHOMISH COUNTY HAS SEVERAL AREAS THAT ARE DESIGNATED AS A SHORTAGE AREA. THIS INFORMATION CAN BE USED TO UNDERSTAND ACCESS ISSUES, STATE AND LOCAL HEALTH CARE PLANNING, PLACEMENT OF PROVIDERS, AND ALLOCATION OF LIMITED HEALTH CARE RESOURCES.HOSPITALS LOCATED IN EVERETT WASHINGTON, IN ADDITION TO PROVIDENCE, ARE KAISER PERMANENTE MEDICAL CENTER, BHC FAIRFAX HOSPITAL. PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND HOLY FAMILY PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL ARE LOCATED IN SPOKANE COUNTY, THE FOURTH-LARGEST COUNTY IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BORDERING IDAHO. POPULATION AND AGE DEMOGRAPHICS TOTAL POPULATION IS ABOUT 490,000, WITH AN ANNUAL GROWTH RATE OF ABOUT 1.5 PERCENT IN 2016. COMPARED TO THE STATE AS A WHOLE, SPOKANE COUNTY HAS A GREATER PROPORTION OF ADULTS AGED 65 AND OLDER.RACE / ETHNICITY AND LANGUAGE SPOKEN AT HOME OVERALL WE ARE NOT AS DIVERSE AS THE STATE BUT WE ARE SEEING A GROWING TREND IN MIGRATION TO SPOKANE. WE ARE SEEING A PLETHORA OF LANGUAGES SPOKEN AT HOME.EDUCATION, INCOME, AND HOUSING IN 2016, THE MEDIAN HOUSEHOLD INCOME FOR SPOKANE COUNTY WAS $53,043, AND THE UNEMPLOYMENT RATE WAS 6.3 PERCENT. A DECREASE FROM 7.8 PERCENT FROM OUR LAST NEEDS ASSESSMENT. 13.2 PERCENT OF THE COMMUNITY HAS HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL, AND 15.4 PERCENT OF CHILDREN AND 7.3 PERCENT OF OLDER ADULTS LIVE AT OR BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME HAS INCREASED AND PERCENTAGE OF THE POPULATION LIVING UNDER THE FEDERAL POVERTY LEVEL HAS DECREASED SINCE THE LAST NEEDS ASSESSMENT. 24.9 PERCENT OF THE POPULATION RENTING HOUSEHOLDS SPEND 50 PERCENT OR MORE OF THEIR INCOME ON HOUSING. 95 PERCENT OF OUR POPULATION 25 AND OLDER HAS A HIGH SCHOOL DEGREE OR EQUIVALENT OR MORE EDUCATION. SPOKANE COUNTY HAS LESS OF THE POPULATION WITH BACHELOR DEGREES OR HIGHER.HEALTH CARE AND HEALTH ACCESS THE SHARE OF SPOKANE COUNTY RESIDENTS WHO ARE UNINSURED WAS 5.2 PERCENT IN 2016. THIS IS A DECREASE FROM 16.5 PERCENT IN 2012. 39.2 PERCENT OF RESIDENTS WERE ON MEDICAID. IN 2017, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL SERVED A TOTAL OF 48,371 UNDUPLICATED MEDICAID PATIENTS. HEALTH AND WELLBEING IN SPOKANE COUNTY, 26.1 PERCENT OF YOUTH AND 27.9 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. IN 2016, 55 PERCENT OF THE POPULATION HAD ONE OR MORE CHRONIC HEALTH CONDITION. THE WORLD HEALTH ORGANIZATION CATEGORIZES THE FIVE MAIN CHRONIC DISEASES INTO HEART DISEASE, STROKE, CANCER, CHRONIC RESPIRATORY DISEASE, AND DIABETES.HEALTH PROFESSIONS SHORTAGE AREA - SPOKANE COUNTY THE 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). OVERALL, SPOKANE 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 SPOKANE INCLUDE ST. LUKE REHABILITATION HOSPITAL, SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS- MANN-GRANDSTAFF.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL 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.
PART VI, LINE 5:	PROVIDENCE 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) 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 51 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 FIVE WESTERN STATES COVENANT HEALTH IN WEST TEXAS 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, WA. 2020 - AN UNPRECEDENTED YEAR OVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA,OR,CA,MT,AK,TX
PART VI, LINE 2 (CONTINUED)	PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PROVIDENCE KODIAK ISLAND MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE KODIAK ISLAND BOROUGH. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2019, WIPFLI LLP WAS ENGAGED BY PROVIDENCE TO COLLECT AND AGGREGATE PRIMARY AND SECONDARY DATA IN THE FORM OF A CHNA REPORT.A COMMUNITY SURVEY WAS MADE AVAILABLE ONLINE AND ADMINISTERED IN HARD COPY THROUGHOUT THE COMMUNITY BY THE ADVISORY COMMITTEE, COMMUNITY VOLUNTEERS AND PSMCC STAFF. THE SURVEY WAS BASED ON THE PRIOR KODIAK ASSESSMENT SURVEY TO ENABLE TRACKING AND DEMONSTRATION OF HEALTH TRENDS, BUT WAS ALSO AUGMENTED BASED ON INPUT FROM THE KODIAK CHNA ADVISORY GROUP TO CAPTURE INFORMATION ABOUT UNIQUE AND/OR TIMELY HEALTH-RELATED ISSUES WITHIN THE KODIAK COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS IN ADDITION TO STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL CENTER FOR HEALTH STATISTICS- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES PROGRAMKEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN THE KODIAK COMMUNITY. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALAS HEALTH CARE CONTINUES TO EVOLVE, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH COMMUNITY ORGANIZATIONS, WE CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT TO LEARN ABOUT THE GREATEST NEEDS AND ASSETS FROM THE PERSPECTIVE OF SOME OF THE MOST MARGINALIZED GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. THIS ASSESSMENT HELPS US DEVELOP COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS AND GUIDES OUR COMMUNITY BENEFIT INVESTMENTS, NOT ONLY FOR OUR OWN PROGRAMS BUT ALSO FOR MANY PARTNERS. DOZENS OF PARTICIPANTS PROVIDED FEEDBACK. SIGNIFICANT CONTRIBUTORS INCLUDE PRIORITY SPOKANE, A CIVIC LEADERSHIP GROUP MADE UP OF LOCAL GOVERNMENT, BUSINESSES, NONPROFIT ORGANIZATIONS AND LOCAL FUNDERS; THE SPOKANE REGIONAL HEALTH DISTRICT; AND THE SPOKANE HOMELESS COALITION.
PART VI, LINE 4 (CONTINUED)	PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITALIT 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 DISTRICT IN 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.PROVIDENCE MT. CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE LOCATED IN STEVENS COUNTY, WHICH HAS THE THIRD-HIGHEST POVERTY RATE IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BETWEEN FERRY AND PEND OREILLE COUNTIES, MAKING UP THE TRI COUNTY REGION. TOTAL POPULATION IS 45,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.1 PERCENT IN 2017. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED: 20.7 PERCENT YOUTH (0-17 YEARS) 17 PERCENT YOUNG ADULTS (18-39 YEARS) 39.1 PERCENT OLDER ADULTS (40-64 YEARS) 23.2 PERCENT SENIORS (65 YEARS AND OLDER) AMONG STEVENS COUNTY RESIDENTS IN 2018, 89.2 PERCENT WERE WHITE, 0.4 PERCENT AFRICAN AMERICAN, 5.7 PERCENT NATIVE AMERICAN, 0.7 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.7 PERCENT WERE OF TWO OR MORE RACES. IN 2017, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $53,245, AND THE UNEMPLOYMENT RATE WAS 7.3 PERCENT. AN INCREASE FROM 6.3 PERCENT FROM OUR LAST NEEDS ASSESSMENT. 29 PERCENT OF THE COMMUNITY HAS HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL, AND 17.2 PERCENT OF CHILDREN AND 8.8 PERCENT OF OLDER ADULTS LIVE AT OR BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME HAS INCREASED AND PERCENTAGE OF THE POPULATION LIVING UNDER THE FEDERAL POVERTY LEVEL HAS INCREASED SINCE THE LAST NEEDS ASSESSMENT. IN STEVENS COUNTY, 1.6 PERCENT OF OCCUPIED HOUSING LACKED COMPLETE PLUMBING FACILITIES AND 1.8 PERCENT LACKED COMPLETE KITCHEN FACILITIES. COMPARED TO 0.4 PERCENT OF OCCUPIED HOUSING IN WASHINGTON STATE. 90 PERCENT OF OUR POPULATION 25 AND OLDER HAS A HIGH SCHOOL DEGREE OR EQUIVALENT OR MORE EDUCATION. STEVENS COUNTY HAS LESS OF THE POPULATION WITH BACHELOR'S DEGREES OR HIGHER THAN THE STATE AVERAGE. THE SHARE OF STEVENS COUNTY RESIDENTS WHO ARE UNINSURED WAS 10.3 PERCENT IN 2016. THIS IS A DECREASE FROM 15.3 PERCENT IN 2009. THIS IS SLIGHTLY HIGHER THAN THE OVERALL SHARE OF WASHINGTON STATE, AT 9.8 PERCENT. AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS IN STEVENS COUNTY ARE MORE LIKELY TO BE UNINSURED THAN ELSEWHERE IN THE STATE. IN STEVENS COUNTY, 26 PERCENT OF YOUTH AND 40 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. DURING 2016, THE TOP-FOUR CAUSES OF HOSPITALIZATIONS WERE: 11.2% FOR UNINTENTIONAL INJURIES, INCREASING FROM 9.0% IN 2006. 11.3% FOR HEART DISEASES, DECREASING FROM 13.8% IN 2006. 10.7% FOR DIGESTIVE SYSTEM DISEASES, DECREASING FROM 11.2% IN 2006. 8.9% FOR RESPIRATORY DISEASES, DECREASING FROM 13.2% IN 2006.HEALTH PROFESSIONS SHORTAGE AREA - STEVENS COUNTY THE 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.THERE ARE TWO OTHER HOSPITALS SERVING THE PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITAL COMMUNITY.PROVIDENCE ST. MARY MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR PROVIDENCE ST MARY MEDICAL CENTER INCLUDES ALL ZIP CODES IN WALLA WALLA COUNTY, COLUMBIA COUNTY, AND THE COMMUNITIES OF MILTON-FREEWATER, ATHENA, AND WESTON IN UMATILLA COUNTY, OREGON. SECONDARY SERVICE AREAS INCLUDE THE REST OF NORTHEAST OREGON WHERE WE COLLABORATE WITH FIVE CRITICAL ACCESS HOSPITALS. RACE AND ETHNICITY AMONG WALLA WALLA AREA RESIDENTS, 72.2 PERCENT WERE WHITE, 21.2 PERCENT WERE HISPANIC OR LATINO, 1.3 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 2.2 PERCENT WERE AFRICAN AMERICAN OR BLACK, AND 1.9 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER. THERE ARE PROPORTIONALLY FAR MORE INDIVIDUALS IN THE SERVICE AREA THAT IDENTIFY AS HISPANIC/LATINO THAN STATE AVERAGE, AND FAR FEWER ASIAN/PACIFIC ISLANDERS.INCOME AND HOUSING THE 2017 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $54,157 COMPARED TO STATE RATE OF $70,979 AND 2013 RATE OF $47,758. HOWEVER, FOR HISPANICS IN 2017 IT WAS $45,900. HOUSEHOLDS (HOME OWNERS) SPENDING 30% OR MORE OF INCOME ON HOUSING HAS SIGNIFICANTLY DECREASED FROM 40% IN 2012 TO 17% IN 2016 COMPARED TO A STATE AVERAGE OF 24%. OVERALL THE GENERAL ECONOMIC INDICATORS ARE IMPROVING.HEALTH AND WELLBEING THE COLLABORATIVE USED DATA FROM COUNTY HEALTH RANKINGS, WALLA WALLA COUNTY PUBLIC HEALTH DEPARTMENT, WALLA WALLA TRENDS, AND OTHER SOURCES IN THE PROCESS OF THE NEEDS ASSESSMENT. A COMPLETE TABLE OF INDICATORS IS AVAILABLE BEGINNING ON PAGE 14 AND IN APPENDIX 2. HEALTH PROFESSIONS SHORTAGE AREA THE 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, INCLUDING BOTH COUNTIES AS DESIGNATED MENTAL HEALTH PROFESSIONAL GEOGRAPHIC SERVICE AREAS. OTHER DESIGNATIONS WITHIN WALLA AND COLUMBIA COUNTIES INCLUDE RURAL HEALTH CLINICS, CORRECTIONAL FACILITIES, AND LOW-INCOME, HOMELESS, AND/OR MIGRANT FARMWORKER POPULATIONS.ST. HELENA HOSPITAL ALSO SERVES WALLA WALLA WASHINGTON.PROVIDENCE KODIAK ISLAND MEDICAL CENTER BEING 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 ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES. COMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. THE AGE DEMOGRAPHICS ARE THE FOLLOWING: 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).
PART VI, LINE 4 (CONTINUED)	COMMUNITY INFORMATION: PROVIDENCE KODIAK ISLAND MEDICAL CENTER THE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT RESIDENTS' ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES: - 22% OF ADULTS UNDER THE AGE 65 ARE UNINSURED (US CENSUS: SMALL AREA HEALTH INSURANCE ESTIMATES) - 8% OF ADULTS OF ALL AGES ARE UNINSURED - 11% INDICATE USING THE EMERGENCY ROOM FOR MAIN SOURCE OF HEALTH CARE - 12% REPORT BEING UNABLE TO RECEIVE NEEDED HEALTH CARE IN THE LAST 12MONTHSTHE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT THE HEALTH AND WELLBEING OF COMMUNITY RESIDENTS: - 65% OF ADULTS ARE OVERWEIGHT OR OBESE - 22% OF SURVEY RESPONDENTS INDICATED THEY HAVE A CHRONIC DISEASE, AND OF THOSE, 25% DO NOT HAVE THE RESOURCES NEEDED TO MANAGE THEIR CHRONIC DISEASE - 25% OF SURVEY RESPONDENTS ENGAGED IN BINGE DRINKING IN THE PAST 30 DAYS- 14% OF RESPONDENTS INDICATED THAT THEY EXPERIENCED DEPRESSION IN THE PAST 12 MONTHS - 5% OF SURVEY RESPONDENTS INDICATED THAT THEY HAD THOUGHT ABOUT COMMITTING SUICIDE AT SOME POINT IN THE PAST 12 MONTHS. HEALTH PROFESSIONS SHORTAGE AREA THE 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 AREA MEDICALLY 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. THERE IS ONE OTHER HOSPITAL SERVING THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER COMMUNITY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (84 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALASKA SPORTS HALL OF FAME INC
11901 INDUSTRY WAY STE A9	ANCHORAGE	AK	99515	810649085	501(C)(3)	$40,000	OPERATIONAL SUPPORT
ALASKA STATE MEDICAL ASSOCIATION
PO BOX 110557	ANCHORAGE	AK	995110557	926002176	501(C)(6)	$15,000	OPERATIONAL SUPPORT
AMERICAN CANCER SOCIETY
2911 BOND ST SUITE 109	EVERETT	WA	98201	131788491	501(C)(3)	$7,000	OPERATIONAL SUPPORT
AMERICAN FOUNDATION FOR SUICIDE
199 WATER ST 11TH FL	NEW YORK	NY	10038	133393329	501(C)(3)	$25,000	OPERATIONAL SUPPORT
AMERICAN RED CROSS
2111 KING ST	BELLINGHAM	WA	98225	530196605	501(C)(3)	$17,500	OPERATIONAL SUPPORT
BELLEVUE COLLEGE RADIATION THERAPY
3000 LANDERHOLM CIRCLE SE	BELLEVUE	WA	980076484	910819265	GOVERNMENT	$7,500	OPERATIONAL SUPPORT
CARUSO'S FLOORS
402 W INDIANA AVENUE	SPOKANE	WA	99204	910761616		$11,320	OPERATIONAL SUPPORT
CATHOLIC CHARITIES OF SPOKANE
PO BOX 2253	SPOKANE	WA	99210	910569880	501(C)(3)	$613,623	OPERATIONAL SUPPORT
CATHOLIC CHARITIES OF THE RIO GRANDE VALLEY HRC
PO BOX 1306	SAN JUAN	TX	785893043	680599307	501(C)(3)	$130,000	COMMUNITY BENEFIT RESTRICTED GRANT
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
1133 RAILROAD AVENUE SUITE 100	BELLINGHAM	WA	982265054	911585652	501(C)(3)	$100,000	OPERATIONAL SUPPORT
CITY OF OLYMPIA
PO BOX 1967	OLYMPIA	WA	985071967	916001261	GOVERNMENT	$50,000	OPERATIONAL SUPPORT
COMMUNITY CANCER FUND
510 W RIVERSIDE AVENUE SUITE 500	SPOKANE	WA	99201	464735260	501(C)(3)	$10,000	OPERATIONAL SUPPORT
COMMUNITY FOUNDATION OF SNOHOMISH COUNTY
2823 ROCKEFELLER AVE	EVERETT	WA	98201	943188703	501(C)(3)	$40,001	OPERATIONAL SUPPORT
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
203 N WASHIGTON SUITE 300	SPOKANE	WA	99201	911641797	501(C)(3)	$148,000	OPERATIONAL SUPPORT
COMMUNITY MINDED ENTERPRISES
PO BOX 48150	SPOKANE	WA	99228	911764236	501(C)(3)	$25,500	COMMUNITY BENEFIT RESTRICTED GRANT
COMMUNITY RESILLIENCE INITIATIVE
1520 STRUM AVE	WALLA WALLA	WA	99362	832485106	501(C)(3)	$10,000	OPERATIONAL SUPPORT
COMPASS HEALTH
PO BOX 3810	EVERETT	WA	98213	911180810	501(C)(3)	$50,000	OPERATIONAL SUPPORT
CREDENA HEALTH LLC
6348 NE HALSEY ST SUITE A	PORTLAND	OR	97213	473598083	501(C)(3)	$29,123	OPERATIONAL SUPPORT
ECONOMIC ALLIANCE SNOHOMISH COUNTY
808 134 ST SW SUITE 101	EVERETT	WA	98204	910647005	501(C)(4)	$30,000	OPERATIONAL SUPPORT
EDUCARE PUBLISHING INC
8420 DORCHESTER RD SUITE 102	NORTHERN CHARLESTON	SC	29420			$9,068	OPERATIONAL SUPPORT
EVERETT COMMUNITY COLLEGE
2000 TOWER ST	EVERETT	WA	98201	911280495	501(C)(3)	$101,500	COMMUNITY BENEFIT RESTRICTED GRANT
EVERETT GOSPEL MISSION
PO BOX 423	EVERETT	WA	98206	910780146	501(C)(3)	$150,000	OPERATIONAL SUPPORT
EVERETT TRANSITIONAL CARE SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943264605	501(C)(3)	$1,500,000	COMMUNITY BENEFIT RESTRICTED GRANT
EXCELSIOR YOUTH CENTER
3754 W INDIAN TRAIL RD	SPOKANE	WA	99208	911189908	501(C)(3)	$100,000	OPERATIONAL SUPPORT
FAILSAFE FOR LIFE
15615 N MEADOWGLWN CT	SPOKANE	WA	99208	813525568	501(C)(3)	$10,000	OPERATIONAL SUPPORT
FRONTIER BEHAVIORAL HEALTH
107 S DIVISION ST	SPOKANE	WA	99202	910853801	501(C)(3)	$87,200	OPERATIONAL SUPPORT
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	501(C)(3)	$10,000	OPERATIONAL SUPPORT
GREATER SPOKANE COUNTY MEALS ON WHEELS 3
12101 E SPRAGUE AVE	SPOKANE VALLEY	WA	99206	911042546	501(C)(3)	$12,800	OPERATIONAL SUPPORT
GREATER SPOKANE INC
PO BOX 822	SPOKANE	WA	99210			$50,000	COMMUNITY BENEFIT RESTRICTED GRANT
HOPE STREET
1887 HOME AVE	WALA WALA	WA	99362	833052347	501(C)(3)	$10,000	COMMUNITY BENEFIT RESTRICTED GRANT
INLAND NORTWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	501(C)(3)	$201,157	OPERATIONAL SUPPORT
INNOVIA FOUNDATION
421 W RIVERSIDE AVE 606	SPOKANE	WA	99201	910941053	501(C)(3)	$352,000	OPERATIONAL SUPPORT
JUBILEE WOMEN'S CENTER
620 8TH AVENUE E	SEATTLE	WA	98112	911539920	501(C)(3)	$25,000	OPERATIONAL SUPPORT
KETTLE FALLS SCHOOL DISTRICT
735 MEYERS ST	HETTLE FALLS	WA	99141		GOVERNMENT	$10,000	OPERATIONAL SUPPORT
LIFE SUPPORT
PO BOX 264	SOUTH CLE ELUM	WA	98943	200413954	501(C)(3)	$7,500	OPERATIONAL SUPPORT
LUMEN CHRISTI HIGH SCHOOL
8110 JEWEL LAKE ROAD	ANCHORAGE	AK	99502	920122543	501(C)(3)	$7,000	OPERATIONAL SUPPORT
LUTHERAN COMMUNITY SERVICES NORTHWEST
210 W SPAGUE AVE	SPOKANE	WA	99201	930386860	501(C)(3)	$29,600	OPERATIONAL SUPPORT
MARTIN LUTHER KING JR FAMILY OUTREACH CENTER
500 S STONE ST	SPOKANE	WA	99202	910912823	501(C)(3)	$10,000	OPERATIONAL SUPPORT
MEAD EDUCATION ASSOCIATION
2323 E FARWELL RD	MEAD	WA	99021	237104932	501(C)(6)	$27,187	OPERATIONAL SUPPORT
NAMI SPOKANE
10 N POST ST STE 638	SPOKANE	WA	99201	911153510	501(C)(3)	$70,000	OPERATIONAL SUPPORT
NAZARETH GUILD
PO BOX 76	SPOKANE	WA	99201	453962529	501(C)(3)	$15,000	COMMUNITY BENEFIT RESTRICTED GRANT
NORTHWEST JUSTICE PROJECT
1702 W BROADWAY AVE	SPOKANE	WA	99201	911687791	501(C)(3)	$153,000	OPERATIONAL SUPPORT
PARTNERS WITH FAMILIES AND CHILDREN SPOKANE
1321 W BROADWAY AVE	SPOKANE	WA	99201	680576560	501(C)(3)	$95,000	OPERATIONAL SUPPORT
PEORIA HOME
331 BROADWAY 6	EVERETT	WA	98201	463988947	501(C)(3)	$55,000	OPERATIONAL SUPPORT
PIONEER HUMAN SERVICES
7440 W MARGINAL WAY SOUTH	SEATTLE	WA	98108	910791552	501(C)(3)	$50,000	OPERATIONAL SUPPORT
PLYMOUTH HOUSING GROUP
2113 THIRD AVENUE	SEATTLE	WA	98121	911122621	501(C)(3)	$25,000	OPERATIONAL SUPPORT
PRESCRIPTION DRUG ASSISTANCE FOUNDATION
PO BOX 9658	SPOKANE	WA	99209	331134368	501(C)(3)	$60,000	OPERATIONAL SUPPORT
PROVIDENCE ALASKA FOUNDATION
PO BOX 196604	ANCHORAGE	AK	99519	920093565	501(C)(3)	$103,510	COMMUNITY BENEFIT RESTRICTED GRANT
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	501(C)(3)	$10,000	OPERATIONAL SUPPORT
PROVIDENCE GENERAL FOUNDATION
916 PACIFIC AVE	EVERETT	WA	98201	911041617	501(C)(3)	$29,500	MONTHLY FOUNDATION SUPPORT
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	501(C)(3)	$25,000	OPERATIONAL SUPPORT
PROVIDENCE MT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	501(C)(3)	$10,000	OPERATIONAL SUPPORT
PROVIDENCE NORTHEAST WASHINGTON HUNGER COALITION
986 S MAIN ST STE D	COLVILLE	WA	99114	463051292	501(C)(3)	$71,000	OPERATIONAL SUPPORT
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	501(C)(3)	$10,000	COMMUNITY BENEFIT RESTRICTED GRANT
PROVIDENCE ST ELIZABETH HOUSE ASSOC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	501(C)(3)	$10,000	OPERATIONAL SUPPORT
THE SEATTLE REPERTORY THEATRE
PO BOX 900923	SEATTLE	WA	98109	910756535	501(C)(3)	$100,000	OPERATIONAL SUPPORT
SECOND HARVEST INLAND NW
1234 E FRONT AVE	SPOKANE	WA	99202	237173826	501(C)(3)	$75,000	OPERATIONAL SUPPORT
SISTERS SERVANTS OF THE IMMACULATE HEART OF MARY MONROE MICHIGAN INC
610 WEST ELM AVE	MONROE	MI	48162	381359581	501(C)(3)	$10,000	OPERATIONAL SUPPORT
SOCIETY OF ST VINCENT DE PAUL COUNCIL OF SEATTLE-KING COUNTY
5950 4TH AVENUE SOUTH	SEATTLE	WA	98108	910583891	501(C)(3)	$10,000	OPERATIONAL SUPPORT
SOUND PUBLISHING INCORPORATED
1800 41ST ST S-300	EVERETT	WA	98203	911396047		$20,000	OPERATIONAL SUPPORT
SPOKANE COUNTY UNITED WAY
920 N WASHINGTON STE 100	SPOKANE	WA	99201	910606058	501(C)(3)	$31,000	OPERATIONAL SUPPORT
SPOKANE NEIGHBORHOOD ACTION PARTNERS
3102 W FORT GEORGE WRIGHT DR	SPOKANE	WA	99224	911311127	501(C)(3)	$30,000	OPERATIONAL SUPPORT
SPOKANE PARKS FOUNDATION
222 W MISSION AVE STE 240	SPOKANE	WA	99224	916033504	501(C)(3)	$472,000	OPERATIONAL SUPPORT
SPOKANE REGIONAL HEALTH DISTRICT
1101 W COLLEGE AVE	SPOKANE	WA	99201	911527532	GOVERNMENT	$61,400	OPERATIONAL SUPPORT
SPOKANE TREATMENT AND RECOVERY SERVICES
312 W 8TH AVE	SPOKANE	WA	99204	911108762	501(C)(3)	$175,000	OPERATIONAL SUPPORT
STEVENS COUNTY SHERIFF'S AMBULANCE
425 NORTH HIGHWAY	COLVILLE	WA	99114	916001372	GOVERNMENT	$13,500	OPERATIONAL SUPPORT
THE CITY GATE
170 S MADISON ST	SPOKANE	WA	99201	911407104	501(C)(3)	$10,000	OPERATIONAL SUPPORT
THE SAFE CROSSINGS FOUNDATION
1402 3RD AVENUE SUITE 1322	SEATTLE	WA	98101	752992774	501(C)(3)	$10,000	OPERATIONAL SUPPORT
THE WASHINGTON STEM CENTER
210 S HUDSON ST	SEATTLE	WA	98134	272133169	501(C)(3)	$15,000	OPERATIONAL SUPPORT
TRANSITIONAL PROGRAM FOR WOMEN
3128 N HEMLOCK STREET	SPOKANE	WA	99205	911307272	501(C)(3)	$20,000	OPERATIONAL SUPPORT
TRILOGY RECOVERY COMMUNITY
120 E BIRCH ST SUITE 14	WALA WALA	WA	99362	320303794	501(C)(3)	$15,000	OPERATIONAL SUPPORT
UNITED STATES OF CARE CAMPAIGN
1110 VERMONT AVE NW	WASHINGTON	DC	20005	822860302	501(C)(3)	$200,000	OPERATIONAL SUPPORT
UNITED WAY OF SNOHOMISH COUNTY
3120 MCDOUGALL AVENUE SUITE 200	EVERETT	WA	982014433	910606507	501(C)(3)	$10,000	OPERATIONAL SUPPORT
UNIVERSITY OF SOUTHERN CALIFORNIA
635 DOWNEY WAY	LOS ANGELES	CA	900893333	951642394	501(C)(3)	$30,000	OPERATIONAL SUPPORT
VOLUNTEERS OF AMERICA EASTERN WASHINGTON
525 W 2ND AVE	SPOKANE	WA	99201	910577131	501(C)(3)	$195,200	OPERATIONAL SUPPORT
WALLA WALLA YMCA
340 S PARK ST	WALLA WALLA	WA	99362	910580856	501(C)(3)	$17,000	OPERATIONAL SUPPORT
WASHINGTON ALLIANCE FOR BETTER
18560 1ST AVE NE	SHORLINE	WA	98155	911698851	501(C)(3)	$120,000	OPERATIONAL SUPPORT
WASHINGTON POISON CENTER
155 NE 100TH ST STE 100	SEATTLE	WA	98215	943214597	501(C)(3)	$15,000	OPERATIONAL SUPPORT
WATERFALL FOUNDATION
PO BOX 70049	FAIRBANKS	AK	99707	541980898	501(C)(3)	$26,000	OPERATIONAL SUPPORT
WESTERN WASHINGTON
2323 N DISCOVERY PLACE	SPOKANE VALLEY	WA	99216	910575955	501(C)(3)	$25,000	OPERATIONAL SUPPORT
WOMEN HELPING WOMEN FUND
3704 N NEVADA ST STE 201	SPOKANE	WA	99207	911561874	501(C)(3)	$30,000	OPERATIONAL SUPPORT
WOMENS AND CHILDRENS FREE RESTAURANT
1408 N WASHINGTON ST	SPOKANE	WA	99201	911399742	501(C)(3)	$25,000	OPERATIONAL SUPPORT
YES FOR A SAFE HEALTHY ANCHORAGE
2543 BROOKE DR	ANCHORAGE	WA	99517			$25,000	OPERATIONAL SUPPORT
YMCA OF SNOHOMISH COUNTY
PO BOX 419	EVERETT	WA	982060419	910565561	501(C)(3)	$10,000	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	77	Total501c3OrgCnt
Total Other Org	6	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 ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (40 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
ROD F HOCHMAN MD
FORMER OFFICER - PSJH PRESIDENT/CEO	$0	$1,773,896	$0	$6,709,440	$0	$816,258	$0	$782,925	$0	$30,876	$0	$10,113,395	$0	$751,800
MIKE BUTLER
PRESIDENT - (PART YEAR)	$0	$965,819	$0	$3,330,902	$0	$4,411,516	$0	$34,515	$0	$21,916	$0	$8,764,668	$0	$2,150,861
DEBRA CANALES
FORMER KE - PSJH EVP/CAO	$0	$895,727	$0	$575,002	$0	$533,155	$0	$673,455	$0	$17,653	$0	$2,694,992	$0	$487,270
ERIK WEXLER
CHIEF EXECUTIVE, SOUTHERN CA	$964,730	$0	$573,824	$0	$325,727	$0	$425,498	$0	$22,517	$0	$2,312,296	$0	$310,110	$0
AMY COMPTON-PHILLIPS MD
FORMER KE - PSJH EVP/CHF CLIN. OFC.	$0	$760,456	$0	$519,149	$0	$429,406	$0	$500,905	$0	$32,184	$0	$2,242,100	$0	$384,671
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	$0	$897,985	$0	$523,880	$0	$392,595	$0	$308,771	$0	$20,090	$0	$2,143,321	$0	$346,425
VENKAT BHAMIDIPATI
EVP/TREASURER - (PART YEAR)	$0	$713,471	$0	$400,000	$0	$970,660	$0	$4,275	$0	$18,405	$0	$2,106,811	$0	$184,910
CINDY STRAUSS
SECRETARY - (PART YEAR)	$0	$801,070	$0	$601,420	$0	$343,051	$0	$331,005	$0	$27,088	$0	$2,103,634	$0	$299,545
GUY HUDSON MD
CE SWEDISH HEALTH SERVICES	$926,949	$0	$507,000	$0	$236,486	$0	$369,618	$0	$22,275	$0	$2,062,328	$0	$233,865	$0
VICTOR JORDAN
COO SO CA	$678,985	$0	$481,726	$0	$555,624	$0	$203,491	$0	$31,382	$0	$1,951,208	$0	$420,036	$0
MICHAEL L COTTON
PRESIDENT/CEO - HEALTH PLANS	$785,946	$0	$395,020	$0	$741,479	$0	$4,275	$0	$23,437	$0	$1,950,157	$0	$703,566	$0
LISA VANCE
FORMER KE - PSJH EVP REGIONAL CE OR.	$0	$771,527	$0	$511,879	$0	$246,300	$0	$384,714	$0	$26,534	$0	$1,940,954	$0	$203,441
ELAINE COUTURE
EVP CHIEF EXECUTIVE WA AND MT	$810,687	$0	$564,482	$0	$247,248	$0	$228,894	$0	$20,004	$0	$1,871,315	$0	$213,222	$0
MEDRICE COLUCCIO
CHIEF EXEC ST PETER HOSP-(PART YEAR)	$49,465	$0	$126,479	$0	$1,568,490	$0	$1,356	$0	$4,626	$0	$1,750,416	$0	$351,312	$0
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	$0	$682,465	$0	$370,006	$0	$259,183	$0	$403,809	$0	$31,129	$0	$1,746,592	$0	$218,804
BRYAN MITCHELL
PHYSICIAN ORTHOPEDIC SURGEON	$1,454,566	$0	$59,534	$0	$73,632	$0	$101,385	$0	$23,374	$0	$1,712,491	$0	$72,492	$0
GREG TILL
CHIEF PEOPLE OFFICER	$601,238	$0	$514,002	$0	$189,220	$0	$308,738	$0	$32,912	$0	$1,646,110	$0	$152,175	$0
AARON MARTIN
FRMR KE - PSJH EVP CHF MKT/DIG INN.	$0	$644,818	$0	$390,425	$0	$272,510	$0	$266,627	$0	$5,716	$0	$1,580,096	$0	$249,267
MIKE WATERS
EVP AMBULATORY CARE NETWORK	$513,014	$0	$313,206	$0	$294,266	$0	$207,159	$0	$16,048	$0	$1,343,693	$0	$161,221	$0
JOEL GILBERTSON
EVP COMMUNITY PARTNERSHIPS	$578,919	$0	$305,000	$0	$223,675	$0	$195,488	$0	$30,562	$0	$1,333,644	$0	$186,629	$0
PRESTON SIMMONS
SVP CHIEF EXEC AK REGION	$574,780	$0	$271,093	$0	$214,209	$0	$219,640	$0	$31,562	$0	$1,311,284	$0	$187,185	$0
OREST HOLUBEC
FORMER SVP/CHIEF COMM/EXT AFF OFF	$0	$472,607	$0	$259,999	$0	$206,774	$0	$173,676	$0	$29,598	$0	$1,142,654	$0	$169,616
JOHN WHIPPLE
SECRETARY	$448,628	$0	$316,136	$0	$198,887	$0	$148,450	$0	$27,856	$0	$1,139,957	$0	$169,265	$0
MARY CRANSTOUN
SVP TOTAL REWARDS - TALENT ACQ	$450,242	$0	$204,417	$0	$179,023	$0	$163,934	$0	$24,759	$0	$1,022,375	$0	$145,103	$0
PEG CURRIE
CHIEF EXEC SACRED HEART MEDICAL CTR	$439,460	$0	$164,521	$0	$145,076	$0	$130,591	$0	$20,657	$0	$900,305	$0	$118,178	$0
DAVID BROWN
SVP CAO AMBULATORY CARE	$381,205	$0	$143,506	$0	$183,752	$0	$127,676	$0	$29,222	$0	$865,361	$0	$161,988	$0
JIM WATSON ESQ
ASSISTANT SECRETARY	$0	$437,006	$0	$301,877	$0	$5,598	$0	$84,307	$0	$35,749	$0	$864,537	$0	$0
KIM WILLIAMS
CHIEF EXEC PRMCE	$406,918	$0	$164,036	$0	$139,846	$0	$126,408	$0	$25,462	$0	$862,670	$0	$113,409	$0
SCOTT O'BRIEN
COO WA AND MT REGION	$415,706	$0	$226,375	$0	$30,154	$0	$135,963	$0	$11,527	$0	$819,725	$0	$9,605	$0
GREG HOFFMAN
PRESIDENT/CEO & TREAS. - (PART YEAR)	$436,362	$0	$98,549	$0	$141,036	$0	$93,123	$0	$29,372	$0	$798,442	$0	$69,769	$0
DEBBIE BURTON
SVP CHIEF NURSING OFFICER	$377,566	$0	$135,000	$0	$139,297	$0	$8,252	$0	$30,954	$0	$691,069	$0	$107,362	$0
HELEN ANDRUS
CFO WA AND MT REGION	$343,491	$0	$118,241	$0	$81,122	$0	$69,404	$0	$15,024	$0	$627,282	$0	$55,841	$0
ELLA GOSS
CHIEF EXEC ALASKA MEDICAL CENTER	$320,958	$0	$140,762	$0	$21,410	$0	$111,067	$0	$23,746	$0	$617,943	$0	$0	$0
BRUCE LAMOUREUX
FORMER CE/AK REGION	$0	$0	$0	$0	$572,823	$0	$0	$0	$19,670	$0	$592,493	$0	$0	$0
DARIN GOSS
CHIEF EXEC ST. PETER HOSPITAL	$186,300	$162,526	$49,521	$43,202	$31,481	$27,464	$31,328	$27,330	$14,304	$12,478	$312,934	$273,000	$0	$0
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER	$0	$0	$0	$0	$485,249	$0	$6,415	$0	$24,117	$0	$515,781	$0	$0	$0
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL	$0	$0	$0	$0	$361,654	$0	$3,685	$0	$23,776	$0	$389,115	$0	$0	$0
AMY MILLER
CFO AK REGION	$240,665	$0	$63,694	$0	$825	$0	$25,336	$0	$25,253	$0	$355,773	$0	$0	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$204,368	$0	$23,098	$0	$1,007	$0	$11,841	$0	$10,973	$0	$251,287	$0	$0	$0
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	$95,587	$0	$7,996	$0	$1,522	$0	$4,335	$0	$13,325	$0	$122,765	$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 HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD-PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD-PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $507,235 VENKAT BHAMIDIPATI - $750,000 MEDRICE COLUCCIO - $400,613 BRUCE LAMOUREUX - $562,578 TOM MCDONAGH - $485,032 SHARON TONCRAY - $367,774 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROD F. HOCHMAN, MD - $751,800 MIKE BUTLER - $2,150,861 DEBRA CANALES - $487,270 ERIK WEXLER - $310,110 AMY COMPTON-PHILLIPS, MD - $384,671 RHONDA MEDOWS, MD - $346,425 VENKAT BHAMIDIPATI - $184,910 CINDY STRAUSS - $299,545 GUY HUDSON, MD - $233,865 VICTOR JORDAN - $420,036 MICHAEL L. COTTON - $703,566 LISA VANCE - $203,441 ELAINE COUTURE - $213,222 MEDRICE COLUCCIO - $351,312 JO ANN ESCASA-HAIGH - $218,804 BRYAN MITCHELL - $72,492 GREG TILL - $152,175 AARON MARTIN - $249,267 MIKE WATERS - $161,221 JOEL GILBERTSON - $186,629 PRESTON SIMMONS - $187,185 OREST HOLUBEC - $169,616 JOHN WHIPPLE - $169,265 MARY CRANSTOUN - $145,103 PEG CURRIE - $118,178 DAVID BROWN - $161,988 KIM WILLIAMS - $113,409 SCOTT O'BRIEN - $9,605 GREG HOFFMAN - $69,769 DEBBIE BURTON - $107,362 HELEN ANDRUS - $55,841
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (23 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$25,452,139	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$3,618,260	MED. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$191,346	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$6,035,559	TECH. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$563,478	LEGAL SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$1,244,492	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$55,471,578	TECH SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$3,524,204	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$443,858	LEASE	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,520,174	MED. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$9,400,175	ACCOUNTING SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$5,101,085	ACCOUNTING SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$25,898,116	ACCOUNTING SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$15,646,595	TECH. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$6,174,597	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,111,780	TECH. SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,773,869	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$1,525,980	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$6,596,381	MEDICAL SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$2,579,417	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$155,010	CONSULTING	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$10,619,666	FINANCIAL SVCS.	0
SUBSTANTIAL CONTRIBUTOR
SUB. CONTR.	$783,407	CONSTRUCTION	0

Schedule M IRS990ScheduleM

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	THE ALASKA DEPARTMENT OF HEALTH & SOCIAL SERVICES HAS CERTIFIED PROVIDENCE ALASKA MEDICAL CENTER AS A COMPREHENSIVE PEDIATRIC EMERGENCY CARE FACILITY. THE CERTIFICATION IS ADMINISTERED BY THE ALASKA EMERGENCY MEDICAL SERVICES FOR CHILDREN PEDIATRIC ADVISORY BOARD AND STATE FACILITY RECOGNITION PROGRAM AND FOCUSES ON A HOSPITAL'S ABILITY TO PROVIDE COMPREHENSIVE PEDIATRIC EMERGENCY CARE. PROVIDENCE CHILD CARE SERVICES IS AMONG THE FIRST EARLY CARE AND LEARNING PROGRAMS IN ALASKA TO ENROLL IN AND BE RECOGNIZED BY LEARN & GROW, OUR STATE'S QUALITY RECOGNITION AND IMPROVEMENT SYSTEM. BY PARTICIPATING IN LEARN & GROW, PROVIDENCE CHILD CARE SERVICES HAS DEMONSTRATED ITS COMMITMENT TO ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES. LEARN & GROW IS A SYSTEM TO RECOGNIZE LEVELS OF QUALITY WITHIN EARLY CARE AND LEARNING PROGRAMS AND TO SUPPORT PROGRAMS AS THEY ADVANCE THROUGH THESE LEVELS OF QUALITY. PROVIDENCE ALASKA MEDICAL CENTER (PAMC) HAS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2017. PAMC IS ONE OF LESS THAN 500 HOSPITALS NATIONWIDE AND THE ONLY HOSPITAL IN THE STATE OF ALASKA TO RECEIVE THE HONOR. THIS IS THE SIXTH CONSECUTIVE YEAR PAMC HAS EARNED THE PLATINUM PERFORMANCE AWARD. PROVIDENCE ALASKA MEDICAL CENTER HAS RECEIVED A NATIONAL AWARD FOR ITS HIGH-QUALITY CARE OF PATIENTS EXPERIENCING STROKE. PAMC RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR ITS CARE OF STROKE PATIENTS. THIS MARKS THE SIXTH CONSECUTIVE YEAR PROVIDENCE ALASKA MEDICAL CENTER HAS BEEN RECOGNIZED WITH A GET WITH THE GUIDELINES QUALITY ACHIEVEMENT AWARD. WASHINGTON HIGHLIGHTS INCLUDE: THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) HAVE RECOGNIZED THE CHILDREN'S HOSPITAL AT PROVIDENCE FOR EXCELLENCE IN LACTATION CARE. THE VERMONT OXFORD NETWORK HAS NAMED THE CHILDREN'S HOSPITAL AT PROVIDENCE A 2017 CENTER OF EXCELLENCE IN EDUCATION AND TRAINING. THE HOSPITAL EARNED THIS DESIGNATION BY SUCCESSFULLY TRAINING AT LEAST 85 PERCENT OF THE CARE TEAM, USING A NOVEL ON-LINE LEARNING PLATFORM TO COMPLETE OVER 15 CRITICAL AREAS. THE DESIGNATION REPRESENTS PROVIDENCE'S EFFORTS TO IMPROVE THE QUALITY, SAFETY AND VALUE OF CARE FOR SUBSTANCE-EXPOSED INFANTS AND THEIR FAMILIES. THE SPOKANE TEACHING HEALTH CENTER CLINIC, LOCATED ON WASHINGTON STATE UNIVERSITY SPOKANE'S HEALTH SCIENCES CAMPUS, WAS OPERATED BY PROVIDENCE HEALTH CARE AND SUPPORTED BY THE CONSORTIUM OF EMPIRE HEALTH FOUNDATION, PROVIDENCE HEALTH CARE AND WASHINGTON STATE UNIVERSITY SPOKANE. OVERALL, SPOKANE NOW HAS OVER 100 MEDICAL RESIDENCIES AND FELLOWSHIPS, UP FROM 74 JUST FOUR YEARS AGO. SOME RESIDENTS ARE TRAINING IN FAMILY AND INTERNAL MEDICINE AND ARE SUPPORTED THROUGH THE CONSORTIUM WHILE OTHER RESIDENTS ARE TRAINING IN PSYCHIATRY AND ARE SUPPORTED THROUGH PROVIDENCE. IN ADDITION TO GROWING RESIDENCY SLOTS, THE CONSORTIUM HAS A MISSION OF INTEGRATING STUDENTS AND FACULTY FROM HEALTH SCIENCES PROGRAMS IN THE REGION INTO A TEAM-BASED CLINICAL ENVIRONMENT, WHICH IS THE FUTURE OF HEALTH CARE. THE SOCIETY OF THORACIC SURGEONS (STS) HAS AWARDED ITS HIGHEST OVERALL RATING OF THREE STARS TO PROVIDENCE SACRED HEART MEDICAL CENTER FOR ALL THREE CATEGORIES OF ADULT CARDIAC SURGERY; ISOLATED CORONARY ARTERY BYPASS GRAFTING (CABG), ISOLATED AORTIC VALVE REPLACEMENT (AVR), AND PROCEDURES INVOLVING BOTH CORONARY ARTERY BYPASS AND AORTIC VALVE (AVR+CABG). BASED ON 2015 DATA, SACRED HEART MEDICAL CENTER IS ONE OF ONLY 12 HOSPITALS IN THE NATION TO RECEIVE THREE STARS IN ALL THREE AREAS OF ADULT CARDIAC SURGERY. THIS PLACES IT AMONG THE TOP 1.2 PERCENT OF HOSPITALS IN THE NATION. PROVIDENCE MOUNT CARMEL HOSPITAL IN COLVILLE HAS BEEN NAMED BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA) AS ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS (CAH) IN AMERICA. THE TOP 20 CRITICAL ACCESS HOSPITALS ARE THOSE HOSPITALS THAT HAVE ACHIEVED SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM NINE INDICES OF STRENGTH: INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, POPULATION RISK, COST, CHARGE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES AND FINANCIAL STABILITY. THE PROVIDENCE SACRED HEART MEDICAL CENTER/GONZAGA UNIVERSITY NURSE ANESTHESIA PROGRAM IS ONE OF THE BEST GRADUATE NURSE ANESTHESIA PROGRAMS IN THE NATION. THE INNOVATIVE NURSE ANESTHESIA DOCTORAL PROGRAM FOCUSES ON CLINICAL ANESTHESIA AND LEADERSHIP. PROVIDENCE SACRED HEART MEDICAL CENTER HAS RECEIVED THE HEALTHGRADES 2017 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE DISTINCTION MAKES SACRED HEART MEDICAL CENTER ONE OF THE TOP FIVE PERCENT OF MORE THAN 4,500 HOSPITALS NATIONWIDE FOR ITS CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS. FIRE DISTRICT 7 PARTNERED WITH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT ON A SYSTEM THAT ALLOWS EMERGENCY RESPONSE PERSONNEL AND DOCTORS TO SHARE PATIENT HEALTH RECORDS IN NEAR REAL TIME. PROVIDENCE ST. PETER HOSPITAL HAS BEEN RECOGNIZED AS ONE OF THE BEST HOSPITALS IN THE STATE OF WASHINGTON. PROVIDENCE ST. PETER WAS ONE OF LESS THAN 50 HOSPITALS IN THE UNITED STATES RANKED HIGH PERFORMING IN EIGHT SPECIALTY AREAS: * ABDOMINAL AORTIC ANEURYSM REPAIR * COPD * COLON CANCER SURGERY * HEART BYPASS SURGERY * HEART FAILURE * HIP REPLACEMENT * KNEE REPLACEMENT * LUNG CANCER SURGERY
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	PRIMARY CARE A CLINICAL SIMULATION LAB ON THE PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL CAMPUS ENABLES MEDICAL STAFF AND STUDENTS TO EXPERIENCE LIFELIKE MEDICAL SITUATIONS THROUGH THE USE OF ROBOTIC MANNEQUINS. PROVIDENCE HEALTH CARE'S TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM WAS PRESENTED WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) ACHIEVEMENT CITATION. THE ACHIEVEMENT CITATION IS ONE OF CHA'S HIGHEST HONORS RESERVED FOR OUTSTANDING PROGRAMS THAT TRANSFORM LIVES. THE TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM PROVIDES A POST-DISCHARGE ENVIRONMENT FOR PEOPLE WHO ARE HOMELESS TO RECUPERATE, AND WOULD OTHERWISE RETURN TO LIFE OF THE STREETS BEFORE THEY ARE FULLY HEALED. IT RECEIVED THIS PREMIER AWARD FOR ORIGINAL, BOLD, INNOVATIVE PROGRAMMING THAT DELIVERS MEASURABLE RESULTS FOR COMMUNITIES IT SERVES IN SPOKANE. THE PROGRAM IS REDUCING THE DEMAND ON EMERGENCY SERVICES, SAVING RESOURCES THAT ARE BEING REDISTRIBUTED FOR IMPORTANT SERVICES, AND HELPING IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. AS HEALTH CARE CONTINUES TO EVOLVE TO MEET THE NEEDS OF CONSUMERS, PROVIDENCE IS USING TECHNOLOGY TO INVITE MORE PEOPLE THROUGH THE FRONT DOORS OF OUR CLINICS - THIS CAN BE A VIRTUAL INVITATION IN THE FORM OF AN ONLINE VISIT VIA CELLPHONE OR LAPTOP, OR IN PERSON AT A RETAIL EXPRESS CARE SITE IN WALGREENS. AT THE SAME TIME, WE RECOGNIZE THAT THE REAL BENEFIT OF PRIMARY CARE IS THE LONG TERM RELATIONSHIP THAT PATIENTS DEVELOP WITH THEIR PHYSICIAN AND CARE TEAM. IT'S THIS RELATIONSHIP THAT ALLOWS US TO ADDRESS THE ONGOING HEALTH AND WELLNESS OF OUR PATIENTS AND COMMUNITIES. THE MORE WE CAN USE DIGITAL TECHNOLOGY TO CONNECT PATIENTS TO THEIR CARE TEAM, THE BETTER WE WILL BE AT TAKING CARE OF ENTIRE POPULATIONS OVER TIME. OUR MEDICAL GROUP LEADERS HAVE PARTNERED WITH THE DIGITAL INNOVATION GROUP TO TEST NEW, PATIENT-CENTRIC TECHNOLOGY AND TOOLS THAT TRANSFORM THE WAY CARE IS DELIVERED AND CEMENT THE RELATIONSHIP BETWEEN CARE TEAMS AND PATIENTS AFTER THEY HAVE CHOSEN TO WALK THROUGH THE DOORS OF A PROVIDENCE CLINIC. THE ON DEMAND HEALTH PLATFORM, OPEN NOTES AND THE CIRCLE APP FOR NEW MOMS ARE THREE NEW TOOLS WE ARE EXPLORING TO CONNECT WITH PATIENTS AND BUILD ENDURING RELATIONSHIPS. CURRENTLY ONLY PATIENTS WHO HAVE A MYCHART ACCOUNT ARE ABLE TO SCHEDULE APPOINTMENTS ONLINE. SOON, WITH A NEW SCHEDULING TOOL CALLED THE ON DEMAND HEALTH PLATFORM, ANYONE WILL BE ABLE TO SCHEDULE AN APPOINTMENT ONLINE. THE TOOL PROVIDES CONSUMERS WITH MORE OPTIONS FOR ACCESSING CARE WHEN AND WHERE THEY NEED IT. CIRCLE IS ANOTHER NEW TOOL THAT IS IMPROVING THE CONNECTION BETWEEN PATIENTS AND PROVIDERS. CIRCLE IS A FREE SMARTPHONE APP BY PROVIDENCE AND SWEDISH FOR EXPECTANT AND NEW MOMS IN PORTLAND, EVERETT, AND SEATTLE. PATIENTS CAN GET PERSONALIZED PREGNANCY AND NEWBORN INFORMATION, CHECK OFF WEEKLY TO-DOS, CONNECT WITH MYCHART, AND FIND AFTER-HOURS CARE AND BREAST FEEDING SUPPORT THROUGH SECURE VIDEO CHAT WITH EXPRESS CARE VIRTUAL. NEW MOMS LOVE THE APP BECAUSE IT PUTS THE INFORMATION THEY WANT AT THEIR FINGERTIPS - FROM BOTH A MEDICAL AND A NON-MEDICAL PERSPECTIVE. PROVIDERS LOVE THE APP BECAUSE IT HELPS THEM STAY IN TOUCH WITH THEIR PATIENTS OUTSIDE OF TRADITIONAL OFFICE VISITS. ANOTHER PATIENT-CENTRIC TOOL THAT ENCOURAGES PATIENTS TO BE MORE ENGAGED IN THEIR CARE IS OPEN NOTES. IT GIVES PATIENTS THE ABILITY TO VIEW THEIR ENTIRE MEDICAL RECORD - FROM PROBLEM LISTS TO PROGRESS NOTES - ONLINE. THE EXPANDED ACCESS ALLOWS PATIENTS TO BE FULLER PARTNERS IN THEIR HEALTH CARE AND ENABLES THEM TO HAVE BETTER, MORE INFORMED CONVERSATIONS WITH THEIR PROVIDER. OUR EMPLOYED PROVIDERS ARE LEADING THE WAY FORWARD AS WE MEET OUR CONSUMERS' DEMAND FOR CONVENIENT ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE FROM A PROVIDER THEY KNOW AND TRUST. TRADITIONALLY, OUR INDUSTRY HAS MAINLY RELIED ON TWO WAYS FOR PATIENTS TO ACCESS OUR SERVICES WHEN THEY ARE NEEDED. ONE, PRIMARY/URGENT CARE IN DOCTOR OFFICES, OR TWO, EMERGENCY ROOMS IN HOSPITALS. ACROSS OUR ORGANIZATION, OUR PROVIDERS ARE MAKING REMARKABLE CHANGES FOR THE ON-DEMAND EXPERIENCE IN HEALTH CARE, SO THAT MAKING A DIAGNOSIS AND PROVIDING TREATMENT IS AS QUICK, SIMPLE AND CONVENIENT AS ORDERING A PIZZA OR CATCHING A RIDE ACROSS TOWN. IN FACT, WE BELIEVE OUR HEALTH SYSTEM IS THE ONLY ONE IN THE NATION CURRENTLY OFFERING AN ENTIRE SUITE OF ON-DEMAND SERVICES, WHICH INCLUDE: 1. WALK-IN CLINICS AT FREESTANDING LOCATIONS AND WALGREENS STORES 2. OFFERING INSTANT ONLINE VISITS 3. BRINGING BACK THE HOUSE CALL THE MAIN REASON WE ARE ABLE TO OFFER THESE THREE ALTERNATIVES IS BECAUSE OUR OWN PROVIDERS ARE BOLD ENOUGH TO PRACTICE MEDICINE IN A DIFFERENT WAY WITHIN THE NEW ERA. EXPRESS CARE CLINICS AS AN ALTERNATIVE TO BEING SEEN IN A DOCTOR'S OFFICE, OUR PATIENTS NOW HAVE THE OPTION OF BEING SEEN 7 DAYS PER WEEK, 12 HOURS A DAY ON THE SAME DAY, BY EITHER WALKING IN OR SCHEDULING ON LINE. OUR EXPRESS CARE WALK-IN CLINICS ARE STAFFED BY HIGHLY QUALIFIED NURSE PRACTITIONERS INSIDE WALGREENS STORES OR AT STANDALONE EXPRESS CARE CLINIC SITES. THIS OFFERS THE BEST OF BOTH WORLDS: CONVENIENCE AND CARE YOU CAN TRUST. EXPRESS CARE AT HOME TODAY, OUR PROVIDERS ARE DRIVING TO HOMES, OFFICES OR HOTEL ROOMS TO TREAT COMMON CONDITIONS SUCH AS HEADACHES, SPRAINS AND ALLERGIES. EXPRESS CARE VIRTUAL THIS ALLOWS OUR PROVIDERS TO CONNECT WITH CONSUMERS IN THE PALM OF THEIR HANDS VIA A SMARTPHONE, TABLET OR COMPUTER AND IS AVAILABLE SEVEN DAYS A WEEK, 8 A.M. TO MIDNIGHT. A THERAPY DOG, SIMILAR TO A GUIDE OR SERVICE DOG IS TRAINED TO ASSIST TRAUMA VICTIMS THROUGH THE INVESTIGATION AND PROSECUTION OF CRIMES. HE HELPS CHILDREN COPE BY PROVIDING A REASSURING PRESENCE DURING INTERVIEWS, MEDICAL EXAMS AND THERAPY SESSIONS AT THE PROVIDENCE ST. PETER SEXUAL ASSAULT CLINIC AND CHILD MALTREATMENT CENTER IN LACEY, WASHINGTON. THE CENTER IS THE ONLY ONE OF ITS KIND IN THE FIVE-COUNTY AREA. WHAT MAKES IT SO UNIQUE IS THAT COMMUNITY AGENCIES AND SERVICES ARE ALL CO-LOCATED AT THE CLINIC, INCLUDING LEGAL RESOURCES THROUGH MONARCH CHILDREN'S JUSTICE AND ADVOCACY CENTER. THIS COLLABORATION PROVIDES YOUNG VICTIMS AND FAMILIES ONE LOCATION TO RECEIVE CARE AND SERVICES, PREVENTING REPEATED TRAUMA FROM HAVING TO SHARE THEIR STORY MULTIPLE TIMES. EACH YEAR, THE CENTER SERVES MORE THAN 350 PATIENTS AND THEIR FAMILIES, THANKS TO A $1 MILLION COMMUNITY INVESTMENT BY PROVIDENCE. SADLY, STATISTICS SHOW THAT ONE IN FIVE CHILDREN WILL BE SEXUALLY ABUSED BY THE AGE OF 18, AND MOST ARE VICTIMS OF SOMEONE THEY KNOW AND TRUST. TO PROTECT VULNERABLE CHILDREN, THE CENTER PROVIDES FREE EDUCATION WORKSHOPS WITH SUPPORT FROM THE PROVIDENCE ST. PETER FOUNDATION. SINCE 2008, MORE THAN 800 COMMUNITY MEMBERS HAVE BEEN TRAINED TO RECOGNIZE AND RESPOND TO SIGNS OF ABUSE. PROVIDENCE'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED POVERTY AND RELATED ISSUES SUCH AS ADEQUATE HOUSING AS AN AREA OF GREAT NEED. WITHOUT A WARM BED TO RECUPERATE, VULNERABLE PATIENTS RETURNING TO LIFE ON THE STREETS WOULD FACE A HIGH RISK FOR RE-HOSPITALIZATION. ABOUT 450 NIGHTS OF SHELTER HAVE BEEN PROVIDED THROUGH THIS PROGRAM SINCE IT BEGAN IN 2015 THANKS TO PROVIDENCE'S $500,000 COMMUNITY INVESTMENT. THE PROGRAM IS STARTING SMALL WITH TWO TO FOUR BEDS SO IT CAN BE DEVELOPED PROPERLY AND LINK PARTICIPANTS TO SOCIAL AND BEHAVIORAL HEALTH SERVICES THAT CHANGE LIVES FOR THE BETTER. IN PARTNERSHIP WITH DAYBREAK YOUTH SERVICES, ACCESS TO INPATIENT AND OUTPATIENT CARE IS PROVIDED FOR FREE TO CHILDREN AND FAMILIES IN THEIR TIME OF NEED. ONCE THE YOUTH'S CONDITION WAS STABILIZED AT THE HOSPITAL, THEY WENT DIRECTLY TO THE DAYBREAK FACILITY WHERE SHE RECEIVED TREATMENT FOR ADDICTION AND THERAPY TO OVERCOME THE EMOTIONAL PAIN OF THEIR PAST. PROVIDENCE HAS PROVIDED MORE THAN 200 RAPID RESPONSE REFERRALS TO TREATMENT AND 90 PERCENT OF THE YOUNG PATIENTS HAVE COMPLETED OR ARE STILL ENGAGED IN TREATMENT. THE PROGRAM FULFILLS IMPORTANT NEEDS IN THE SPOKANE COUNTY, WASH. COMMUNITY FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. PROVIDENCE'S ANNUAL COMMUNITY INVESTMENT OF $50,000 MAKES POSSIBLE THE CRITICAL COORDINATION OF CARE AND SERVICES ESSENTIAL TO THE SUCCESS AND SOBRIETY FOR TEENS IN RECOVERY.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	LONG-TERM CARE, HOMECARE, HOSPICE CARE, HOUSING, HEALTHCARE JOINT VENTURES, PHARMACY SERVICES PROVIDED TO PATIENTS, AND MANY OTHER PROGRAM SERVICE ACCOMPLISHMENTS. LTC/HOSPICE/HOUSING & ASSISTED LIVING PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY HAS A 16-BED INPATIENT HOSPICE CARE CENTER TO MEET THE COMMUNITY'S GROWING NEED FOR COMPASSIONATE, HIGHLY-SKILLED, 24/7 NURSING CARE FOR TERMINALLY ILL ADULTS AND CHILDREN. THE CARE CENTER IS VERY DIFFERENT FROM A TYPICAL HOSPITAL ENVIRONMENT AND WAS SPECIALLY-DESIGNED TO LOOK AND FEEL LIKE HOME. IT INCLUDES COMFORTABLE FURNITURE, A SOOTHING NEUTRAL COLOR SCHEME AND WARM DETAILS LIKE WOOD FLOORING AND NATURAL LIGHTING IN EVERY PATIENT ROOM. THE CARE CENTER IS DESIGNED TO ENCOURAGE FAMILIES TO SPEND QUALITY TIME TOGETHER FOR AS LONG AS THEY WISH. EACH PRIVATE ROOM HAS A COMFORTABLE CHAIR THAT PULLS OUT INTO A BED SO LOVED ONES CAN SPEND THE NIGHT. IN ADDITION, THERE IS A COZY LIVING ROOM, A LARGE DINING ROOM AND A FULL KITCHEN WHERE FAMILY MEMBERS AND GUESTS CAN PREPARE THE PATIENT'S FAVORITE FOODS. GRANT & ALLOCATIONS - SEE SCHEDULES F & I
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF THE FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 136,648,948. MANAGEMENT AND GENERAL EXPENSES 144,748,209. FUNDRAISING EXPENSES 98,633. TOTAL EXPENSES 281,495,790. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 3,498,829. MANAGEMENT AND GENERAL EXPENSES 3,706,206. FUNDRAISING EXPENSES 2,525. TOTAL EXPENSES 7,207,560. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 94,622,363. MANAGEMENT AND GENERAL EXPENSES 100,230,684. FUNDRAISING EXPENSES 68,298. TOTAL EXPENSES 194,921,345. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 65,253,522. MANAGEMENT AND GENERAL EXPENSES 69,121,135. FUNDRAISING EXPENSES 47,100. TOTAL EXPENSES 134,421,757. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 297,716,063. MANAGEMENT AND GENERAL EXPENSES 315,361,863. FUNDRAISING EXPENSES 214,891. TOTAL EXPENSES 613,292,817. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 13,262,381. MANAGEMENT AND GENERAL EXPENSES 14,048,450. FUNDRAISING EXPENSES 9,573. TOTAL EXPENSES 27,320,404.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -698,910,362. CHANGE IN INVESTMENT IN JOINT VENTURE 7,285,989. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 9,877,968. OTHER CHANGES IN NET ASSETS 31,289,675. CHANGE IN INVESTMENT IN CORPORATE SUBSIDIARIES 359,084,257.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 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
EXPRESS CARE LLC
800 FIFTH AVE STE 1200	SEATTLE	WA	98104	831518217	HEALTHCARE	WA	$5,598,716	$1,581,046	PROVIDENCE HEALTH & SERVICES - WASHINGTON
HEALTH SERVICES ASSET MANAGEMENT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271698016	A/R & COLLECTIONS	WA	$2,905,846	$4,315,774	PROVIDENCE HEALTH & SERVICES - WASHINGTON
LEGACY LLC
PO BOX 196606	ANCHORAGE	AK	99519	320252199	REAL ESTATE	AK	$5,176,900	$33,574,610	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
NORCAL HEALTHCONNECT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	852390012	HEALTHCARE	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PIONEER HEALTH LABS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	WA	$0	$0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE DOLORES HOUSE LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	825497218	SUPPORTIVE HOUSING	WA	$265,849	$5,621,148	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	$8,499,967	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PSJ PROVIDER RECRUITMENT LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		RECRUITING	WA	$19,549,351	$871,068	PROVIDENCE HEALTH & SERVICES - WASHINGTON
ST ELIAS SPECIALTY HOSPITAL LLC
4800 CORDOVA ST	ANCHORAGE	AK	99503	260115489	HEALTHCARE	AK	$25,043,129	$42,673,361	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PVMH INVESTMENT CO LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		INVESTMENTS	WA	$9,217	$12,195,463	PROVIDENCE HEALTH & SERVICES - WASHINGTON
PROVIDENCE MOTHER BERNARD HOUSE
1140 4TH ST	EUREKA	CA	95501		SUPPORTIVE HOUSING	CA	$382,770	$3,599,645	PROVIDENCE HEALTH & SERVICES - WASHINGTON

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12,I	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 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	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	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)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	7	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)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(C)(3)	7	SHS	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	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
PACMED CLINICS
1801 LIND 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 CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911433382	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	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
2731 WETMORE AVE STE 500	EVERETT	WA	98201	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 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 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 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
1801 LIND AVE SW	RENTON	WA	980579016	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
1025 S 2ND AVENUE	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 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	RMH	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
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	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	SRMH	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	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	CHN	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	CHN	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 CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	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
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911594526	HEALTHCARE	WA	501(C)(3)	3	KADLEC	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	12, I	KADLEC	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	SHELL CORPORATION	WA	501(C)(3)	12, II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (47 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	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
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 (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	0
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A	0	0
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A	0	0
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	0
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	0
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
ONE CITY BLVD W STE 1100	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A	0	0
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	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA		0	0	SHS & PHS - WA	UNRELATED	$23,828	$1,635,004	$23,826	0.11590
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A	0	Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK		0	Yes (1)	PHS WA	RELATED	$3,829,542	$7,519,529		0.50000
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA		0	Yes (1)	PHS WA	RELATED	$1,593,596	$7,369,243		0.50000
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A	0	0
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	0
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)
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A	0	Yes (1)
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A	0	Yes (1)
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	0
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURGERY CENTER	OR	N/A	0	0
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	0
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$5,296,670	$192,960,856		0.49460
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A	0	0
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA		0	0	PHS WA	RELATED		$5,504,140		0.50000
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK		0	0	PHS WA	RELATED	$12,721,124	$22,891,512		0.99000
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$130,984,469	$2,571,105,156	-$2,554	0.41370
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAY	DALLAS	TX	75254	320503030	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A	0	0
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURGERY CENTER	CA	N/A	0	0
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)
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A	0	0
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	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)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	0
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A	0	0
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA		0	Yes (1)	PHS WA	UNRELATED	$6,489	$1,240,631	$6,453	0.55730
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA		0	0	PHS WA	RELATED	$241,855	-$876,735		0.40620
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA		0	Yes (1)	PHS WA	RELATED	$946,199	$3,266,667		0.50000
WOC-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA		0	Yes (1)	PHS WA	EXCLUDED	$75,360	$1,455,390		0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 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	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	371783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD HM08 PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	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
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE		C	0				PHS WA	1.00000
DATU HEALTH INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	IT SVCS	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
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
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	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
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	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
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTHCARE INNOVATIONS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ		C	0				PHS WA	1.00000	-$214,076	$13,082,789
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS			C	0			IN	PHS WA & PSJH	0.99000	$10,423,282	$12,610,249
PROVIDENCE HCC HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HOLDING COMPANY	CA	N/A	C	0
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA		C	0				PHS WA	1.00000		$25,451,559
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	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
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100	BELLEVUE	WA	98004	833879444	HEALTHCARE ANALYTICS	WA	N/A	C	0
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 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 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-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENT	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	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (48 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
EVERETT TRANSITIONAL CARE SERVICES
B	$1,500,000	ACCRUAL
FACEY MEDICAL FOUNDATION
L	$97,920	ACCRUAL
INLAND NORTWEST HEALTH SERVICES
B	$201,157	ACCRUAL
INSTITUTE FOR SYSTEMS BIOLOGY
R	$1,500,000	ACCRUAL
KADLEC FOUNDATION
C	$1,718,811	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
L	$958,214	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
O	$865,541	ACCRUAL
KADLEC REGIONAL MEDICAL CENTER
R	$26,513,258	ACCRUAL
MISSION HOSPITAL REGIONAL MEDICAL CENTER
R	$77,534	ACCRUAL
PACMED CLINICS
R	$5,166,376	ACCRUAL
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
L	$2,880,234	ACCRUAL
PROVIDENCE ALASKA FOUNDATION
C	$8,403,652	ACCRUAL
PROVIDENCE ALASKA FOUNDATION
J	$72,333	ACCRUAL
PROVIDENCE ALASKA FOUNDATION
R	$15,018,985	ACCRUAL
PROVIDENCE ALASKA FOUNDATION
B	$103,510	ACCRUAL
PROVIDENCE GENERAL FOUNDATION
C	$4,040,046	ACCRUAL
PROVIDENCE HEALTH & SERVICES - MONTANA
L	$325,779	ACCRUAL
PROVIDENCE HEALTH & SERVICES - MONTANA
R	$113,273,691	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
J	$220,794	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
L	$1,732,867	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
Q	$307,426	ACCRUAL
PROVIDENCE HEALTH & SERVICES - OREGON
R	$290,894,872	ACCRUAL
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
C	$8,245,902	ACCRUAL
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
R	$863,400	ACCRUAL
PROVIDENCE HEALTH CARE FOUNDATION - (CENTRALIA)
C	$467,479	ACCRUAL
PROVIDENCE HEALTH SYSTEM SOUTHERN - CALIFORNIA
R	$104,150,364	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
A	$113,481,160	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
J	$363,500	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
L	$47,420,299	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
O	$45,080,857	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
Q	$3,284,668	ACCRUAL
PROVIDENCE PHYSICIAN SERVICES CO
R	$1,853,712	ACCRUAL
PROVIDENCE SAINT JOHNS HEALTH CENTER
R	$3,113,757	ACCRUAL
PROVIDENCE ST JOSEPH HEALTH
R	$92,224,892	ACCRUAL
PROVIDENCE ST JOSEPH MEDICAL CENTER
R	$6,562,009	ACCRUAL
PROVIDENCE ST MARY FOUNDATION
C	$607,461	ACCRUAL
PROVIDENCE ST PETER FOUNDATION
C	$2,688,604	ACCRUAL
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
C	$83,335	ACCRUAL
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
R	$563,135	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
R	$15,616,521	ACCRUAL
ST JOSEPH HOSPITAL OF ORANGE
R	$296,220	ACCRUAL
SWEDISH EDMONDS
O	$1,092,109	ACCRUAL
SWEDISH EDMONDS
R	$13,188,438	ACCRUAL
SWEDISH HEALTH SERVICES
J	$4,748,039	ACCRUAL
SWEDISH HEALTH SERVICES
L	$155,326	ACCRUAL
SWEDISH HEALTH SERVICES
Q	$123,542	ACCRUAL
SWEDISH HEALTH SERVICES
R	$323,221,121	ACCRUAL
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
C	$430,899	ACCRUAL