2017-01-24T14:43:11-06:00 2015-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2015-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 Lind Ave SW No 9016 Renton WA 980579016 Cindy Strauss Corporate Secretary 4255253985 2017-01-24 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2015 2021-01-29 14:40:06Z Rodney Hochman MD 1801 Lind Ave SW No 9016 Renton WA 980579016 6999107263 0 X washington.providence.org X 1859 WA Healthcare with special concern for the poor and vulnerable in WA. & AK. 14 14 35521 5617 6457889 1547750 42136077 31689985 3439886452 5630711974 134530104 41384593 1518048478 249644663 5134601111 5953431215 13951382 22649564 0 0 2884542505 3240863194 0 0 255429 1936049739 3986761788 4834543626 7250274546 300057485 -1296843331 10159130383 13253167313 7585061893 10539077842 2574068490 2714089471 X As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor & vulnerable in WA. & AK. 0 0 2458214766 0 3015096336 Acute Care Inpatient 115,336 Admissions in 2015 with 565,172 Patient DaysOUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship As a not-for-profit health care ministry, Providence Health & Services - Washington embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. In the face of rapidly changing health care, our commitment to our Mission to care for everyone remains unchanged. When the Sisters of Providence began our tradition of caring 158 years ago, their ministry greatly depended on partnering with others in the community who were committed to doing good. This same pioneering spirit continues today as our calling and our promise. Some of our 2016 highlights are:The ER at Providence Regional Medical Center's Colby Campus is the only adult Trauma II emergency department in Snohomish County.Providence Mount Carmel Hospital is among the Top 100 Critical Access Hospitals (CAHs) in the United States, according to iVantage Health Analytics, which compares more than 1,300 facilities each year. Critical Access Hospitals have less than 25 inpatient beds, a 96-hour average length of stay, offer 24/7 emergency care, and are 35 miles away from another hospital.The following awards were received in 2015 by Sacred Heart Medical Center & Children's Hospital: Distinguished Hospital Award - Clinical Excellence; America's 100 Best Hospitals for Stroke Care; America's 100 Best Hospitals for Critical Care; Top 5% in the Nation for Neurosciences & Neurosurgery; Top 5% in the Nation for Stroke Care; Top 5% in the Nation for Gastrointestinal Care. Best Regional Hospital in: Cancer, Cardiology & Heart Surgery, Diabetes, ENT, Gastroenterology, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology, Urology; High Performing Hospital in: Hip Replacement Surgery, Knee Replacement Surgery; National Research Corporation Consumer Choice Award; 100 Great Hospitals in America; and Top 100 Neurosurgery and Spine Programs in the Nation. The neonatal intensive care unit (NICU) at Sacred Heart Children's Hospital is a Level IV designation, the highest level of care for premature and critically ill newborns recognized by the American Academy of Pediatrics (AAP). The Level IV status was granted by Washington State, acknowledging that the hospital met all AAP Perinatal and Neonatal Level of Care Guidelines. Sacred Heart Children's Hospital is the second facility in the state to achieve this status.Providence St. Mary Medical Center has expanded its cardiology program to include emergency angioplasty and stents for the treatment of heart attacks 24 hours a day, seven days a week. Providence is the first hospital in Walla Walla to offer emergency percutaneous coronary intervention (angioplasty/stents) every hour of every day. It also is the first to have 24/7 cardiology coverage, which means a cardiologist is available 24-hours a day, seven days a week to provide cardiology consultations.This marks a significant advancement for cardiac care in the community. Until now, interventional cardiology was only available four days a week in Walla Walla at Walla Walla General Hospital. When heart attacks occurred outside of these days, patients had to be transported by ambulance out of the community for care.Providence St. Mary Medical Center has been designated a Level 1 Cardiac Center by Washington State - the only hospital in Walla Walla to hold the state's highest level designation.St Joseph's Hospital recent hospital quality awards: Best Practice in Publicly Reporting Quality of Care - Rural Health Quality Network; Excellence in Clinical Quality of Care for Acute Heart Failure, Pneumonia and Surgical Care Improvement - The Center for Medicare and Medicaid Services and Premier Hospital Quality Incentive Demonstration.Providence Centralia Hospital is one of only 405 U.S. hospitals and critical access hospitals earning the distinction of top performer on key quality measures from The Joint Commission. We understand that what matters most to patients is safe, effective care. That's why we have made a commitment to accreditation and to positive patient outcomes through evidence-based care processes.Providence St. Peter Hospital is proud to be a "Magnet " recognized hospital of 2015.Level II Trauma designation - Providence Alaska Medical Center has been designated as a Level II Trauma Center. The hospital received verification from The American College of Surgeons and certification from the Alaska Department of Health & Social Services.High-Quality care - Mountain-Pacific Quality Health has awarded Providence Alaska Medical Center with its Commitment to Quality Award and Providence Kodiak Island Medical Center with its Quality Achievement Award. This award recognizes hospitals in their dedication to quality care, especially in the clinical areas of heart attack, heart failure, pneumonia and preventing surgical infection. Cardiac care award - Providence Alaska Medical Center has received the American College of Cardiology's NCDR ACTION Registry-GWTG Platinum Performance Achievement Award for 2015. PAMC is one of only 319 hospitals nationwide and the only hospital in the state of Alaska to receive the honor. The award recognizes the hospital's commitment and success in implementing a higher standard of care for heart attack patients and signifies that PAMC has reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations. 1427060776 0 1750345729 Acute Care - Outpatient 2,384,233 Emergency & Ancillary VisitsCyberKnife, a non-invasive radiation cancer treatment system, is now available to treat patients at the Providence Cancer Center in Anchorage. The Alaska CyberKnife Center at Providence Cancer Center is the first CyberKnife treatment facility in Alaska, providing the only radiation therapy technology that is capable of tracking and automatically correcting for patient and tumor movement. This enables high doses of radiation to be delivered with extreme precision, anywhere in the head and body. The CyberKnife System delivers robotic, non-invasive, non-surgical radiation therapy that's clinically proven to be effective for the treatment of prostate cancer, lung tumors, brain tumors, liver cancer, head and neck cancers, pancreatic tumors, kidney cancers, and other conditions. As a result of the CyberKnife system's sub-millimeter precision, doctors can deliver a much higher dose of radiation during each treatment session. This unique capability allows patients to complete treatment typically within five consecutive daily sessions, compared to the weeks or even months required for treatment with other radiation oncology technologies.Providence Sacred Heart Medical Center - The Northwest Autism Center is recognized as a Center of Excellence ABA (Applied Behavior Analysis) Day Treatment program for children with autism. This unique program serves children with autism ages two through five in an outpatient treatment setting. The intensive treatment includes three hours of parent education and training per week, in addition to care coordination, speech and language therapy, and transition services. Clinic sessions are three hours per day, four days per week for 12 weeks, in alignment with Health Care Authority requirements. Each child receives one-on-one intensive services from a therapy assistant. The program is supervised and coordinated by a Board Certified Behavior Analyst and provides hands-on supervised training opportunities for those seeking Board Certification in ABA, a field of expertise with an extremely limited provider pool in Washington State.Providence St. Peter Hospital - many arriving in the emergency department are in need of psychiatric intervention. At Providence St. Peter Hospital's emergency center, Crisis Services has trained counselors available 24/7 to support patients and families with problems related to psychiatric illness, grief, substance abuse, domestic abuse, homelessness, crime, aging and traumatic injuries. The crisis counselors also provide discharge planning and community resources to best meet the needs of patients and their families. A mental health professional provides face-to-face evaluations to help individuals establish the need for an appropriate level of mental health or substance abuse services. This unique program works within a community collaboration model and has eased the strain on the emergency center by providing on-site assessment, consults and referrals for appropriate placement. 406963335 0 499156412 LTC/Hospice/Housing & Assisted Living - 318,245 Days for Long-Term Care/Asst. Living; 343,896 Home Health Visits; 401,606 Hospice DaysProvidence Hospice is proud to participate in the We Honor Veterans program, a program of the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs. Through this program, hospice professionals across the country focus on a single purpose: to provide comfort and support to veterans at the end of their lives.Hospice Care Center is Washington State's first inpatient hospice care center located within a hospital (Providence Regional Medical Center Everett's Colby Campus). It features a calm, home-like setting with family areas, a children's play room and a quiet room for reflection. The Intergenerational Learning Center (ILC) is an award-winning child care program located within Providence Mount St. Vincent in West Seattle. Five days a week, the children and residents come together in a variety of planned activities such as music, dancing, art, lunch, storytelling or just visiting. These activities result in mutual benefits for both generations. All children are welcome.Palliative and Hospice Care is the only Medicare certified hospice in Anchorage that provides primarily a "routine" level of home hospice care. In addition, there are three other levels of care that might be offered, depending on patient and family goals and the hospice team's assessment of need. Those levels are:Continuous care - short term intensive services in the home; General Inpatient - short term acute care under hospice at PAMC; and Respite care - short term care in a designated facility. Providence Hospice is nationally accredited by the Accreditation Commission for Health Care, Inc.Providence ElderPlace is an innovative program of health care and social services for older adults. Our model of care is known as PACE (Program of All Inclusive Care for the Elderly). PACE programs keep older adults as healthy as possible in the community by providing comprehensive health care and social services including: primary and specialty medical care, a day health program, social work services, rehabilitation, housing (if necessary) and much more. Participants attend the Providence ElderPlace Center on a regular basis, and transportation is provided. The ElderPlace team of health care and social service professionals and our affiliates provide comprehensive integrated care to our participants. 393818160 0 483033341 Primary Care 1,760,156 Clinic VisitsProvidence St. Mary Medical Center in Walla Walla offered a free drive through flu shot clinic and a free prostate screening clinic during 2015.Providence Medical Group of SW WA - to provide lower-cost diabetes education in rural Southwest Washington, primary care clinics use telehealth secure videoconferencing between a patient and a diabetes educator. Bringing diabetes education directly to patients in rural areas improves patient and provider access to diabetes services, reduces health disparities and costs significantly less than an office visit. Because of a lack of access to primary care, many rural diabetes patients were at greater risk for diabetic complications. The telehealth diabetes education has increased access while serving the Mission. 22649564 22649564 0 Grant & Allocations - See Schedules F & I 416467724 22649564 483033341 4708706601 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 2338 0 1 35521 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X Karl E Fritschel CPA 4255253339 2001 Lind Ave SW Renton WA 98057 X Michael Holcomb Chair of the Board 7.60 0.10 X X 60360 0 0 Chauncey Boyle SP Director 5.50 0.10 X 0 0 0 Marian Schubert CSJ Director 4.30 0.10 X 0 0 0 Phyllis Hughes RSM Director 5.00 0.10 X 0 0 0 Carolina Reyes MD Director 4.60 0.10 X 15360 0 0 Michael A Stein Director 6.00 0.10 X 15360 0 0 Eugene Al Parrish Director 5.00 0.10 X 15360 0 0 Bob Wilson Director 5.00 0.10 X 18360 0 0 Sallye Liner Director 4.30 0.10 X 15360 0 0 Isiaah Crawford Director 4.10 0.10 X 18360 0 0 Martha Diaz Aszkenazy Director 7.70 0.10 X 18360 0 0 Kirby McDonald Director 4.60 0.10 X 15360 0 0 Dave Olsen Director 5.50 0.10 X 17860 0 0 Charles Chuck Watts Director 4.60 0.10 X 18360 0 0 Rod F Hochman MD President / CEO 25.00 40.00 X 5102809 0 74417 Todd Hofheins EVP/CFO 25.00 40.00 X 970092 0 295713 Cindy Strauss EVP/Chief Legal Officer 23.00 37.00 X 1526357 0 64699 Anthony Dorsch CFO/PSMS Shared Services 21.00 34.00 X 446827 0 99433 Bruce Lamoureux CE/AK. Region 25.00 40.00 X 1042351 0 73289 Craig Wright MD SVP/Physician Services 23.00 37.00 X 2795040 0 125380 Randy Axelrod MD Thru 315 EVP/Clinical & Patient Services 23.00 37.00 X 1416580 0 35750 Mike Butler President/Operations & Services 23.00 37.00 X 1572348 0 740248 Debbie Burton SVP/ Chief Nrsg. Officer 23.00 37.00 X 683302 0 55602 Debra Canales EVP/Chief People & Experience Ofc. 23.00 37.00 X 1650655 0 458130 Medrice Coluccio CE/Southwest WA. Region 50.00 2.00 X 990635 0 132873 Elaine Couture CE/PHC/Eastern WA. Region 58.00 2.00 X 988860 0 92132 Jack Friedman Thru 615 SVP/Accountable Care & Payor Rel. 19.00 31.00 X 770782 0 117919 Mark Gargett VP/Digital Integration 19.00 31.00 X 632716 0 82292 Joel Gilbertson SVP, Comm. Partnrshp. & Ext. Affairs 23.00 37.00 X 566699 0 203896 Aaron Martin SVP/Strategy & Innovation 25.00 40.00 X 681696 0 189399 Tom McDonagh VP/Chief Investment Officer 21.00 37.00 X 963343 0 58116 Rhonda Medows MD EVP/Population Health 23.00 37.00 X 667975 0 188508 Jack Mudd SVP/Mission Leadership 21.00 34.00 X 632418 0 88850 Janice Newell SVP/Chief Information Officer 23.00 37.00 X 1535323 0 37767 Harvey Smith SVP/Chief Customer Svc. Officer 19.00 31.00 X 844548 0 41905 Teresa Spalding VP/Revenue Cycle 23.00 37.00 X 691899 0 45132 Greg Till VP/Chief Talent Officer 23.00 37.00 X 534186 0 99744 Sharon Toncray SVP/HR Strat. Partners 21.00 37.00 X 563982 0 196084 Lisa Vance SVP/Clinical Program Services 25.00 40.00 X 786086 0 51186 Jason Dryer Neurosurgeon 55.00 0.00 X 2986849 0 37207 David Yam Neurosurgeon 55.00 0.00 X 2042108 0 32537 Joseph Gifford VP/CE ACO of WA 55.00 0.00 X 1123101 0 30430 J Michael Marsh CAO/Western WA 55.00 0.00 X 1076097 0 23221 James Brevig Cardiothoracic Surgeon 55.00 0.00 X 1018235 0 26029 John Fletcher Former VP/Operations Support 0.00 0.00 X 583850 0 18778 Jan Jones Former SVP/CAO 0.00 0.00 X 759461 0 33986 38875670 0 3850652 5017 1 1 0 Allied Health Group File 50941 Los Angeles CA 90074 Agency Staffing 31199580 The Everett Clinic 3901 Hoyt Avenue Everett WA 98201 Medical Services 24716772 Bouten Construction 627 N Napa Street Spokane WA 99220 Construction 10626575 Howard S Wright Constructors 415 First Avenue N Suite 400 Seattle WA 98109 Construction 9303932 Denali Advanced Integration 17735 NE 65th Street Suite 13 Redmond WA 98052 Software Support 8724411 532 15905 876980 12163906 13759408 4873786 31689985 Acute Care/Inpatient 900099 1963292607 1963292607 Acute Care/Outpatient 621400 1139744952 1139744952 LTC/Homecare/Hospice 621610 325027788 325027788 Primary Care 621110 314529183 314529183 1888117444 1888117444 5630711974 33214511 33214511 600000 600000 30685049 19793 13450165 0 17234884 19793 17254677 466310 16788367 1031370513 6972218 1021480205 8692444 9890308 -1720226 8170082 8170082 255002 876980 711668 -456666 -456666 28850 12502 16348 16348 2365899 1329064 1036835 1036835 Healthcare JVs 900099 29547370 27143021 2404349 Pharmacy Revenue 446110 27516132 24702007 2814125 Cafeteria Revenue 722210 16883681 54905 16828776 157246286 65074816 718496 91452974 231193469 5953431215 5747631818 6458185 167651227 20243288 20243288 815359 815359 1590917 1590917 32436508 9248313 23188195 1352281 1352281 2154538525 1430288759 724138310 111456 280310139 20808762 259499511 1866 620351741 10221401 610129856 484 151874000 95561005 56302567 10428 10852900 353095 10499805 3288868 3288868 986176 986176 3337625 3337625 584828086 311224043 273592741 11302 19909040 1212896 18696144 131657948 65944677 65713247 24 144321620 2768848 141548427 4345 97941671 40151917 57789754 29383566 6782766 22597858 2942 12883546 3400155 9483391 69220202 69377183 -156981 3447474 3447474 265917109 123896153 142020956 13111321 4764987 8346334 Claims Expense 1879508787 1879508787 Medical Supplies 541769153 541955780 -186627 Bad Debt Expense 48825271 48254137 571134 UBI Taxes 478669 478669 125092756 20333373 104646801 112582 7250274546 4708706601 2541312516 255429 34927355 81934754 583295465 452410656 1695261 1220034 538713832 538283750 27740380 28671008 75925085 75239143 95885053 43779100 5277633055 2706458927 2610683455 2571174128 1722018012 1851596134 122203289 137721075 33256787 32786682 4312786409 7438350849 10159130383 13253167313 665592937 623470647 118944216 31130936 845274482 842079700 769830032 752743268 13540890 138444900 5171879336 8151208391 7585061893 10539077842 X 2524680418 2671478841 35157038 28122202 14231034 14488428 2574068490 2714089471 10159130383 13253167313 X -1296843331 -82746619 -55900 1519666831 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 1 378323 1 607853 0 1 986176 0 Part II-B, Line 1: As part of our nearly 160-year Mission, Providence has long advocated for important health and social programs in our communities. Our special focus on serving those who are poor and vulnerable compels us to advocate for a better and more just health care system. We believe that health care is a basic human right. When individuals and families have access to care, quality of life improves. Policymakers can help us improve the health of entire communities by supporting innovation, integration and evidence-based care. We are creating healthier communities, together. Our 2015 Advocacy Agenda HELP US BUILD HEALTHIER COMMUNITIES The entire landscape of health care is in a dramatic transformation. A digital revolution is making care more personal and available. Technology and medical research are saving lives. At Providence, we are harnessing these advances to design the best possible whole-person care, with a special focus on those who are poor and vulnerable. This is our strategic plan in action - to improve the overall health of entire populations while supporting the health and well-being of each person we serve. Caring for populations requires large-scale collaboration and innovation. To meet these goals, Providence ministries and affiliates are pioneering new models and fostering unique partnerships across regions. In this dynamic environment, we urge our policymakers to build legislative and regulatory pathways that support innovation, integration and evidence-based care. Together, we can help create healthier communities. HELP PROVIDERS TO FULLY REDESIGN CARE AND PAYMENT New models of care have the potential to truly transform delivery by recognizing and rewarding outcomes and allowing providers to be accountable for quality, cost and the overall patient experience. There are many value-based models, both public and private, that can be supported. We asked policymakers to: * Help increase participation in new payment and delivery models, such as the Medicare Shared Savings Program, by offering greater flexibility for provider agreements and the ability to assign patients participating in these models. * Streamline the regulatory framework and state Medicaid waiver process to support greater clinical integration of providers participating in alternative care models. * Reform the Medicare physician payment system with a more stable update mechanism and establish clear incentives for physicians and other providers to participate in alternative payment models. * Support growth and innovation in the Medicare Advantage program while protecting the ability of high-quality plans to grow and serve patients in new markets. * Preserve the 340B Drug Pricing Program by resisting efforts to limit the scope of the program, and ensure it continues as a vital resource for safety net and rural providers serving low-income populations. * Support legislation to update and expand access to telehealth services by eliminating outdated barriers to providing services through commercial insurance and Medicare. * Support the training of new primary care physicians by reauthorizing the Teaching Health Center Graduate Medical Education Program, which expires in 2015. CREATE MORE OPTIONS FOR PALLIATIVE AND END-OF-LIFE CARE Providence honors the dignity of every person we serve by responding to our patients' unique health care needs at every stage of illness. When our patients and their loved ones face a life-threatening illness, we have come to understand that integrated, whole-person care can relieve suffering and enhance quality of life. We asked policymakers to: * Enhance coverage for palliative and end-of-life services in Medicare and Medicaid. * Allow Medicare patients to receive trial treatments as well as hospice care. * Support policy changes that redesign payment to improve care coordination across provider settings for individuals at or near the end of life. * Support provider education to enhance the delivery of palliative care across clinical specialties, and specifically incorporate palliative care as a requirement for graduate medical and continuing education. PRESERVE AND BUILD ON COVERAGE EXPANSION Millions of people are now enrolled in private coverage or Medicaid. Expanded coverage creates the opportunity to advance new systems of care, and by incorporating population health strategies for the newly insured, we can facilitate clinical transformation and payment reform. We asked policymakers to: * Seek sustainable financial solutions for Medicaid to preserve current funding and prevent future budget reductions. * Support expansion of Medicaid coverage in every state to full eligibility levels. * Extend the Medicaid primary care payment increase that expired on Jan. 1, 2015. * Reauthorize the Children's Health Insurance Program. * Protect funding for federal premium subsidies for health insurance exchanges. * Find mechanisms to expand coverage and access for those who remain uninsured. INCREASE ACCESS TO BEHAVIORAL HEALTH CARE AND SERVICES The nation's behavioral health care system has been plagued by gaps in access and funding for many years. As a result, individuals with severe mental health and chemical dependency conditions struggle to receive needed care and medications in their communities. More care options can and should be available, to reduce suffering and unnecessary social, criminal justice and health care costs. We asked policymakers to: * Ensure Medicaid coverage for behavioral health is adequate. * Support important changes to Medicaid and Medicare coverage for behavioral health services, encouraging integration between medical and behavioral health care. * Improve funding to ensure patients have access to inpatient psychiatric and community-based behavioral health services and prevent long, unnecessary acute hospital stays and emergency department holds. * Strengthen public health infrastructure to provide greater access to services for these very vulnerable patients. Part II-B, Line 1: Costs related to Lines 1d and 1i are included in the costs reported on Line 1g. 20000 X 0 17766 17766 16324 1442 17766 15046 1278 16324 9052 2500 3494 15046 8030149 24281 61799 8107177 9052 0.00000 1.00000 0.00000 0 0 31554085 129214029 160768114 209897779 2123710919 1091333148 1242275550 218887245 96023147 122864098 51998367 2410057317 1519102632 942953052 19217 102294097 102313314 2571174128 Due From Affiliates 7089048754 Trustee Held Funds 231212898 Unamortized Finance Costs 14826328 Other Long-Term Receivables 40799848 Third Party Settlements 32178341 Charitable Trusts & Gift Annuities 253095 CSV of Life Insurance 78509 Deferred Compensation 457F 5181263 Bond Premium Discount 1312676 Donated Assets 20000 Accrued Rebates 8361421 Provider Tax 419471 Deposits 14658245 7438350849 Self-Insured Trusts 48658 Due To Affiliates 6832779073 Non-Trust Workers Comp 281794524 Accrued Pension Costs 897350572 LT Asset Retirement Obligation - FIN 47 21164222 Other Long-Term Payables 81174603 Third Party Settlements 36896739 8151208391 X 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. Part X, Line 2: The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. 1 Middle East and North Africa 0 0 Grantmaking 514785 Central America and the Caribbean 0 0 Grantmaking 647528 South Asia 0 0 Grantmaking 268984 Sub-Saharan Africa 0 0 Grantmaking 144190 South America 0 0 Grantmaking 3745 East Asia and the Pacific 0 0 Grantmaking 1718 North America 0 0 Grantmaking 9967 0 0 0 0 0 0 1590917 0 1590917 Middle East and North Africa Medical Supplies 514785 Medical Supplies Cost South Asia Medical Supplies 243033 Medical Supplies Cost Central America and the Caribbean Medical Supplies 193134 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 88894 Medical Supplies Cost Central America and the Caribbean Medical Supplies 30972 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 28837 Medical Supplies Cost Central America and the Caribbean Medical Supplies 14151 Medical Supplies Cost Central America and the Caribbean Medical Supplies 12426 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 7809 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 5676 Medical Supplies Cost Central America and the Caribbean Medical Mission Trips 393937 Medical Mission Trips Cost South Asia Disaster Relief 25000 Check North America Medical Mission Trips 9731 Medical Mission Trips Cost 13 0 1 0 0 0 0 0 Part I, Line 2: We only provide grants to non-governmental, charitable organizations that conduct foreign activities. For the donations we require a potential recipient to first complete an application. We have two types of applications; one for donations that will be taken by a person on a plane and part of medical team, the other for container donations that will be shipped. The type of information gathered is different for each application. We always ask for the name of the specific clinic, program or hospital that will be at the clinic. We also ask for information about who will be served/benefit from these donations. We also ask that the recipient provide us feedback on how useful the donations were and what problems they may have encountered. Schedule F, Part IV, Line 1 Form 926 is not required to be filed because the transfer to a foreign corporation does not meet the reporting requirements in IRC Section 6038B(a)(1)(A). Providence O'Christmas Trees 1071982 846355 225627 13990 209407 446278 Golf Classic 60000 30625 29375 300 19385 8780 13528 1131982 876980 255002 300 33375 218187 459806 711668 -456666 28850 1437 11065 1 1.00000 28850 1437 11065 12502 16348 WA 1 0 0 0 0.00000 1.00000 Patricia L Szabo 4831 35th Avenue SW Seattle WA 98126 0 Patricia L Szabo 0 Provided oversight of sale of raffle tickets and accounting for proceeds received. X 0 1 1 X 1 X 1 X 1 1 1 0 1 1 18697 73500614 73500614 0.01010 214676 921863389 751927771 169935618 0.02340 64 239732 206216 33516 0.00000 233437 995603735 752133987 243469748 0.03350 127387 9545024 124348 9420676 0.00130 7037 30710088 9816287 20893801 0.00290 5795 27382630 13814563 13568067 0.00190 4243081 719301 3523780 0.00050 9809 8769184 3524 8765660 0.00120 150028 80650007 24478023 56171984 0.00780 383465 1076253742 776612010 299641732 0.04130 235 15943 15943 0.00000 30000 30000 0.00000 138 4550 4550 0.00000 100 90949 90949 0.00000 133 133 0.00000 24 10285 10285 0.00000 497 151860 151860 1 48825271 1212805110 1414008083 -201202973 X 1 1 13 1 Providence Alaska Medical Center 3200 Providence Drive Anchorage AK 99508 alaska.providence.org/ GACH-007 X X X X X 2 Providence SHMC & Children's Hospital 101 West 8th Avenue Spokane WA 99204 washington.providence.org/ 00000162 X X X X 3 Providence St Peter Hospital 413 Lilly Road NE Olympia WA 98506 washington.providence.org/ 00000159 X X X 4 Providence Regional Med CtrColby 1321 Colby Avenue Everett WA 98201 washington.providence.org/ 00000084 X X X 5 Providence Regional Med CtrPacific 916 Pacific Avenue Everett WA 98208 washington.providence.org/ 00000084 X X X 6 Providence Holy Family Hospital 5633 North Lidgerwood Street Spokane WA 99208 washington.providence.org/ 00000139 X X X 7 Providence Centralia Hospital 914 S Scheuber Road Centralia WA 98531 washington.providence.org/ 00000191 X X 8 Providence St Mary Medical Center 401 W Poplar St Walla Walla WA 99362 washington.providence.org/ 00000050 X X X 9 Providence Mt Carmel Hospital 982 East Columbia Colville WA 99114 washington.providence.org/ 00000030 X X X X 10 Providence St Joseph's Hospital 500 East Webster Street Chewelah WA 99109 washington.providence.org/ 00000194 X X X 11 Providence Kodiak Is Medical Center 1915 Rezanof Drive Kodiak Island AK 99615 alaska.providence.org/ GACH-008 X X 12 Providence Seward Medical & Care Center 417 1st Avenue Seward AK 99664 alaska.providence.org/ RPCH-001 X X 13 Providence Valdez Medical Center 911 Meals Ave Valdez AK 99686 alaska.providence.org/ CAH-002 X X Providence Alaska Medical Center 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X communitybenefit.providence.org/ X X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence SHMC & Children's Hospital 2 0 0 1 X X X X X X X X X 15 1 1 0 1 X communitybenefit.providence.org/ X 1 15 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence St Peter Hospital 3 0 0 1 X X X X X X 14 1 1 0 1 X communitybenefit.providence.org/ X 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Regional Med Ctr Colby 4 0 0 1 X X X X X X X X X 13 1 0 0 1 X communitybenefit.providence.org/ X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Regional Med Ctr Pacific 5 0 0 1 X X X X X X X X X 13 1 0 0 1 X communitybenefit.providence.org/ X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Holy Family Hospital 6 0 0 1 X X X X X X X X X 15 1 1 0 1 X communitybenefit.providence.org/ X 1 15 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Centralia Hospital 7 0 0 1 X X X X X X 14 1 1 0 1 X communitybenefit.providence.org/ X 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence St Mary Medical Center 8 0 0 1 X X X X X X X X X 15 1 0 0 1 X communitybenefit.providence.org/ X 1 15 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Mt Carmel Hospital 9 0 0 1 X X X X X X X X X 13 1 1 0 1 X communitybenefit.providence.org/ X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence St Joseph's Hospital 10 0 0 1 X X X X X X X X X 13 1 1 0 1 X communitybenefit.providence.org/ X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Kodiak Is Medical Center 11 0 0 1 X X X X X X X X X 13 1 0 0 1 X communitybenefit.providence.org/ X 1 13 1 communitybenefit.providence.org/community-health-needs-assessments/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Seward Medical & Care Center 12 0 0 1 X X X X X X X X X 15 1 0 0 1 X communitybenefit.providence.org/ X X 1 15 1 communitybenefit.providence.org/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Valdez Medical Center 13 0 0 1 X X X X X X X X X 14 1 0 0 1 X communitybenefit.providence.org/ X 1 14 1 communitybenefit.providence.org/ 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X www2.providence.org/obp/states/AK/financial-assistance.html X X X X X 1 X 0 X X X X 1 X 0 1 Providence Alaska Medical Center Part V, Section B, Line 5: PAMC conducts the CHNA in collaboration with a diverse stakeholder group of community partners in order to identify and address the most significant community health need priorities in Anchorage. Representatives from each of the partner organizations comprised the Anchorage CHNA Advisory Group, which directed the assessment process from its inception to completion. These organizations were chosen due to the fact that they serve and represent the broadests interests of the community of Anchorage.The persons consulted in conducting the CHNA to ensure broad community representation and process integrity were:-Lisa Aquino, Catholic Social Services-Michele Brown, United Way-Kathleen Hollis, Providence Health and Services Alaska-Nathan Johnson, Providence Health and Services Alaska-Tari O'Connor, Municipality of Anchorage Public Health-Randi Sweet, United Way-Charles J. Utermohle, Ph.D., State of Alaska Division of Public Health-Jon Zasada, Anchorage Neighborhood Health Center Providence SHMC & Children's Hospital Part V, Section B, Line 5: Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment. Providence St. Peter Hospital Part V, Section B, Line 5: A workgroup was convened to review the content of the community health needs assessment, community benefit plan and identify priority health needs. Workgroup members represented a variety of sectors in our community, including organizations that serve the medically underserved, low-income, or minority populations in our community:-Peter Brennan, Executive Director Providence St. Peter Foundation-Kevin Haughton, MD, United Way, Thurston Thrives, PMG -Dan Keahey, Community Board Member-Allen Rohr, Community Board President-Mercy Mvundura, Board Member, Providence Centralia Foundation-Leslie Torve, Community Board Member-Daidre West, Community Board President-Paul Wilkinson, Chief Operating Officer, PSPHOther partners in the CHIP Committee and Community Assessment Participants included various community based organizations that represent medically underserved, low-income and minority populations:-Lewis County Public Health and Social Services-United Way of Lewis County-Valley View Health Centers-Child and Family Studies at Centralia College-CHOICE regional health network-Lewis County Juvenile Court-Morton Hospital-Lewis County CHIP core partners-Lewis County Community Health Partnership-Lewis County Mental Health Coalition-Lewis County Thrives-Love INC-Lewis County Board of Health-Lewis County Chamber of Commerce-Lewis County Community Development-Community members at large in Pe El and Onalaska Providence Regional Med. Ctr. Colby Part V, Section B, Line 5: The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group Providence Regional Med. Ctr. Pacific Part V, Section B, Line 5: The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group Providence Holy Family Hospital Part V, Section B, Line 5: Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment. Providence Centralia Hospital Part V, Section B, Line 5: A workgroup was convened to review the content of the community health needs assessment, community benefit plan and identify priority health needs. Workgroup members represented a variety of sectors in our community, including organizations that serve the medically underserved, low-income, or minority populations in our community:-Peter Brennan, Executive Director Providence St. Peter Foundation-Kevin Haughton, MD, United Way, Thurston Thrives, PMG-Dan Keahey, Community Board Member-Allen Rohr, Community Board President-Mercy Mvundura, Board Member, Providence Centralia Foundation-Leslie Torve, Community Board Member-Daidre West, Community Board President-Paul Wilkinson, Chief Operating Officer, PSPHOther partners in the CHIP Committee and Community Assessment Participants included various community based organizations that represent medically underserved, low-income and minority populations:-Lewis County Public Health and Social Services-United Way of Lewis County-Valley View Health Centers-Child and Family Studies at Centralia College-CHOICE regional health network-Lewis County Juvenile Court-Morton Hospital-Lewis County CHIP core partners-Lewis County Community Health Partnership-Lewis County Mental Health Coalition-Lewis County Thrives-Love INC-Lewis County Board of Health-Lewis County Chamber of Commerce-Lewis County Community Development-Community members at large in Pe El and Onalaska Providence St. Mary Medical Center Part V, Section B, Line 5: PSMMC participated in a community health needs assessment coalition in 2014 sponsored by Walla Walla County Public Health (Community Health) which included input from stakeholders representing children's and youth services, substance abuse counseling groups, school district officials, health care agencies, local government, and various other social services agencies, including Catholic Charities. This coalition met four times to conduct a SWOT analysis of the healthiness of the community and to prioritize key areas of concern. In addition, data was reviewed from separate interviews conducted by Public Health staff with key informants representing services to vulnerable populations, including:Aging and Long Term Care, Blue Mountain Heart 2 Heart, Children's Resilience Initiative, Commitment to Community, Family Medical Center (federally funded health clinic), the Housing Authority, Snake River Housing (Broetje Orchards), Trilogy Recovery Community, SOS Clinic, Walla Walla Council on Homelessness, Walla Walla County Mental Health, and the Russian community. Information was also reviewed from a survey sent out to the community in 2013 by Public Health on health behaviors and lifestyles. This survey had a response from 742 citizens with representation from City of Walla Walla 69.8%, College Place 17.2%, and other areas of the county 13%.PSMMC representatives also participated in a similar, but smaller start-up coalition in Umatilla County representing the residents of Milton-Freewater, Oregon identified within our hospital service area. Providence Mt. Carmel Hospital Part V, Section B, Line 5: Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment. Providence St. Joseph's Hospital Part V, Section B, Line 5: Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment. Providence Kodiak Is. Medical Center Part V, Section B, Line 5: PKIMC conducts the CHNA in collaboration with a diverse stakeholder group of community partners in order to identify and address the most significant community health need priorities in Kodiak. Representatives from each of the partner organizations comprised the Kodiak 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 broadests interests of the community of Kodiak.The persons consulted in conducting the CHNA to ensure broad community representation and process integrity were:-Donald Rush, CEO, Providence Kodiak Island Medical Center-Bud Cassidy, Manager, Kodiak Island Borough-Carol Juergens, MD, Owner, Kodiak Island Medical Associates-Elsa DeHart, RN, Director, State of Alaska Kodiak Public Health Center-JC Rathje, Executive Director, Kodiak Community Health Center-Julie A. Tierney, Clinic Supervisor, U.S. Coast Guard Rockmore-King Medical Clinic-Mary Guilas Hawver, Director, Providence Kodiak Island Counseling Center (PKICC) and President, Filipino American Association-Pat Branson, Executive Director, Senior Citizens of Kodiak-Stewart McDonald, Superintendent, Kodiak Island Borough School District-Tammy Hansen, Vice President of Health Services, Kodiak Area Native Association-TC Kamai, Kodiak Chief of Police, City of Kodiak Providence Seward Medical & Care Center Part V, Section B, Line 5: The CHNA Advisory committee was formed by Leadership at PSMCC. The committee was tasked with completing key objectives outlined by the IRS CHNA requirements, including the identification of health issues and prioritized health needs within the community. These partners were selected to ensure the assessment process was guided by community stakeholders that represent the broad interests of the community. As such, the partners represented the public health perspective and the interests of members of medically underserved, low-income, and minority populations, or individuals. The committee consisted of the following members:-Dave Paperman, Lead Department of Residence Life (Alaska's Institute of Technology (AVTEC))-Gertrude (Trudy) Valenza, Tobacco Prevention and Control Program (TPC) Coordinator (Chugachmiut)-Kris Erchinger, MPA, CGFM, Finance Director (City of Seward)-Sarah Spanos, Personnel Officer (City of Seward)-Lois Daubney, RN, BSN (Public Health)-Joe Fong, Administrator (Providence Seward Medical & Care Center)-Doug Capra, Chair and member of the Providence Region Community Ministry Board (Providence Seward Health Advisory Council)-John (Craig) Williamson, EdD, Licensed Alaska Psychologist (Providence Seward Health Advisory Council)-Joe Forscher, MS LPC, Behavioral Health Director (SeaView Community Services)-Patrick Linton, Executive Director (Seward Community Health Center (SCHC))-Maya Moriarty, Manager/Owner (Seward Family Dentistry (Dr. Michael P. Moriarty, P.C.))-Martha Fleming, Counselor/Teacher (Seward High School)-Karen Sturdy, Director (Seward Parks and Recreation Department and Seward Parking Operation)-Katie Cornwell, Seward Prevention Coalition Coordinator (Seward Prevention Coalition)-Dana Paperman, Executive Director (Seward Senior Center)-Jim Doepken, Pastor (United Methodist Churches of Seward and Moose Pass) Providence Valdez Medical Center Part V, Section B, Line 5: CHNA Advisory Committee was tasked with completing key objectives outlined by the IRS CHNA requirements, including the identification of health issues and prioritized health needs within the community. The committee consisted of the following members:-Barbara Bigelow, Chief Administrative Officer, Providence Valdez Medical Center.-Joshua Buffington, Administrative Coordinator, Valdez Fisheries Development Association, Inc.-John Cullen, MD, General Partner, Valdez Medical Clinic.-Dave Dengel, CEO, Copper Valley Telecom.-Pauline Doucet, Assistant Administrator-Director of Clinical Services, PVMC.-Marianne Freebury, PVMC Health Advisory Council Member.-Joan Heikens, BSN. Care Coordinator, Valdez Senior Center and PVMC Health Advisory Council Member.-Valencia (Val) Hiebert.-Ruth E. Knight, Teacher- Valdez City Schools.-Nancy Lethcoe.-Jeremy O'Neil, CFO - PVMC.-Cindy Rymer, Administration, City of Valdez Public Works Department and PVMC Health Advisory Council Member.-Pam Shirrell, Registered Nurse.-Todd Wegner, Assistant City Manager - City of Valdez.-Tina Fifarek.-Hope Finley, Sound Wellness Alliance Network (SWAN) Coordinator - PVMC.-Jenny Heckathorn, Biology/PE/Health Teacher, Valdez High School.-Sarah Histand, Health & Fitness Center Coordinator, Prince William Sound Community College (PWSCC).-Joe Kuchin, Valdez Operations Business Strategy Manager, Alyeska Pipeline Service Co.-Sara Pullen, Public Health Nurse, State Division of Public Health.-Mo Radotich, Director of Ancillary Services, PVMC.-Captain Darryl P. Verfaillie, USCG (Ret), Director, City of Valdez Parks, Recreation & Cultural Services Department. Providence SHMC & Children's Hospital Part V, Section B, Line 6a: Providence Holy Family Hospital Providence St. Peter Hospital Part V, Section B, Line 6a: Providence Centralia Hospital Providence Holy Family Hospital Part V, Section B, Line 6a: Providence Sacred Heart Medical Center Providence Centralia Hospital Part V, Section B, Line 6a: Providence St. Peter Hospital Providence Mt. Carmel Hospital Part V, Section B, Line 6a: Providence St. Joseph Hospital Providence St. Joseph's Hospital Part V, Section B, Line 6a: Providence Mount Carmel Hospital Providence Alaska Medical Center Part V, Section B, Line 6b: The CHNA for Providence Alaska Medical Center was prepared in collaboration with United Way of Anchorage, Municipality of Anchorage, Anchorage Neighborhood Health Center, and Catholic Social Services. Providence Alaska Medical Center Part V, Section B, Line 7d: Although the facility completed the CHNA, as required, before December 31, 2015 and that CHNA was available for public inspection in paper form at the various facilities, the CHNA was inadvertently not posted to the facility websites in a timely manner. This omission was discovered during the first quarter of 2016.The CHNA was posted to the facility websites during February, 2016.An internal system of checks and balances has been established between Community Benefit staff and the on-site web staff to insure that this situation will not occur in the future. Providence Seward Medical & Care Center Part V, Section B, Line 7d: Although the facility completed the CHNA, as required, before December 31, 2015 and that CHNA was available for public inspection in paper form at the various facilities, the CHNA was inadvertently not posted to the facility websites in a timely manner. This omission was discovered during the first quarter of 2016.The CHNA was posted to the facility websites during March, 2016. Providence Alaska Medical Center Part V, Section B, Line 11: PAMC developed Anchorage Community Health Improvement Plan in response to the needs identified in the 2015 CHNA. The development process included input from Providence caregivers, community partners and the Providence Health and Services Alaska Community Ministry Board. Great attention has been paid to establishing meaningful measures by which we intend to evaluate the impact of our activities and the activities of our partners. In some cases, our efforts have been confounded by the lack of or limited availability of data. The effort to measure our impact will be an ongoing challenge and journey as we seek to improve the health of our community.Prioritized Community Health Needs:-Poverty: 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. -Healthy Behaviors: Continue SQORD pilot partnership with the Anchorage School District in an effort to increase physical activity and reduce overweight and obesity amongst school-age children. The Providence SQORD program leverages technology and social connectivity to create fun - a new way to inspire a life-long habit of healthy behaviors. Providence is providing 10,000 Anchorage students with a durable, 3-axis accelerometer called Boosters that convert intensity and duration of activity into points that are tracked online. In the virtual environment, individuals can customize a PowerMe avatar, check their activity tracker, earn medals and rewards by collecting points, join in friendly challenges, and communicate with others. This unique hardware-software platform is designed to make physical activity more interactive and engaging for kids.-Substance abuse: 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.-Access to affordable care: 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.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them, but PH&S-WA will support organizations that are working to address these needs through collaboration, partnerships and in some cases through financial support for community based projects and programs. Providence SHMC & Children's Hospital Part V, Section B, Line 11: Providence Sacred Heart Medical Center & Children's Hospital has developed a community health improvement plan designed to address key health needs identified in the community health assessment. These are:1. Mental health - Respond to mental health needs by addressing substance abuse, dementia, depression, adverse childhood experiences, including child abuse and child welfare, and access to care.2. Dental - Improve access to providers and resources, prevention education and address substance abuse, nutrition and mental health.3. Diabetes - Prevention, education, treatment and access.4. Immunizations - Increase education about the health benefits of immunizations and increase access to immunizations in rural and low income populations.5. Stable housing - Stability of family and home to aid in physical, mental and emotional health and healing.Needs not directly addressed: accelerate to a high-performing economy. Providence Health Care is one of the largest employers in eastern Washington, and in keeping with our commitment to social justice, pays caregivers (all employees) sustainable wages. Providence Health Care has made significant investments in education and training opportunities to promote the development of its workforce and encourage internal recruitment. In these ways, we have an indirect but important positive impact on our local economy. However, this need is not as pressing as the other identified needs to address at this time and by addressing the other we can inadvertently address this need. Providence St. Peter Hospital Part V, Section B, Line 11: There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them - social determinants of health such as education, housing, and employment.Advanced Care Planning:Advance Care Planning, following the Respecting Choices principle allows us to impact the community and cost of health care in a large scale. We will be partnering with others in the state and across Providence.Childhood Obesity:Diabetes is becoming an epidemic in this country and in our community. Targeting youth allows us to move upstream and teach healthy habits early to ensure good health and wellness for future generations. This also allows for more purposeful partnering with other organizations in our community.Access to Mental Health Services: Mental Health and Chemical Dependency are a challenge for the entire state. Providence currently provides Psychiatric Services, Chemical Dependency outpatient services to adults and adolescents. The Recovery Care Unit will allow us to provide care to patients who are in need medically as they go through withdrawals and provide a much needed resource for the community. Providence Regional Med. Ctr. Colby Part V, Section B, Line 11: Access (Primary Care): Funding: 1. Patient Services Representatives initiate financial assistance paperwork and care coordinators directly assist qualified patients with obtaining health insurance. 2. Financial Counseling screening prior to first scheduled visit to Providence Medical Group or post Providence Regional Medical Center visit. 3. Support for Project Access Northwest to provide coordination and referral services for uninsured or underinsured. 4. Providence Everett Healthcare Clinic accepts all patients regardless of their ability to pay. Finding: 5. Community forum with providers to revise structure for patients arriving in the emergency department without an assigned primary care provider. 6. In-person Assistors in collaboration with Whatcom Alliance for Healthcare Advancement to assist the community to learn about, apply for, and enroll in health insurance coverage on the Exchange, including Medicaid, subsidized and non-subsidized qualified health plan. 7. Community Health Fairs to educate the community on value of connecting with a primary care provider. Facilitating: 8. Providence Medical Group Pacific Clinic provides primary care services with a primary focus on Medicaid, uninsured and low-income patients. 9. Providence Everett Healthcare Clinic provides primary care services with a primary focus on the uninsured or underserved. 10. Develop medical home model for Providence Everett Health Care Clinic and Providence Medical Group. Prenatal Care (First Trimester): Funding: 1. Support to DSHS participants to attend Birth/Family education. 2. Support to March of Dimes for "39 Weeks" media campaign. Finding: 3. Centering pregnancy program group based prenatal care. 4. Birth and family education classes. 5. Community education on importance of early prenatal care, how to determine signs of pregnancy, and wellness care processes to help prepare and educate women for timely entry into prenatal care before pregnancy. Facilitating: 6. Providence Maternal Fetal Medicine program provides specialized services for evaluation of high risk pregnancies. 7. Providence Obstetrics and Gynecology provides traditional, routine and high-risk obstetrical services to women of all ages with all forms of insurance. Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts. Providence Regional Med. Ctr. Pacific Part V, Section B, Line 11: Access (Primary Care): Funding: 1. Patient Services Representatives initiate financial assistance paperwork and care coordinators directly assist qualified patients with obtaining health insurance. 2. Financial Counseling screening prior to first scheduled visit to Providence Medical Group or post Providence Regional Medical Center visit. 3. Support for Project Access Northwest to provide coordination and referral services for uninsured or underinsured. 4. Providence Everett Healthcare Clinic accepts all patients regardless of their ability to pay. Finding: 5. Community forum with providers to revise structure for patients arriving in the emergency department without an assigned primary care provider. 6. In-person Assistors in collaboration with Whatcom Alliance for Healthcare Advancement to assist the community to learn about, apply for, and enroll in health insurance coverage on the Exchange, including Medicaid, subsidized and non-subsidized qualified health plan. 7. Community Health Fairs to educate the community on value of connecting with a primary care provider. Facilitating: 8. Providence Medical Group Pacific Clinic provides primary care services with a primary focus on Medicaid, uninsured and low-income patients. 9. Providence Everett Healthcare Clinic provides primary care services with a primary focus on the uninsured or underserved. 10. Develop medical home model for Providence Everett Health Care Clinic and Providence Medical Group. Prenatal Care (First Trimester): Funding: 1. Support to DSHS participants to attend Birth/Family education. 2. Support to March of Dimes for "39 Weeks" media campaign. Finding: 3. Centering pregnancy program group based prenatal care. 4. Birth and family education classes. 5. Community education on importance of early prenatal care, how to determine signs of pregnancy, and wellness care processes to help prepare and educate women for timely entry into prenatal care before pregnancy. Facilitating: 6. Providence Maternal Fetal Medicine program provides specialized services for evaluation of high risk pregnancies. 7. Providence Obstetrics and Gynecology provides traditional, routine and high-risk obstetrical services to women of all ages with all forms of insurance. Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts. Providence Holy Family Hospital Part V, Section B, Line 11: Providence Holy Family Hospital has developed a community health improvement plan designed to address key health needs identified in the community health assessment. These are:1. Mental health - Respond to mental health needs by addressing substance abuse, dementia, depression, adverse childhood experiences, including child abuse and child welfare, and access to care.2. Dental - Improve access to providers and resources, prevention education and address substance abuse, nutrition and mental health.3. Diabetes - Prevention, education, treatment and access.4. Immunizations - Increase education about the health benefits of immunizations and increase access to immunizations in rural and low income populations.5. Stable housing - Stability of family and home to aid in physical, mental and emotional health and healing.Needs not directly addressed: accelerate to a high-performing economy. Providence Health Care is one of the largest employers in eastern Washington, and in keeping with our commitment to social justice, pays caregivers (all employees) sustainable wages. Providence Health Care has made significant investments in education and training opportunities to promote the development of its workforce and encourage internal recruitment. In these ways, we have an indirect but important positive impact on our local economy. However, this need is not as pressing as the other identified needs to address at this time and by addressing the other we can inadvertently address this need. Providence Centralia Hospital Part V, Section B, Line 11: There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them - social determinants of health such as education, housing, and employment.Advanced Care Planning:Advance Care Planning, following the Respecting Choices principle allows us to impact the community and cost of health care in a large scale. We will be partnering with others in the state and across Providence.Childhood Obesity:Diabetes is becoming an epidemic in this country and in our community. Targeting youth allows us to move upstream and teach healthy habits early to ensure good health and wellness for future generations. This also allows for more purposeful partnering with other organizations in our community.Access to Mental Health Services: Mental Health and Chemical Dependency are a challenge for the entire state. Providence currently provides Psychiatric Services, Chemical Dependency outpatient services to adults and adolescents. The Recovery Care Unit will allow us to provide care to patients who are in need medically as they go through withdrawals and provide a much needed resource for the community. Providence St. Mary Medical Center Part V, Section B, Line 11: Priorities for implementation strategies for 2016-18 have been developed by the Mission Committee as follows in order of priority:1. Explore new collaborative opportunities for youth at risk with the Walla Walla Youth Alliance and Blue Mountain Action Council for the proposed Teen Center and homeless youth shelter in the planning and funding stages (2016-2017). Consider 1x donation towards youth homeless shelter capital funding and subsequent part-time MSW or other clinical services support to their program needs once established for counseling and health education for at-risk youth.2. Provide monetary and non-monetary support to The Health Center at Lincoln School for youth at risk to help maintain the tremendous gains that have been made in on ]time graduation rates and reduction in absenteeism.3. Collaborate with local schools to assist with obesity reduction and promotion of physical activity through healthy lifestyles.4. To improve immunization rates in our community continue to provide an annual free flu vaccination drive but also explore new strategies with Department of Community Health to address other adult or pediatric vaccination needs within the community going forward with the ending of the public health department fs immunization services (2016).The following needs identified in the 2015 community needs assessment were not identified for specific action planning in the 2016-18 PSMMC community benefit plan, but PH&S-WA will support organizations that are working to address these needs through collaboration, partnerships and in some cases through financial support for community based projects and programs:-Homelessness-Mental Health Access in the Community-Better Integration of Mental Health & Substance Abuse Care-Availability of Family Living-Wage Jobs Providence Mt. Carmel Hospital Part V, Section B, Line 11: Family mental health and chemical dependency:1. Partnership with Regional Support Network and New Alliance to expand resources in Stevens County2. Continue relationships with Rural ResourcesPromoting health behaviors1. Education and tools for physicians around immunizations2. Continue partnership with Rural Resources to address smoking cessation and breast exams3. Continue partnership with Get Fit Colville to address obesity.Poverty and difficult life circumstances1. Continue relationship with Hunger Coalition to bring food banks together for collaborative efforts to end hunger in Stevens County2. Support efforts of Hunger Coalition to obtain 501(c)(3) status and expanded grant opportunities3. Utilize model from Hunger Coalition to see if the model could be expanded to outreach coordinator efforts The following health needs will not be addressed at this time:Facility for whole person: resources in one place - many services are looking to consolidate in Spokane.Employment Opportunities - this continues to be an issue in this region. Providence St. Joseph's Hospital Part V, Section B, Line 11: Family mental health and chemical dependency:1. Partnership with Regional Support Network and New Alliance to expand resources in Stevens County2. Continue relationships with Rural ResourcesPromoting health behaviors1. Education and tools for physicians around immunizations2. Continue partnership with Rural Resources to address smoking cessation and breast exams3. Continue partnership with Get Fit Colville to address obesity.Poverty and difficult life circumstances1. Continue relationship with Hunger Coalition to bring food banks together for collaborative efforts to end hunger in Stevens County2. Support efforts of Hunger Coalition to obtain 501(c)(3) status and expanded grant opportunities3. Utilize model from Hunger Coalition to see if the model could be expanded to outreach coordinator efforts The following health needs will not be addressed at this time:Facility for whole person: resources in one place - many services are looking to consolidate in Spokane.Employment Opportunities - this continues to be an issue in this region. Providence Kodiak Is. Medical Center Part V, Section B, Line 11: In July of 2013, 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 two priorities:1. Uninsured and Affordability of Care as Barriers to AccessThe lack of health insurance and the affordability of health care were identified by the community as significant barriers to receiving needed health care services. The impact of these barriers is compounded by the high cost of living in an isolated rural Alaskan community. 28% of Kodiak adults are uninsured which is up from 22% in 2010. 25% of respondents said they did not receive needed health care during the last year due to lack of insurance. Addressing the problem of the uninsured and affordability of health care will help address other problems identified in the needs assessment such as low utilization of preventive care and actively managing chronic conditions.2. Substance AbuseSubstance abuse and the cultural acceptance of substance use were identified as problems in the Kodiak community. 23% of respondents admit binge drinking from one to 28 times(s) in the prior 30 days. This is up from 20% in 2008. The numbers below reflects the percentage of respondents that found it acceptable or acceptable sometimes to use the following substances for recreational or non-medicinal use:-77% Alcohol-37% Marijuana-23% Prescription drugs-2% MethamphetaminesSubstance abuse continues to negatively impact the mental and physical health of the community of Kodiak Island. Providence Seward Medical & Care Center Part V, Section B, Line 11: In October of 2015, members of the CHNA Advisory Committee were asked to rate the health issues identified previously according to three key variables, including: SIZE, SERIOUSNESS, and ABILITY TO IMPACT. The committee convened after individually rating the health issues to come up with the top priorities as a group. Four priorities were identified by the CHNA Advisory Committee:1. Overweight and lack of physical activitySQORD - Providence intends to continue its SQORD pilot partnership with the Seward Elementary School in an effort to increase physical activity and reduce overweight and obesity amongst school-age children. The Providence SQORD program leverages technology and social connectivity to create fun new way to inspire a life-long habit of healthy behaviors. Providence provided 150 Seward elementary school students with durable, 3-axis accelerometers called Boosters that convert intensity and duration of activity into points that are tracked online. In the virtual environment, individuals can customize a PowerMe avatar, check their activity tracker, earn medals and rewards by collecting points, join in friendly challenges, and communicate with others. This unique hardware-software platform is designed to make physical activity more interactive and engaging for kids.2. Poor mental health and lack of access to mental health servicesTele-health - Providence intends to increase remote and out-of-clinic access to care through piloting two tele-health initiatives. If successful, these two tele-health services could be offered in Seward.3. Alcohol and substance useAlcohol and substance abuse has significant health and social impacts both for individuals and the community. Raising awareness of the impacts of substance abuse, addressing the cultural acceptance of alcohol/substance use and providing healthy alternatives for youth can have a substantial impact on the health of the community.4. Low utilization of preventative care (medical and dental)Emergency Department - Providence will monitor ambulatory sensitive conditions use of the Emergency Department and collaborate with Seward Community Health Center in the effort to get people the care they need at the right time and right setting to avoid unnecessary ED utilization.Duke University - Population Care Coordination Program (PCCP) - Providence will convene a population health steering committee, the members of which will participate in the 12 week PCCP. The Population Care Coordination Process provides a framework for each collaborating provider and organization to deliver more effective multilevel care based on population- and patient-centered principles. The community collaboration will involve Seward Community Health Center and PSMCC, as well as members from clinics and hospitals in Kodiak, Valdez and Anchorage. Providence Valdez Medical Center Part V, Section B, Line 11: Leveraging community assets through collaborative efforts is the most effective and sustainable way to address community problems. Rather than establish isolated initiatives to address community need, PVMC chose strategies that involved collaboration with other key community stakeholders to address needs identified in the Valdez needs assessment.1. Overweight/Lack of Physical ActivityRoughly 2 out of 3 Valdez adults are either overweight or obese. The obesity rate for Valdez adults is over 3% greater than the rate for Alaskan adults as a whole. Being overweight or obese is directly linked to some of the most life-threatening conditions and diseases, such as diabetes, cancer, coronary heart disease, high blood pressure and stroke. This threat to the health and well being of Valdez residents is compounded by Valdez's remoteness and climate. The remote location of Valdez makes fresh healthy foods costly and its rainy northern climate makes outdoor activity more challenging for during the dark and rainy season.2. Availability and Access to Primary Care ServicesImproved availability and access to primary care services were identified by the community as a significant issue. Nearly 50% of the survey respondents identified "Timely access to care in a physician clinic (appointment in a reasonable timeframe)" as one of the top 3 health care needs in Valdez. According to survey respondents and stakeholder interviews, access to primary care in Valdez has been challenged with issues of clinic through-put, maintaining sufficient physician-to-population ratios, physician recruitment and retention, appointments that are 2-3 weeks out and long wait times. Roughly 1 in 10 respondents indicated they use the emergency room as their main source of healthcare.3. Mental Health/Substance AbusePoor mental health and the related issue of substance abuse were identified as problems in the Valdez community. Rainy climates and long dark winters are known to negatively impact mental health and are frequently associated with increased incidence of substance abuse. Roughly 1 in 7 Valdez adults report needing mental health services in the last 12 months. Thesame number of respondents report having felt so sad or hopeless almost every day for two weeks or more in the last 12 months that they stopped doing some usual activities. Roughly 1 in 20 Valdez adults report having thought about committing suicide ('suicide ideation') during the past 12 months. Drug and alcohol abuse are closely associated with mental illnessand health. Roughly 1 in 20 Valdez residents report having engaged in binge drinking within the past 30 days.PVMC's implementation plan includes elements that address all three of the top health priorities identified by the Valdez CHNA advisory group and the CHNA. Providence Alaska Medical Center Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence SHMC & Children's Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence St. Peter Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Regional Med. Ctr. Colby Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Regional Med. Ctr. Pacific Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Holy Family Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Centralia Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence St. Mary Medical Center Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Mt. Carmel Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence St. Joseph's Hospital Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Kodiak Is. Medical Center Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Seward Medical & Care Center Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Valdez Medical Center Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. Providence Alaska Medical Center Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence SHMC & Children's Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence St. Peter Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Regional Med. Ctr. Colby Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Regional Med. Ctr. Pacific Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Holy Family Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Centralia Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence St. Mary Medical Center Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Mt. Carmel Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence St. Joseph's Hospital Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Kodiak Is. Medical Center Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Seward Medical & Care Center Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Valdez Medical Center Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. Providence Alaska Medical Center Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence SHMC & Children's Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence St. Peter Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Regional Med. Ctr. Colby Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Regional Med. Ctr. Pacific Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Holy Family Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Centralia Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence St. Mary Medical Center Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Mt. Carmel Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence St. Joseph's Hospital Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Kodiak Is. Medical Center Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Seward Medical & Care Center Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. Providence Valdez Medical Center Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. SCHEDULE H, PART V, Line 8 - Providence St. Peter Hospital Although the facility completed the CHNA, as required, in March of 2014 and that CHNA was available for public inspection in paper form at the facility, the community health improvement plan (CHIP) was inadvertently not completed in a timely manner. The facility is in the process of finalizing the CHIP and will make it available on the hospital's website and for public inspection in paper form in the near future.An internal system of checks and balances has been established between the Community Benefit staff and the on-site web staff to insure that this situation will not occur in the future. SCHEDULE H, PART V, Line 8 - Providence Centralia Hospital Although the facility completed the CHNA, as required, in March of 2014 and that CHNA was available for public inspection in paper form at the facility, the community health improvement plan (CHIP) was inadvertently not completed in a timely manner. The facility is in the process of finalizing the CHIP and will make it available on the hospital's website and for public inspection in paper form in the near future.An internal system of checks and balances has been established between the Community Benefit staff and the on-site web staff to insure that this situation will not occur in the future. 198 1 - Hospice and Home Care of Snohomish Count 2731 Wetmore Suite 500 Everett WA 98201 In-Home Services 2 - Infusion and Pharmacy Services 10807 E Montgomery Suite 8 Spokane Valley WA 99206 In-Home Services 3 - Providence DominiCare 110 S 3rd Street East PO Box 1070 Chewelah WA 99109 In-Home Services 4 - Providence Home Services King County 2811 S 102nd Street Suite 220 Tukwila WA 98168 In-Home Services 5 - Providence Hospice of Seattle 425 Pontius Ave N Ste 300 Seattle WA 98109 In-Home Services 6 - Providence Infusion and Pharmacy Service 3333 South 120th Place Suite 100 Tukwila WA 98168 In-Home Services 7 - Providence VNA Home Health 1000 N Argonne Spokane Valley WA 99212 In-Home Services 8 - SoundHomeCare and Hospice 3432 South Bay Road NE Olympia WA 98506 In-Home Services 9 - St Mary Home Health 380 Chase Street Walla Walla WA 99362 In-Home Services 10 - Providence Family Medicine Center 1201 East 36th Avenue Anchorage AK 99508 Primary Care 11 - Chehalis Family Medicine 931 S Market Blvd Chehalis WA 98532 Primary Care 12 - East Olympia Family Medicine 525 Lilly Rd NE Suite 250 Olympia WA 98506 Primary Care 13 - Family Medicine 2902 164th St SW Lynnwood WA 98087 Primary Care 14 - Family Medicine 4112 Harbour Pointe Blvd SW Suite 100 Mukilteo WA 98275 Primary Care 15 - Family Medicine - Indian Trail 5011 W Lowell Ave Suite 100 Spokane WA 99208 Primary Care 16 - Family Medicine - Mill Creek Campus 12800 Bothell-Everett Highway Suite 160 Mill Creek WA 98208 Primary Care 17 - Family Medicine - Mill Creek Commons 16708 Bothell-Everett Highway Suite 201 Mill Creek WA 98012 Primary Care 18 - Family Medicine - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Primary Care 19 - Family Medicine - North 212 E Central Ave Suite 440 Spokane WA 99208 Primary Care 20 - Family Medicine - Northpointe 9911 N Nevada Street Suite 200 Spokane WA 99218 Primary Care 21 - Family Medicine - Spokane Valley 13102 E Mission Avenue Spokane Valley WA 99216 Primary Care 22 - Hawks Prairie Family Medicine 2555 Marvin Rd NE Lacey WA 98516 Primary Care 23 - Northeast Washington Medical Group - Col 1200 East Columbia Ave Colville WA 99114 Primary Care 24 - Northeast Washington Medical Group - Fam 100 W South Ave Chewelah WA 99109 Primary Care 25 - Northeast Washington Medical Group - Gar 143 Garden Homes Drive Colville WA 99114 Primary Care 26 - Northeast Washington Medical Group - Ket 840 S Meyers Street Kettle Falls WA 99141 Primary Care 27 - Providence Family Medicine 380 Chase Avenue Walla Walla WA 99362 Primary Care 28 - Providence Family Medicine Residency Cli 624 E Front Ave Spokane WA 99202 Primary Care 29 - Providence Medical Group-Battle Ground F 101 NW 12th Ave Suite 107 Battle Ground WA 98604 Primary Care 30 - Providence Medical Group-Camas 3101 SE 192nd Ave Vancouver WA 98683 Primary Care 31 - Providence Medical Group-Mill Plain 315 SE Stonemill Drive Suite 102 Vancouver WA 98684 Primary Care 32 - Rochester Family Medicine 18313 Paulson St SW Ste A Rochester WA 98579 Primary Care 33 - St Peter Family Medicine 525 Lilly Rd NE Olympia WA 98506 Primary Care 34 - Valley Family Physicians 16528 E Desmet Court Suite B3100 Spokane Valley WA 99216 Primary Care 35 - West Olympia Family Medicine 1620 Cooper Point Road SW Olympia WA 98502 Primary Care 36 - Providence Rehabilitation Services 4411 Business Park Blvd Building M-20 Anchorage AK 99503 Rehab & Physical Therapy 37 - Centralia Physical Medicine 1800 Cooks Hill Road Suite E Centralia WA 98531 Rehab & Physical Therapy 38 - Centralia Physical Therapy 1900 Cooks Hill Rd Centralia WA 98531 Rehab & Physical Therapy 39 - Olympia Physical Medicine 410 Providence Lane NE Building 2 Olympia WA 98506 Rehab & Physical Therapy 40 - Physical and Aquatic Therapy 1809 Cooks Hill Rd Centralia WA 98531 Rehab & Physical Therapy 41 - Providence Chehalis Physical Therapy 91 SW Chehalis Ave Suite 104 Chehalis WA 98532 Rehab & Physical Therapy 42 - Providence Physical Medicine and Rehabil 301 W Poplar Street Walla Walla WA 99362 Rehab & Physical Therapy 43 - Tumwater Valley Physical Therapy 4833 Tumwater Valley Dr Ste 150 Tumwater WA 98501 Rehab & Physical Therapy 44 - Providence Extended Care 920 Compassion Cir Anchorage AK 99504 Senior Care 45 - Providence Horizon House 4140 Folker Street Anchorage AK 99508 Senior Care 46 - Providence Medical Group Senior Care 3300 Providence Drive B Tower Suite 314 Anchorage AK 99508 Senior Care 47 - Providence Transitional Care Center 910 Compassion Circle Anchorage AK 99504 Senior Care 48 - Providence Seward Mountain Haven 2203 Oak Street Seward AK 99664 Senior Care 49 - ElderPlace Full Life 7829 S 180th Street Kent WA 98032 Senior Care 50 - Emilie Court 34 E 8th Avenue Spokane WA 99202 Senior Care 51 - Heritage House at the Market 1533 Western Avenue Seattle WA 98101 Senior Care 52 - Providence Adult Day Health 6018 N Astor Street Spokane WA 99208 Senior Care 53 - Providence ElderPlace 4515 Martin Luther King Jr Way S Suite 1 Seattle WA 98108 Senior Care 54 - Providence ElderPlace West 4831 35th Ave SW Seattle WA 98126 Senior Care 55 - Providence Marianwood 3725 Providence Point Drive SE Issaquah WA 98029 Senior Care 56 - Providence Mother Joseph Care Center 3333 Ensign Road NE Olympia WA 98506 Senior Care 57 - Providence Mount St Vincent 4831 35th Ave SW Seattle WA 98126 Senior Care 58 - Providence St Joseph Care Center 17 E 8th Avenue Spokane WA 99202 Senior Care 59 - Vashon Community Care 15333 Vashon Highway SW Vashon Island WA 98070 Senior Care 60 - Palliative Care Clinic 3851 Piper Street Tower U STE LL002 Anchorage AK 99508 Specialty Clinic 61 - Providence Alaska Neuroscience Center 3851 Piper Street Anchorage AK 99508 Specialty Clinic 62 - Providence Medical Group Behavioral Heal 3760 Piper Street Suite 1108 Anchorage AK 99508 Specialty Clinic 63 - Providence Medical Group Maternal-Fetal 3260 Providence Drive Suite C-522 Anchorage AK 99508 Specialty Clinic 64 - Providence Medical Group Pediatric Gastr 3340 Providence Drive Suite A-567 Anchorage AK 99508 Specialty Clinic 65 - Providence Medical Group Pediatric Pulmo 3200 Providence Drive Suite D-338 Anchorage AK 99508 Specialty Clinic 66 - Providence Medical Group Pediatric Subsp 3340 Providence Drive Suite A-351 Anchorage AK 99508 Specialty Clinic 67 - Providence Medical Group Pediatric Surge 3340 Providence Drive Suite A-565 Anchorage AK 99508 Specialty Clinic 68 - Providence Medical Group U-Med 3260 Providence Drive C tower Suite 436 Anchorage AK 99508 Specialty Clinic 69 - Providence Pediatric Oncology & Infusion 3851 Piper St Suite U1-213 Anchorage AK 99508 Specialty Clinic 70 - Providence Eagle River Medical Office Bu 17101 Snowmobile Lane Eagle River AK 99577 Specialty Clinic 71 - Providence Medical Group Mat-Su Behavior 2250 S Woodworth Loop Suite 202 Palmer AK 99645 Specialty Clinic 72 - Providence Medical Office Building Mat-S 2250 South Woodworth Loop Palmer AK 99645 Specialty Clinic 73 - Anticoagulation - Mill Creek Campus 12800 Bothell-Everett Highway Suite 160 Mill Creek WA 98208 Specialty Clinic 74 - Anticoagulation - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 75 - Audiology - Norton Building 3216 Norton Ave Suite 102 Everett WA 98201 Specialty Clinic 76 - Cancer Care - Providence Regional Cancer 1717 13th St Everett WA 98201 Specialty Clinic 77 - Cardiac and Thoracic Surgery - Colby Cam 1330 Rockefeller Suite 400 Everett WA 98201 Specialty Clinic 78 - Cardiology - Colby Campus MOB 1330 Rockefeller Suite 310 Everett WA 98201 Specialty Clinic 79 - Cardiology - Mill Creek Campus 12800 Bothell-Everett Highway Suite 270 Mill Creek WA 98208 Specialty Clinic 80 - Cardiology - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 81 - Cardiology Associates - Aberdeen 1921 Sumner Ave Aberdeen WA 98520 Specialty Clinic 82 - Cardiology Associates - Centralia 1800 Cooks Hill Road Suite K Centralia WA 98531 Specialty Clinic 83 - Cardiology Associates - Shelton 939 Mountain View Dr Shelton WA 98584 Specialty Clinic 84 - Cardiology Associates - Yelm 201 Tahoma Blvd SE Suite 204 Yelm WA 98597 Specialty Clinic 85 - Centralia General Surgery 1720 Cooks Hill Road Centralia WA 98531 Specialty Clinic 86 - Centralia Internal Medicine 1010 South Scheuber Road Centralia WA 98531 Specialty Clinic 87 - Centralia Urology 1800 Cooks Hill Road Suite F Centralia WA 98531 Specialty Clinic 88 - Centralia Women's Center 1000 S Scheuber Road Centralia WA 98531 Specialty Clinic 89 - Clinic at Panorama 1450 Northwest Lane SE Suite A Lacey WA 98503 Specialty Clinic 90 - Cranial Spine and Joint 1717 13th St Suite 401 Everett WA 98201 Specialty Clinic 91 - Ear Nose and Throat - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 92 - Ear Nose and Throat - Mill Creek Campu 12800 Bothell-Everett Highway Suite 110 Mill Creek WA 98208 Specialty Clinic 93 - Ear Nose and Throat - Norton Building 3216 Norton Ave Suite 102 Everett WA 98201 Specialty Clinic 94 - Endocrinology - Colby Campus MOB 1330 Rockefeller Suite 210 Everett WA 98201 Specialty Clinic 95 - Endocrinology - Mill Creek Campus 12800 Bothell-Everett Highway Suite 270 Mill Creek WA 98208 Specialty Clinic 96 - Endocrinology - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 97 - Epilepsy Center - Sacred Heart Doctors B 105 W 8th Ave Suite 318C Spokane WA 99204 Specialty Clinic 98 - Everett Healthcare Clinic 930 North Broadway Everett WA 98201 Specialty Clinic 99 - Family Medicine & Maternity Care South 2020 E 29th Ave Spokane WA 99203 Specialty Clinic 100 - General Surgery - Norton Building 3216 Norton Ave Suite 202 Everett WA 98201 Specialty Clinic 101 - Genetics Clinic 105 W 8th Ave Suite 454E Spokane WA 99204 Specialty Clinic 102 - Gynecologic Oncology 1717 13th St Suite 300 Everett WA 98201 Specialty Clinic 103 - Hawks Prairie Internal Medicine 2555 Marvin Rd NE Lacey WA 98516 Specialty Clinic 104 - Infectious Disease - Colby Campus MOB 1330 Rockefeller Suite 520 Everett WA 98201 Specialty Clinic 105 - Internal Medicine 820 S McClellan Street Suites 200 500 Spokane WA 99204 Specialty Clinic 106 - Internal Medicine - Colby Campus MOB 1330 Rockefeller Suite 210 Everett WA 98201 Specialty Clinic 107 - Internal Medicine - Fifth Avenue 910 W 5th Ave Suite 701 Spokane WA 99204 Specialty Clinic 108 - Internal Medicine - Mill Creek Campus 12800 Bothell-Everett Highway Suite 180 Mill Creek WA 98208 Specialty Clinic 109 - Internal Medicine - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 110 - Marysville Clinic 11603 State Ave Suite G Marysville WA 98271 Specialty Clinic 111 - Midwifery - Mill Creek Commons 16708 Bothell-Everett Highway Suite 201 Mill Creek WA 98012 Specialty Clinic 112 - Midwifery - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 113 - Midwifery - Pavilion for Women & Childre 900 Pacific Ave Suite 501 Everett WA 98201 Specialty Clinic 114 - Minimally Invasive Heart Surgery 122 W 7th Avenue Spokane WA 99204 Specialty Clinic 115 - Multiple Sclerosis Center 212 E Central Ave Suite 440 Spokane WA 99208 Specialty Clinic 116 - Nephrology - Hypertension Kidney Care & 105 W 8th Ave Suite 7060 Spokane WA 99204 Specialty Clinic 117 - Neurology Neurosurgery & Spine 105 W 8th Ave Suite 318C Spokane WA 99204 Specialty Clinic 118 - Northwest Heart & Lung Surgical Associat 122 W 7th Ave Suite 110 Spokane WA 99204 Specialty Clinic 119 - Obstetrics and Gynecology - Mill Creek C 16708 Bothell-Everett Highway Suite 201 Mill Creek WA 98012 Specialty Clinic 120 - Obstetrics and Gynecology - Monroe Clini 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 121 - Obstetrics and Gynecology - Pavillion fo 900 Pacific Ave Suite 501 Everett WA 98201 Specialty Clinic 122 - Occupational Medicine - Downtown 421 S Division St Suite 2 Spokane WA 99202 Specialty Clinic 123 - Occupational Medicine - North 551 E Hawthorne Road Spokane WA 99218 Specialty Clinic 124 - Occupational Medicine - Spokane Valley 16528 E Desmet Court Suite A1600 Spokane Valley WA 99216 Specialty Clinic 125 - Olympia Cardiac Surgery 525 Lilly Rd NE Suite 200 Olympia WA 98506 Specialty Clinic 126 - Olympia Endocrinology 2555 Marvin Rd NE Lacey WA 98516 Specialty Clinic 127 - Olympia Infectious Disease Clinic 3525 Ensign Rd NE Suite R Olympia WA 98506 Specialty Clinic 128 - Olympia Urology 149 Lilly Road NE Olympia WA 98506 Specialty Clinic 129 - Orthopedics 820 S McClellan St Suite 300 Spokane WA 99204 Specialty Clinic 130 - Orthopedics - North 212 E Central Ave Suite 245 Spokane WA 99208 Specialty Clinic 131 - Pediatric Associates - Northpointe 9911 N Nevada St Suite 200 Spokane WA 99218 Specialty Clinic 132 - Pediatric Gastroenterology - Sacred Hear 105 W 8th Ave Suite 150E Spokane WA 99204 Specialty Clinic 133 - Pediatric Pulmonology & Cystic Fibrosis 105 W 8th Ave Suite 660E Spokane WA 99204 Specialty Clinic 134 - Pediatric Urology 315 W 9th Ave Suite 200 Spokane WA 99204 Specialty Clinic 135 - Pediatrics 2902 164th St SW Lynnwood WA 98087 Specialty Clinic 136 - Pediatrics 4112 Harbour Pointe Blvd SW Suite 100 Mukilteo WA 98275 Specialty Clinic 137 - Pediatrics - Indian Trail 5011 W Lowell Ave Suite 100 Spokane WA 99208 Specialty Clinic 138 - Pediatrics - Mill Creek Campus 12800 Bothell-Everett Highway Suite 190 Mill Creek WA 98208 Specialty Clinic 139 - Pediatrics - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 140 - Pediatrics - North 212 E Central Ave Suite 440 Spokane WA 99208 Specialty Clinic 141 - Physiatry - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 142 - Plastic and Reconstructive Surgery - Mil 12800 Bothell-Everett Highway Suite 260 Mill Creek WA 98208 Specialty Clinic 143 - Providence Cardiology Associates 500 Lilly Rd NE Olympia WA 98506 Specialty Clinic 144 - Providence Ear Nose & Throat 301 W Poplar Street Suite 210 Walla Walla WA 99362 Specialty Clinic 145 - Providence Gastroenterology 212 E Central Ave Suite 440 Spokane WA 99208 Specialty Clinic 146 - Providence Gastroenterology 301 W Poplar Street Suite 210 Walla Walla WA 99362 Specialty Clinic 147 - Providence General Surgery 380 Chase Ave Walla Walla WA 99362 Specialty Clinic 148 - Providence HIV Clinic 624 E Front Ave Spokane WA 99202 Specialty Clinic 149 - Providence In Home Primary Care 1830 Bickford Avenue Snohomish WA 98290 Specialty Clinic 150 - Providence Internal Medicine 16528 E Desmet Court Suite B2100 Spokane Valley WA 99216 Specialty Clinic 151 - Providence Internal Medicine 380 Chase Street Walla Walla WA 99362 Specialty Clinic 152 - Providence Internal Medicine Residency C 624 E Front Ave Spokane WA 99202 Specialty Clinic 153 - Providence Liver and Pancreas 105 W 8th Ave Suite 7050 Spokane WA 99204 Specialty Clinic 154 - Providence Medical Park 16528 E Desmet Court Spokane Valley WA 99216 Specialty Clinic 155 - Providence Nephrology 301 W Poplar Street Suite 100 Walla Walla WA 99362 Specialty Clinic 156 - Providence Neurology 105 W 8th Ave Suite 318C Spokane WA 99204 Specialty Clinic 157 - Providence Occupational Health 380 Chase Street Walla Walla WA 99362 Specialty Clinic 158 - Providence Orthopedic Surgery 380 Chase Street Walla Walla WA 99362 Specialty Clinic 159 - Providence Orthopedics - Spokane Valley 16528 E Desmet Court Suite A2200 Spokane Valley WA 99216 Specialty Clinic 160 - Providence Regional Cancer Center 105 W 8th Ave Suite 550E Spokane WA 99204 Specialty Clinic 161 - Providence Regional Cancer System 4525 Third Avenue SE Ste 200 Lacey WA 98503 Specialty Clinic 162 - Providence Regional Cancer System - Aber 954 Anderson Drive Ste 102 Aberdeen WA 98520 Specialty Clinic 163 - Providence Regional Cancer System - Cent 2015 Cooks Hill Rd Centralia WA 98531 Specialty Clinic 164 - Providence Regional Cancer System - Shel 2026 Olympic Highway N Suite 203 Shelton WA 98584 Specialty Clinic 165 - Providence Regional Cancer System - Yelm 201 Tahoma Blvd SE Ste 204 Yelm WA 98597 Specialty Clinic 166 - Providence Spokane Cardiology 122 W 7th Ave Suite 450 Spokane WA 99204 Specialty Clinic 167 - Providence Spokane Heart Institute 122 W 7th Avenue Spokane WA 99204 Specialty Clinic 168 - Providence St Peter Chemical Dependency 4800 College Street SE Lacey WA 98503 Specialty Clinic 169 - Providence St Mary Neuroscience Institu 301 W Poplar Street Walla Walla WA 99362 Specialty Clinic 170 - Providence St Peter Outpatient Orthoped 410 Providence Lane NE 2nd Floor Olympia WA 98506 Specialty Clinic 171 - Providence Urology 301 W Poplar Street Suite 50 Walla Walla WA 99362 Specialty Clinic 172 - Pulmonary and Sleep Disorder Clinic 212 E Central Ave Suite 315 Spokane WA 99208 Specialty Clinic 173 - Pulmonary Oncology - Sacred Heart Doctor 105 W 8th Ave Suite 550E Spokane WA 99204 Specialty Clinic 174 - Sexual Assault Clinic 420 Golf Club Road Suite 203 Lacey WA 98503 Specialty Clinic 175 - Sleep Center for Southwest Washington 500 Lilly Rd NE Suite 110 Olympia WA 98605 Specialty Clinic 176 - Sleep Health - Mill Creek Campus 12800 Bothell-Everett Highway Suite 160 Mill Creek WA 98208 Specialty Clinic 177 - Sleep Health - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 178 - Sleep Lab - Pavilion for Women & Childre 900 Pacific Ave 2nd Floor Everett WA 98201 Specialty Clinic 179 - Snohomish Clinic 1830 Bickford Avenue Suite 211 Snohomish WA 98290 Specialty Clinic 180 - South Sound Internal Medicine 3425 Ensign Road NE Suite 220 Olympia WA 98506 Specialty Clinic 181 - South Sound Pulmonary and Sleep Medicine 500 Lilly Rd NE Suite 201 Olympia WA 98506 Specialty Clinic 182 - Southwest Washington Boldt Diabetes & Nu 2555 Marvin Rd NE Lacey Lacey WA 98516 Specialty Clinic 183 - Southwest Washington Boldt Diabetes & Nu 1010 S Scheuber Rd Centralia WA 98531 Specialty Clinic 184 - Southwest Washington Neurosurgery 615 Lilly Road Suite 220 Olympia WA 98506 Specialty Clinic 185 - St Peter Outpatient Pediatric Therapies 410 Providence Lane NE 2nd Floor Olympia WA 98506 Specialty Clinic 186 - Travel Medicine Clinic 525 Lilly Road NE Olympia WA 98506 Specialty Clinic 187 - Valley Young People's Clinic 1414 North Vercler Road 1 Spokane Valley WA 99216 Specialty Clinic 188 - Vascular Institute - Providence Spokane 122 W 7th Avenue Suite 420 Spokane WA 99204 Specialty Clinic 189 - Vascular Surgery - Colby Campus MOB 1330 Rockefeller Ave Suite 520 Everett WA 98201 Specialty Clinic 190 - Vein Center 1923 S Grand Blvd Spokane WA 99203 Specialty Clinic 191 - Vein Center - Mill Creek Campus 12800 Bothell-Everett Highway Suite 270 Mill Creek WA 98208 Specialty Clinic 192 - Walk-In Care - Mill Creek Campus 12800 Bothell-Everett Highway Suite 110 Mill Creek WA 98208 Specialty Clinic 193 - Walk-In Care - Monroe Clinic 19200 North Kelsey Street Monroe WA 98272 Specialty Clinic 194 - Providence Urgent Care 380 Chase Ave Walla Walla WA 99362 Urgent Care 195 - Urgent Care - 5th & Division 421 S Division Street Spokane WA 99202 Urgent Care 196 - Urgent Care - Hawthorne 551 E Hawthorne Road Spokane WA 99218 Urgent Care 197 - Urgent Care - Spokane Valley 16528 E Desmet Court Suite A1200 Spokane Valley WA 99216 Urgent Care 198 - West Olympia Immediate Care 1620 Cooper Point Road SW Olympia WA 98502 Urgent Care Part I, Line 3c: The PH&S sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 101% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $ 48,825,271. Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES:WESTERN WASHINGTON REGION:In Thurston County, Providence St. Peter Hospital sponsored a program called Grief Works, which assists people who are grieving from the loss of a spouse, child or sibling. The work involves pastoral care support and counseling in both individual and group sessions.In addition, Providence leaders serve on local boards. Examples include the board of Behavioral Health Resources, a not-for-profit mental health provider; CHOICE Regional Health Network; local college boards; service organizations; chamber of commerce boards; school board of directors; and the Hands-On Children's Museum, which promotes healthy family living.SOUTHEAST WASHINGTON REGION:Providence St. Mary Medical Center provides many free, preventative, diagnostic and educational services in the communities it serves. In 2015, community members were invited to attend a wide variety of health education classes, talks, screenings and support groups including topics like diabetes, smoking cessation, cardiopulmonary resuscitation, childbirth, breast cancer and sleep disorders. Free screenings also were conducted for skin and prostate cancer in cooperation with Providence Medical Group and an independent clinic, the Walla Walla Clinic. The medical center hosted a free, drive-through community flu clinic in concert with the Walla Walla County Health Department to both prevent the flu, and stem the tide of a whooping cough epidemic. People were able to be vaccinated without leaving their cars, and nearly 600 flu shots were given. The medical center also helped fund research and worked with a consortium of other agencies in Walla Walla County seeking to identify ways to improve access to mental health services. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Many of the activities reported in Part II demonstrate the eastern Washington Providence hospitals' efforts to actively engage and partner with the community to help address specific needs. We collaborate with more than 80 community partners in Spokane and Stevens counties that share our commitment to serving the poor and vulnerable. Together, we are able to maximize resources to reach the greatest number of people, providing needed services such as immunizations, screenings, education, medication, shelter and food. Below is a list of a few of the many organizations Providence hospitals support in eastern Washington:*Catholic Charities*Christ Clinic*Community Detox Services of Spokane*Daybreak (rehabilitation services for adolescents with substance abuse issues)*Life Services of Spokane (support services for pregnant women to help them carry babies to term and provision of parenting education)*Northeast Tri-County Health District (Colville)*Partners with Children and Families*Prescriptions for Life (Chewelah)*Project Access (involves doctors and hospitals in the community volunteering to provide needed health care services and surgeries for patients who cannot pay)*Ronald McDonald House*Rural Resources Family Center (Colville)*Spokane Prescription Access Program*Transitional Programs for Women*Tri-County Community Health Fund (Stevens County)*Second Harvest (food bank)*Community Health Association Spokane dental program (a federally quality health center)*Washington Poison Control CenterIn addition, many Providence Health Care leaders and staff participate in community collaboration efforts through their membership on boards and advisory groups such as the Homeless Coalition and the Spokane Mental Health Advisory Board. Other boards include the United Way, YWCA, Women Helping Women, domestic and family violence organizations, educational boards, stroke conference boards, domestic terrorism training and many more where the expertise of the local hospital staff and administration can offer valuable information to the group for partnership and collaborative efforts in attempts to improve the health and wellbeing of the community. Often the hospital has been asked to provide a representative for the board or advisory group by the community.Providence 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*Women Helping Women*YWCA Part III, Line 2: Bad debt expense represents the amount of gross charges for patients who do not have insurance and which PH&S-OR was unable to qualify for assistance under either government programs or our internal charity care policy. Part III, Line 4: The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. Part III, Line 8: It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to Charge Ratio to the Medicare revenue. Part III, Line 9b: Billing & Collection PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals' own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency. Eligibility for financial assistance will be determined as closely as possible to the date of service. SCHEDULE H, PART III, Line 3 It is Providence's policy to exclude all bad debts from Community Benefit information. Part VI, Line 2: NEEDS ASSESSMENT:We 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.These general guidelines are applied across all service areas covered in Providence Health & Services - Washington. These include: Northwest Washington Service Area, Southwest Washington Service Area, Southeast Washington Service Area, Providence Health Care in Eastern Washington and PH & S - WA. in Alaska.Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital: In September 2014 representatives from Providence Health Care met with staff from Priority Spokane and the Spokane Regional Health District to begin planning for the 2015 needs assessment. There is a significant desire for the community to come together for one communitywide needs assessment, in which health would be one factor. Priority Spokane had conducted a community needs assessment at the end of 2013 with many of the same participants and measures from our 2012 community health needs assessment. We agreed to use this data and enhance it with newer data including preliminary quality of life survey data, hospital homeless and marginalized patient data and the Spokane Counts report. Along with this data we solicited input from external and internal stakeholders in preparation for a communitywide assessment in 2018.Providence Mount Carmel Hospital and Providence St. Joseph's Hospital: The Community Health Needs Assessment for Stevens County was conducted in collaboration among Providence Health Care, North East Washington Health District, Eastern Washington University, and the Empire Health Foundation. The purpose was to prioritize health care needs, especially among the most poor and vulnerable populations, and look for collaborative opportunities to improve the health of the community.Providence ministries in eastern Washington are governed by a community ministry board. In addition, our foundation boards are composed of community members. The results of our needs assessments are presented to these boards for their review and input. The civic leaders that serve on Providence boards connect the Providence Mission with a local perspective on community needs. The Providence Health Care Eastern Washington Community Ministry Board approves the community needs assessments.Every three years, Providence Alaska Medical Center (PAMC) and Providence Kodiak Island Medical Center (PKIMC) conduct a community health needs assessment (CHNA) for the Anchorage and Kodiak communities. The CHNAs are conducted 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 and Kodiak. In 2015, PAMC conducted a CHNA in partnership with: -United Way of Anchorage, -Anchorage Neighborhood Health Center, -Catholic Social Services-Anchorage Department of Health and Human ServicesIn 2013, PKIMC conducted a CHNA in partnership with: -Providence Kodiak Island Medical Center-Kodiak Island Borough-Kodiak Island Medical Associates-State of Alaska Kodiak Public Health Center-Kodiak Community Health Center-U.S. Coast Guard Rockmore-King Medical Clinic-Providence Kodiak Island Counseling Center -Filipino American Association-Senior Citizens of Kodiak-Kodiak Island Borough School District-Kodiak Area Native Association-City of KodiakRepresentatives from each of the partner organizations comprised the Anchorage CHNA Advisory Group and Kodiak 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 broadests interests of the community of Anchorage and Kodiak.Both groups selected the key indicators that would comprise the data set for the CNHAs. In the process of selecting the final indicators, the advisory group gave consideration to a number of guiding principles for data characteristics, which included: -Integrity of data source-Multi-year availability of data to better understand past and future trends-Broad community representation, especially to ensure inclusion of poor, vulnerable and underserved populations-Continuity with prior assessment and resulting priorities-Alignment with Healthy Alaskans 2020 initiative to the extent possibleThe data was collected from local, state and federal data sources including: -Alaska Bureau of Vital Statistics-Alaska DHSS Obesity Prevention and Control Program-Anchorage Homeless Point in Time Survey-Anchorage School District-Behavioral Risk Factor Surveillance Survey (BRFSS)-Community Commons-Providence Alaska Medical Center Emergency Department utilization data-United States Census Bureau-U.S. Department of Labor -Youth Risk Behavioral Survey (YRBS)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 and broad needs of the community, beyond just the need for free and discounted health care services. 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:ALASKA REGION:Providence Alaska Medical Center serves the Municipality of Anchorage as its primary service area, the Mat-Su borough as its secondary service area and the entirety of the state of Alaska as the tertiary care provider state-wide. the Municipality of Anchorage is the largest community in the state of Alaska and comprises roughly half of the state's population. 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 301,010 and includes the communities of Anchorage, Chugiak, Eagle River, Girdwood, and Joint Base Elmendorf-Richardson. It is the hub of Alaska's infrastructure and business community. Ethnically and culturally diverse, three of the top 10 most diverse census tracts in the United States are within Anchorage . Seventeen percent of Anchorage residents speak a language other than English in their homes. The CHNA assessed the broad Anchorage community but did take a special look at a few key subpopulations: youth, and the poor and vulnerable, especially homeless and underserved residents. The purpose of this assessment was to identify the health needs in the Anchorage area, which is Providence Alaska Medical Center's primary service area. The assessment area comprised the communities within the Municipality of Anchorage. Providence Kodiak Island Medical Center serves the Kodiak community which is situated in the Gulf of Alaska and is comprised of 16 major islands with roughly 14,000 residents. The island totals 3,588 square miles and is the second largest island in the United States - second only to Hawaii. Kodiak Island has the largest fishing port in the state and 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. WESTERN WASHINGTON REGION - NORTHWEST:The Western Washington Region - Northwest includes Providence Regional Medical Center Everett (PRMCE), which is the only tertiary provider in Snohomish County and is located on two campuses in Everett, Washington. The hospital's primary service area is Snohomish County, with a population of 745,913. Within this geography, the average age is 36.5 years and only 12% of the population is over age 65, although this is estimated to grow to 12.5% by 2016. The average household income is $68,338, and approximately 9.8% of people are living below poverty level in Snohomish County. As of December 2013, 5.3% of Snohomish County residents are unemployed, which is higher than the national unemployment rate. The secondary service area includes Skagit, Island, San Juan and Whatcom counties, totaling an additional 491,631 people. Within this geography, the average age is 39.2 years, with 16% of the population over age 65. The average household income is $54,457. The unemployment rates for the secondary service area include: Skagit (7.9%), Island (7.2%), San Juan (5.9%) and Whatcom (6.2%). In 2013, PRMCE provided almost $53.6 million in charity care and community benefits.WESTERN WASHINGTON REGION - SOUTHWEST:The Western Washington Region - Southwest includes Providence St. Peter Hospital in Olympia, Washington and Providence Centralia Hospital in Centralia, Washington. The hospitals deliver care to a five-county area including Thurston, Mason, Lewis, Grays Harbor and Pacific counties. For Providence St. Peter Hospital, the hospital serves 492,300 people in its primary and secondary service area. (SEE CONTINUATION) Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we should work together to preserve and strengthen the not-for-profit sector in health care.In Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, both Providence Alaska Medical Center and Providence Kodiak Island Medical Center are level II trauma centers to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC has expanded its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC continues to provide funding and resources to the program.Providence Senior Care Center and the Pediatric Sub-Specialty Clinic are two more examples of how Providence promotes a healthy, well-cared for community. The Senior Care Center opened in January 2011 with the goal of providing Alaskans 55 and older with whole-health primary care. The program is subsidized by Providence Health and Services Alaska. The Pediatric Sub-Specialty Clinic at Providence has served children from birth to the age of 21 since 1998. This clinic is subsidized by the health system to ensure that children in Alaska have services and treatment not otherwise available to help them manage chronic illnesses. Providence Kodiak Island Medical Center (PKIMC) is the only hospital on island and provides comprehensive health care to residents and visitors of Kodiak. As a critical access hospital (CAH), PKIMC features 25 acute care beds, including four birthing suites, two psychiatric care beds, and two ICU beds. In addition, the Care Center, PKIMC's extended care facility, has 19 long-term care beds.PKIMC provides an extensive array of inpatient and outpatient services, including emergency department, surgery, laboratory services, maternity, general medicine, physical therapy, occupational therapy, respiratory therapy, sleep studies, specialty clinics, diagnostic imaging services, and pharmacy. It is staffed by a mix of primary care physicians, surgeons, and specialists who provide family practice, internal medicine, obstetrics, radiology, and general practice services. The outpatient Specialty Clinic provides additional support services including pediatrics, urology, allergy, dermatology, podiatry, psychiatry, gynecology, audiology and ear, nose, and throat specialists.In Walla Walla County, Providence St. Mary Medical Center participates with other health, education, governmental and social service agencies in a community health assessment, sponsored by the Walla Walla County Health Department. The assessment identifies the areas of greatest need in the health of the community. Providence St. Mary uses this data in addition to other information to guide its community outreach. In recent years, the most critical need identified through this process is at-risk youth access to health care and services. To meet this need, Providence St. Mary provided funding to establish eastern Washington's first school-based health clinic, which operates as an independent not-for-profit at an alternative high school in Walla Walla. Providence St. Mary now provides annual funding to the clinic. The medical center also donates the use of a building to Trilogy Recovery Community, an independent not-for-profit youth drug and alcohol recovery center.Providence St. Mary utilizes the Providence Telestroke Network, run through the Providence Brain Institute in Portland, Oregon, to ensure that every patient coming into the emergency department with symptoms of stroke can be seen by a neurologist, regardless of the hour. With strokes, the faster a patient is diagnosed and treated, the less damage the stroke can do. Receiving the right treatment quickly can mean the difference between life and death, and between a good recovery and a lifelong disability. (SEE CONTINUATION) Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:The Health System owns or operates 34 general acute care hospitals, three ambulatory care centers, six medical groups, six long term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 23 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Seattle, Spokane, Kennewick, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met.ALASKA REGION:Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Children's Hospital at Providence (the only one of its kind in Alaska), the state's only Level III NICU, Heart and Cancer Centers, the state's largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaskan communities. A continuum of post-acute care services, including home health, hospice, assisted living and a skilled nursing facility provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The three critical access hospitals located in the remote communities of Kodiak, Seward, Valdez and Cordova are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.WESTERN WASHINGTON REGION - NORTHWEST:Providence cares for the residents of five Northwest Washington counties through a comprehensive network of facilities and services. Our hospital, Providence Regional Medical Center, contains more than $60 million in some of the world's most advanced medical technology, and is home to the state's busiest emergency room. Our Pavilion for Women & Children houses maternity and newborn intensive care, and offers breast care and other services for women, children and families. Our Providence Medical Group clinics provide a full range of primary and specialty care throughout Snohomish County. The Providence Regional Cancer Partnership is an innovative partnership that offers all aspects of outpatient cancer care under one roof, using some of the world's most sought-after cancer care technology. The Providence Everett Healthcare Clinic provides high-quality care for those who may otherwise not be able to afford it. Providence Hospice & Home Care of Snohomish County delivers compassionate, home-based care to those who are confined to the home. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON:In the Eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 200 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.WESTERN WASHINGTON REGION - SOUTHWEST:Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider. *Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.*Providence Centralia Hospital is a 102-bed, not-for-profit community based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves. *Providence Medical Group operates more than 25 clinics, with more than 160 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.*Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare andHospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia); Providence Blanchet House (Centralia); Providence Rossi House (Centralia) and Providence Place (Chehalis). Part VI, Line 7, Reports Filed With States WA,OR,CA,MT,AK PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUED - W. WA. - SOUTHWEST Providence Centralia Hospital and Providence St. Peter Hospital serve 489,000 people with 20% of the population over age 65. The median household income is $47,216. Within the Western Washington Region - Southwest, the percentage of people living in poverty includes: Thurston (11.7%), Lewis (15.4%), Mason (17.3%), Grays Harbor (19.0%) and Pacific (17.2%). The unemployment rates for the counties include Thurston (7.04%), Lewis (11.2%), Mason (9.74%), Grays Harbor (11.82%) and Pacific (10.65%). In 2013, the Western Washington Region - Southwest provided more than $59 million in charity care and community benefitsSOUTHEAST WASHINGTON REGION:The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The primary service area for the hospital includes Walla Walla County and five zip codes in Northeast Oregon which include the nearby city of Milton Freewater as well as Columbia County. Within this geography, 16% of the population is over age 65 and the median household income is $39,215. The unemployment rate in Walla Walla County is 5.6%. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Spokane County is the furthest east county along Interstate 90, located on the Idaho border. It is largely urban with the second most populated city in the state, Spokane, with a population of 485,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 14.1% of its population is over the age of 65. The share of Spokane county residents who are ages 64 and younger and uninsured was 16.5% in 2012. The top three causes of death in Spokane County were heart disease at 23 percent, cancer at 20.1 percent, and stroke at 4.4 percent. Heart disease and strokes are on a decreasing trend while cancer is increasing.Stevens County is a largely rural region in northeast Washington, north of Spokane County with Pend Orielle County to the east and Ferry County to the west. Providence Mount Carmel Hospital in Colville is 75 miles north of Spokane and Providence St. Joseph's Hospital in Chewelah is 25 miles north of Spokane. The Stevens County population is 43,430. A high percentage of the rural population (17%) is over the age of 65. The leading causes of hospitalizations are unintended injury and heart disease, which are above the state average. The drug crime rate has continued to increase and is higher than the state average.The primary service area for these five Providence hospitals is defined as Spokane and Stevens counties. As the region's major quaternary hospital, Providence Sacred Heart Medical Center & Children's Hospital serves a much broader tertiary market which spans eastern Washington, northern Idaho, western Montana and northeastern Oregon, with a population of more than 1.6 million. Approximately 43% of patients are covered by Medicare, 25% are covered by Medicaid and nearly 5% uninsured or self-pay. With approximately 15% of the population for most of the counties served living in poverty, this service area is characterized by lower income levels than the state average. PART VI, LINE 5 - FURTHERANCE OF EXEMPT PURPOSE CONTINUED WESTERN WASHINGTON REGION - NORTHWEST:In Snohomish County, Providence Regional Medical Center Everett promotes the health of the community in a number of unique ways, one of which is the Providence Everett Healthcare Clinic. Opened in 2004, the clinic serves those with limited financial means and offers medical, dental and mental health care on a sliding fee scale, based on each patient's ability to pay. The clinic came about as the result of what started as a simple conversation between two single moms and a physician. These moms had government coupons to pay for health care, but no clinic or physician was willing to accept the coupons, and as a result, they were denied access. One mom had a son who experienced a simple earache. Because no one would see her son, the earache progressed until his ear drum burst, necessitating an emergency visit to the hospital. Upon hearing this story, the Providence physician realized there had to be a better way to meet the needs of this patient population. He developed a unique care delivery model in which Providence partnered with the schools of nursing at University of Washington Bothell and Everett Community College to deliver care. The clinic has grown in both size and scope several times since opening in 2004. It has expended from initially providing only medical care, to now providing mental and dental care as well.Another example is the community outreach program called Inside Out: The Original Organ Show. This innovative health education program, directed primarily at middle and high-school students, provides audiences with compelling health information - presented in a truly unique way - that empowers them to make informed decisions about behaviors and lifestyle choices that impact their long-term well-being. Inside Out takes viewers on a fantastic voyage through the human body. Actual human organs, such as hearts, lungs, brains, livers, kidneys and aortas are shown. Some are healthy; others have been damaged by substance abuse, poor eating habits and unsafe behaviors. Comparing healthy and cancerous lungs, clinical educators show the effects of smoking. Holding up a heart with a bullet hole through it, they describe the danger of gun violence. Using an aorta covered with hard, jagged plaque, they talk about how high cholesterol can lead to heart attacks. Displaying the shattered remains of a human brain,they talk about the unintended consequences of accidental prescription drug overdose. This program has been offered to the community for more than 20 years and in that time, thousands of people have written to tell how it changed, and possibly saved, their life.WESTERN WASHINGTON REGION - SOUTHWEST:In 2015, the cost of these community benefit services provided by Providence St. Peter Hospital, Providence Centralia Hospital and Providence Medical Group totaled more than $44 million, including more than $7 million in free and discounted care. Providence is invested in creating healthier communities, beyond the need for free and discounted care. Areas of great need included resources to improve the impact of end-of-life decisions, childhood obesity and the epidemic of diabetes. In response, Providence has invested in community benefit programs, including: -Implementing advanced care planning for the five-county area in southwest Washington.-Partnering with local elementary and middle schools to introduce Sqord activity trackers to encourage physical activity.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Providence in Eastern Washington provided more than $103 million in total community benefits.Providence Health Care formed an innovative collaboration 17 years ago with the other local hospital system (then Empire Health System) to better serve the community needs by jointly sponsoring Inland Northwest Health Services (INHS) - a not-for-profit organization that provides vital community services including air ambulance service, inpatient rehabilitation services, community health education, and an extensive medical information system that connects more than 30 hospitals across the inland northwest region. INHS represents a collaborative approach to health care that is unlike any other and brings unique partnerships and innovative technologies and more cost-effective care to Spokane and the Northwest. While the original sponsors have changed following the acquisition of Empire Health Services by a national for-profit system, Providence Health Care has found the ability to continue the community collaborative approach through a new joint sponsorship with the foundation that was formed by the sale of Empire Health Services.The Providence Health Care Community Ministry Board is made up of volunteer community leaders. The Board's primary delegated responsibilities include quality of care and service (including oversight of medical staff privileging), strategic planning and Mission effectiveness. In its role in Mission effectiveness, the Board is responsible for reviewing and approving the community needs assessment and selection of priority community needs. (SEE CONTINUATION) PART VI, LINE 5 - FURTHERANCE OF EXEMPT PURPOSE CONTINUED For example, Providence Sacred Heart Medical Center is the only inpatient psychiatric program in the region, and Providence Holy Family Hospitals provides the only inpatient detox program in the community. Other unique services include an inpatient maternity clinic for uninsured, low income women located at Sacred Heart, transplant services (heart, kidney, pancreas) and numerous pediatric subspecialties.In addition, all Providence Health Care hospitals operate 24/7 emergency departments that serve all patients, regardless of ability to pay. And, as the only level II trauma center in the inland northwest region, Providence Sacred Heart medical Center serves a unique role of caring for the most critically ill and injured patients from the vast service area.Other examples of how Providence Health Care and its Eastern Washington ministries further its tax exempt status in support of the health of the community include:*Tele-medicine and tele-continuing medical education for physicians and nurses throughout the region.*Providing educational opportunities for medical professionals throughout the community, including management oversight and subsidy of the graduate medical education residency programs, including family medicine, internal medicine, radiology and psychiatry, as well as funding for medical research through the Providence Medical Research Center.*Medical staff at Providence hospitals have open privileges across all hospital facilities in the area. 1 Providence Alaska Foundation PO Box 196604 Anchorage AK 99519 920093565 501( C) (3) 3548277 Community Support Providence TrinityCare Hospice 5315 Torrance Blvd Torrance CA 90503 953264139 501( C) (3) 3137810 Community Support Catholic Charities PO Box 2253 Spokane WA 99210 910569880 501(c)(3) 1100075 3731 Cost Forgiveness of Debt Operational Support/House of Charity Expansion/CAPA Program & Expansion for Clinic Providence Health Care Foundation - Eastern Washington PO Box 2555 Spokane WA 99220 320014330 501(c)(3) 953579 Operational Support/Community Support & Anesthesia Fund Catholic Social Services Inc 225 Cordova St Bldg B Anchorage AK 99501 920037322 501( C) (3) 801000 Community Support Providence St Peter Foundation 413 Lilly Road NE Olympia WA 98506 911097056 501 (c ) (3) 747865 Administrative support of the Foundation Covenant House Of Alaska PO Box 104640 Anchorage AK 99510 133419755 501( C) (3) 576601 Community Support Providence General Foundation 916 Pacific Avenue Everett WA 98201 911041617 501(c)(3) 558566 Foundation support United Way Of Anchorage 701 W 8th Avenue Ste 230 Anchorage AK 99501 920027948 501( C) (3) 550724 Community Support Providence Hospice of Seattle Foundation 425 Pontius Ave N 300 Seattle WA 98109 912077378 501(C)(3) 465231 Ministry Support Providence Mount St Vincent Foundation 4831 35th Avenue Southwest Seattle WA 98126 911188119 501(C)(3) 445109 Ministry Support Medical Teams International PO Box 10 Portland OR 97207 930878944 501 ( C)(3) 47280 Community Health Spokane Teaching Health Center PO Box 244 Spokane WA 99210 464139065 501 (c ) (3) 434084 Support for Operations Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 501(c)(3) 411994 Foundation Charitable Support University Of Alaska 3211 Providence Dr K101A Anchorage AK 99508 926000147 Government 380000 Community Support Wallowa Memorial Hospital 601 Medical Parkway Enterprise OR 97828 936002339 501(c)(3) 293443 Community Connect Program Best Beginnings 3550 Commercial Drive Ste 104A Anchorage AK 99501 455066055 501( C) (3) 250000 Community Support City of Seward PO Box 167 Seward AK 99664 926000086 Government 250000 Community Support Global To Local Health Initiative 2800 South 192nd Street SeaTac WA 98188 273133200 501 ( C)(3) 250000 2015 Prov Hospital Community Contribution Providence Hospice and Home Care Foundation Snohomish County 2731 Wetmore Suite 500 Everett WA 98201 272552749 501(c)(3) 237317 Subsidize Foundation Expenses Beans Cafe PO Box 100940 Anchorage AK 99510 920072522 501( C) (3) 210300 Community Support Alaska Sports Hall of Fame Inc 14815 Echo Canyon Rd Anchorage AK 99516 810649085 501( C) (3) 200000 Community Support Providence Marianwood Foundation 3725 Providence PT Dr SE Issaquah WA 98029 931554288 501(C)(3) 183903 Ministry Support Community Detox Services of Spokane PO Box 2845 Spokane WA 99220 911108762 501(c)(3) 160000 Community Detox Enhancement Program Stone Soup Group 307 East Northern Lights Blvd Anchorage AK 99503 920149995 501( C) (3) 150000 Community Support Partners with Families and Children PO Box 248 Spokane WA 99210 680576560 501(c)(3) 141000 Operational Support Christ Clinic 914 W Carlisle Spokane WA 99204 911435174 501(c)(3) 125000 Psychiatric Nurse Practitioner Program Better Health Together PO Box 271 Spokane WA 99210 900997482 501(c)(3) 120000 Community Health Education Outreach Anchorage Park Foundation 3201 C St Anchorage AK 99503 412205907 501( C) (3) 117803 Community Support Faith In Practice 7500 Beechnut Street Suite 208 Houston TX 77074 760415986 501 ( C)(3) 115219 Trip Payment Share the mission Innovate Washington Foundation 714 N Iron Bridge Way Suite 203 Spokane WA 99202 911726442 501( C) (3) 112500 Pledge Christian Health Associates 1825 Academy Drive Anchorage AK 99507 920152088 501( C) (3) 106000 Community Support Providence Health Care Foundation 914 S Scheuber Rd Centralia WA 98531 911433382 501(c)(3) 101896 Subsidize Foundation Expenses Anchorage Neighborhood Health Center Inc 4951 Business Park Blvd Anchorage AK 99503 920047965 501( C) (3) 100000 Community Support Food Bank of Alaska Inc 2121 Spar Avenue Anchorage AK 99501 920073175 501( C) (3) 100000 Community Support Lutheran Social Services of Alaska 1303 W 33rd Anchorage AK 99503 943055592 501( C) (3) 100000 Community Support Ronald McDonald House 1015 W 5th Ave Spokane WA 99204 911176115 501(c)(3) 100000 Operational Support Sultana New Ventures LLC 16 Klevin Street Ste 101 Anchorage AK 99508 470966637 Other 100000 Community Support University Of Alaska Foundation PO Box 755120 Fairbanks AK 99775 237394620 501( C) (3) 90000 Community Support Prescription Drug Assistance Program 1111 Harvard Ave Seattle WA 98122 331134368 501(c)(3) 75000 Medication access to underinsured / Grant to support ongoing efforts. Kodiak Island Health Care Foundation 1911 E Rezanof Drive Kodiak AK 99615 920146203 501( C) (3) 62500 Community Support Young Men's Christian Association 2720 Rockefeller Ave Everett WA 98206 910565561 501(c)(3) 60360 Support for Health Leadership Coalition American National Red Cross PO Box 3097 Seattle WA 98114 530196605 501 ( C)(3) 60000 Community Health Hospice And Palliative Care Of Kodiak Inc PO Box 8682 Kodiak AK 99615 452208200 501( C) (3) 60000 Community Support Lutheran Community Services 210 W Sprague Ave Spokane WA 99201 930386860 501(c)(3) 55340 Outreach Program Inland Northwest Health Services PO Box 469 Spokane WA 99210 911307555 501(c)(3) 54568 Community Health Education Outreach Alaskan Dental Society Charitable Activities Fund 9170 Jewel Lake Rd Anchorage AK 99502 208435454 501( C) (3) 50000 Community Support APCA Inc 903 W Northern Lights Blvd Ste 200 Anchorage AK 99503 920154822 501( C) (3) 50000 Community Support Daybreak Youth Services 11711 E Sprague Ave Suite D-4 Spokane Valley WA 99206 911083936 501(c)(3) 50000 Youth Services Program Healthcare Info & Management System Society 6923 Eagle Way Chicago IL 60678 363906745 501 ( C)(6) 50000 Innovation Challenge Sponsor Spokane Guilds' School & Neuromuscular Center 2118 W Garland Ave Spokane WA 99205 910863163 501(c)(3) 50000 Community Benefit United States Figure Skating Association 20 First St Colorado Springs CO 80906 840768715 501(c)(3) 50000 Sponsor United Way of Valdez PO Box 707 Valdez AK 99686 920090499 501( C) (3) 50000 Community Support Emergency Assistance and Food Bank of Valdez PO Box 848 Valdez AK 99686 341986012 501( C) (3) 45000 Community Support Kodiak Baptist Mission Inc 1944 E Rezanof Drive Kodiak AK 99615 920071967 501( C) (3) 40000 Community Support Northport School District PO Box 1280 Northport WA 99157 911086089 Government 40000 Putting Kid's First Program Alaska Literacy Program Inc 1345 Rudakof Circle Anchorage AK 99508 237451172 501( C) (3) 35000 Community Support Washington Poison Center 155 NE 100th Street 100 Seattle WA 98125 943214597 501(c)(3) 35000 2016 Community Benefit for Washington. Stevens County 215 S Oak Street Colville WA 99114 916001372 Government 33800 Regional Food HUB Providence Northeast 986 S Main Street Colville WA 99114 463051292 501(c)(3) 32700 Program development; food bank YearUp Inc 93 Summer Street Boston MA 02110 043534407 501 (C ) (3) 30095 Internship Support Brother Francis Shelter Kodiak Inc PO Box 670 Kodiak AK 99615 208594266 501( C) (3) 30000 Community Support Economic Alliance of Snohomish County 808 134th Street SW Ste 101 Everett WA 98204 910647005 501(c)(3) 30000 Community Support Kodiak Women's Resource and Crisis Center PO Box 2122 Kodiak AK 99615 920070130 501( C) (3) 30000 Community Support The Alaska Community Foundation 3201 C Street 110 Anchorage AK 99503 920155067 501( C) (3) 30000 Community Support The Health Center at Lincoln 534 So 3rd Ave Suite 16 Walla Walla WA 99362 270401462 501(c)(3) 30000 Health Center Support United Way of Spokane County 920 N Washington St Suite 100 Spokane WA 99201 910606058 501(c)(3) 27500 Employee Campaign Diocese of Spokane - Nazareth Guild PO Box 1453 Spokane WA 99210 910564957 501(c)(3) 25000 Operational Support Inner Pacific Alliance for Cancer Care 1204 N Vercler Rd Suite 101 Spokane Valley WA 99216 471917726 Other 25000 Community Cancer Fund John Wayne Cancer Institute Auxiliary 5670 Wilshire Boulevard Los Angeles CA 90036 954291515 501 ( C)(3) 25000 Cancer Institute Support/Donation Jubilee Women's Center 620 18th Avenue E Seattle WA 98112 911539920 501 ( C)(3) 25000 18th Annual Jubilee/2015 Sponsorship Project Access Northwest 1111 Harvard Avenue Seattle WA 98122 204377921 501(c)(3) 25000 2016 Sponsorship. Providence High School 511 S Buena Vista Street Burbank CA 91505 510216589 501 ( C)(3) 25000 Platinum Sponsor St Joseph Family Center 1016 N Superior St Spokane WA 99202 910564989 501(c)(3) 25000 Operational Support Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 501 ( C)(3) 25000 Sponsorship Providence Portland Medical Foundation 4805 NE Glisan Street Portland OR 97213 931231494 501 ( C)(3) 21000 Hood to Coast Donation from PH&S-WA Let Every Woman know Alaska 3851 Piper St Suite U264 Anchorage AK 99508 461861913 501( C) (3) 20000 Sponsorship Second Harvest 1234 E Front Ave Spokane WA 99202 237173826 501(c)(3) 20000 Community Benefit The Waterfall Foundation PO Box 70049 Fairbanks AK 99707 541980898 501 ( C)(3) 16000 4000 FMV Item Metal Artwork - SALMON 2015 WATERFALL Charity Auction United Way of King County 720 2nd Avenue Seattle WA 98104 910565555 501 ( C)(3) 20000 Sponsorship/Gift Support Valdez Senior Citizens Center PO Box 1635 Valdez AK 99686 920082275 501( C) (3) 20000 Community Support Big Tosi Management LLC 3101 Penland Parkway Anchorage AK 99508 450635206 Other 15000 Community Support NEW STEVENS PASS LLC PO Box 609 Leavenworth WA 98826 453587615 Other 15000 Stevens Pass Sponsorship. Providence St Joseph Foundation 501 South Buena Vista Street Burbank CA 91505 953544877 501 ( C)(3) 15000 An Evening to Remember Gala Senior Citizens of Kodiak Inc 302 Erskine Drive Kodiak AK 99615 237348249 501( C) (3) 15000 Community Support United Way of Snohomish County 3120 McDougal Avenue Suite 200 Everett WA 98201 910606507 501(c)(3) 15000 Premier Sponsorship level. Advocates for Victims of Violence Inc PO Box 524 Valdez AK 99686 920083034 501( C) (3) 12500 Community Support Valdez Arts Council PO Box 3138 Valdez AK 99686 237328616 501( C) (3) 12500 Community Support Seattle University 901 12th Avenue Box 222000 Seattle WA 98122 910565006 501 ( C)(3) 10500 Gala Scholarship Fund/Prize Award Winner American Heart Association Inc 816 Figueroa Street Los Angeles CA 90017 135613797 501 ( C)(3) 10000 2016 An Evening with Heart American Red Cross Everett 2530 Lombard Avenue Everett WA 98201 530196605 501(c)(3) 10000 Sponsorship for Real Heroes breakfast. Commonwealth North Inc 711 M Street Ste 104 Anchorage AK 99501 920073333 501( C) (3) 10000 Community Support NCSL Washington State Host Committee 712 35th Avenue Seattle WA 98122 840772595 501 ( C)(3) 10000 2015 Sponsorship Safe Crossing Foundation 1402 3rd Avenue Suite 1430 Seattle WA 98101 752992774 501 ( C)(3) 10000 Corporate Sponsorship Seattle Children's PO Box 5371 Seattle WA 98105 910564748 501(c)(3) 10000 Partnership contribution to safe gun storage giveaway event. The Foraker Group 161 Klevin St Ste 101 Anchorage AK 99508 920177787 501( C) (3) 10000 Community Support University of Washington Foundation Mackenzie Hall Box 3532000 Seattle WA 98195 943079432 501 (C ) (3) 12500 Sponsorship March of Dimes 904 3rd Avenue Suite 230 Seattle WA 98101 131846366 501(c)(3) 9000 Sponsorship Providence Joseph House 11215 5th Ave SW Seattle WA 98146 273678314 501(C)(3) 8613 Ministry Support American Cancer Society 250 Williams St NW Atlanta GA 30303 131788491 501(c)(3) 8500 Support Relay for Life / Cancer Research Support Providence NEW Hunger Coalition PO Box 46 Loon Lake WA 99148 463051292 501(c)(3) 8000 Hunger Collaborative in Stevens County Greater Trinity Academy 11229 4th Avenue West Everett WA 98204 911872298 501 ( C)(3) 7500 Sponsorship Life Support PO Box 264 South Cle Elum WA 98943 200413954 501 ( C)(3) 7500 Sponsorship The Friendship Circle of Washington 2737 77th Avenue SE Suite 101 Mercer Island WA 98040 912173196 501 ( C)(3) 7500 Sponsorship Valdez Community Hospital Auxiliary PO Box 94 Valdez AK 99686 920096062 501( C) (3) 7500 Community Support Valdez Museum & Historical Archive Association Inc PO Box 8 Valdez AK 99686 920159463 501( C) (3) 7500 Community Support D and F Consulting 520 South Pines Ste 4 Spokane Valley WA 99206 473240506 Other 7452 Community benefit, IDI training Health point - Community Health Centers 955 Powell Avenue SW Renton WA 98057 910884412 501 ( C)(3) 6500 2015 Annual Dinner Service Sponsorship Blue Mountain Community Foundation 8 So 2nd St Suite 618 Walla Walla WA 99362 911250104 501(c)(3) 6000 Community Health Support Abuse Recovery Ministry 5285 NE Elam Young Rd Pkwy B-600 Hillsboro OR 97124 931270845 501(c)(3) 5000 ManKind Program Alaska Association of Health Underwriters PO Box 244065 Anchorage AK 99524 920165384 501( C) (3) 5000 Annual Luncheon Sponsorship Blood Bank of Alaska Inc 4000 Laurel Street Anchorage AK 99508 926002175 501( C) (3) 5000 Community Support Civic Alliance a Sound Economy 1301 5th Avenue 5th Avenue Suite 1500 Seattle WA 98101 452431884 501 ( C)(3) 5000 Sponsorship Connecting Ties Inc PO Box 2017 Valdez AK 99686 920150429 501( C) (3) 5000 Community Support Copper River Basin Child Advocacy Center PO Box 103 Gakona AK 99586 261108855 501( C) (3) 5000 Community Support Everett Public Schools PO Box 2098 Everett WA 98213 916001542 Government 5000 Community Support Frontier Community Services 43335 Kalifornsky Beach Rd 36 Soldotna AK 99669 920114675 501( C) (3) 5000 Community Support Gamelin Washington Association 1423 First Ave Seattle WA 98101 201910170 501(C)(3) 5000 Ministry Support Herman Hutchens Elementary PTA PO Box 398 Valdez AK 99686 920127918 501( C) (3) 5000 Community Support Let's Move Seattle 119 1st Avenue S Ste 320 Seattle WA 98104 474420751 Other 5000 Community Health Providence Gamelin House Association 4515 MLK Jr Way South 200 Seattle WA 98108 311744654 501(C)(3) 5000 Ministry Support Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 501(C)(3) 5000 Ministry Support Providence St Elizabeth House Association 3201 SW Graham Street Seattle WA 98126 912171539 501(C)(3) 5000 Ministry Support Saint Martins University 5000 Abbey Way SE Lacey WA 98503 910564993 501 (c ) (3) 5000 Sponsorship SOS Clinic 1200 SE 12th St College Place WA 99362 731626280 501(c)(3) 5000 Health Center Support Street Wise 733 W Garland Ave Spokane WA 99205 800726907 501(c)(3) 5000 Community Benefit Union Gospel Mission 413 Franklin St NE Olympia WA 98501 910613587 501 (c ) (3) 5000 Donation Volunteers of America 2802 Broadway Avenue Everett WA 98201 910577129 501(c)(3) 5000 Sponsorship Woman Making A Difference 956 S Main Colville WA 99114 371412015 501(c)(3) 5000 Community Benefit support NW Furniture Bank 117 Puyallup Avenue Tacoma WA 98421 223939593 501 ( C)(3) 138663 FMV Medical Supplies Medical Equipment & Supplies Thurston County Medical Equipment Bank c/o Senior News 112 East 4th Avenue Olympia WA 98501 910821977 501 ( C)(3) 30038 FMV Medical Supplies Medical Equipment & Supplies 122 7 Prescription Medication Assistance 6111 0 85820 Cost Medications for uninsured & indigent patients Transportation Assistance 7341 0 152047 Cost Medical Transport & Gas assistance Housing Assistance 14 391 Cost Short - term housing assistance Meals/Food 487 4911 Cost Meals/Food Gift Card for Needy Patients Personal Care items 155 6954 Cost Assistance for indigent patients School Tuition 99 562810 Cost University of Great Falls Utilities 4 354 Cost Utilities Payment for Needy Patients Wigs/Scarves for Cancer Patients 11 2072 Cost Wigs/Scarves for Female Cancer Patients Part I, Line 2: In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used. X X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Rod F Hochman MD President / CEO 1562459 0 3522350 0 18000 0 49002 0 25415 0 5177226 0 1152963 0 Todd Hofheins EVP/CFO 704452 0 247640 0 18000 0 269139 0 26574 0 1265805 0 0 0 Cindy Strauss EVP/Chief Legal Officer 526875 0 981482 0 18000 0 40075 0 24624 0 1591056 0 524784 0 Anthony Dorsch CFO/PSMS Shared Services 344037 0 102790 0 0 0 77263 0 22170 0 546260 0 0 0 Bruce Lamoureux CE/AK. Region 531298 0 493053 0 18000 0 46631 0 26658 0 1115640 0 0 0 Craig Wright MD SVP/Physician Services 552895 0 2237145 0 5000 0 105811 0 19569 0 2920420 0 835177 0 Randy Axelrod MD Thru 315 EVP/Clinical & Patient Services 190509 0 679339 0 546732 0 11925 0 23825 0 1452330 0 0 0 Mike Butler President/Operations & Services 1151688 0 402660 0 18000 0 710959 0 29289 0 2312596 0 0 0 Debbie Burton SVP/ Chief Nrsg. Officer 365287 0 300015 0 18000 0 31695 0 23907 0 738904 0 0 0 Debra Canales EVP/Chief People & Experience Ofc. 772941 0 715960 0 161754 0 444164 0 13966 0 2108785 0 0 0 Medrice Coluccio CE/Southwest WA. Region 462426 0 480209 0 48000 0 118356 0 14517 0 1123508 0 0 0 Elaine Couture CE/PHC/Eastern WA. Region 532389 0 438438 0 18033 0 70753 0 21379 0 1080992 0 0 0 Jack Friedman Thru 615 SVP/Accountable Care & Payor Rel. 364689 0 388093 0 18000 0 103565 0 14354 0 888701 0 0 0 Mark Gargett VP/Digital Integration 387625 0 245091 0 0 0 58688 0 23604 0 715008 0 0 0 Joel Gilbertson SVP, Comm. Partnrshp. & Ext. Affairs 421859 0 126840 0 18000 0 181114 0 22782 0 770595 0 0 0 Aaron Martin SVP/Strategy & Innovation 512696 0 151000 0 18000 0 182349 0 7050 0 871095 0 0 0 Tom McDonagh VP/Chief Investment Officer 451242 0 512101 0 0 0 34150 0 23966 0 1021459 0 0 0 Rhonda Medows MD EVP/Population Health 524152 0 100000 0 43823 0 176410 0 12098 0 856483 0 0 0 Jack Mudd SVP/Mission Leadership 394530 0 220747 0 17141 0 70632 0 18218 0 721268 0 0 0 Janice Newell SVP/Chief Information Officer 578517 0 938806 0 18000 0 23307 0 14460 0 1573090 0 185427 0 Harvey Smith SVP/Chief Customer Svc. Officer 591345 0 235203 0 18000 0 23818 0 18087 0 886453 0 0 0 Teresa Spalding VP/Revenue Cycle 328808 0 345091 0 18000 0 32190 0 12942 0 737031 0 0 0 Greg Till VP/Chief Talent Officer 374064 0 159900 0 222 0 77595 0 22149 0 633930 0 0 0 Sharon Toncray SVP/HR Strat. Partners 413272 0 132710 0 18000 0 173585 0 22499 0 760066 0 0 0 Lisa Vance SVP/Clinical Program Services 479541 0 203545 0 103000 0 37359 0 13827 0 837272 0 0 0 Jason Dryer Neurosurgeon 668874 0 2317975 0 0 0 11925 0 25282 0 3024056 0 0 0 David Yam Neurosurgeon 637458 0 1336150 0 68500 0 13912 0 18625 0 2074645 0 0 0 Joseph Gifford VP/CE ACO of WA 424769 0 680332 0 18000 0 11813 0 18617 0 1153531 0 0 0 J Michael Marsh CAO/Western WA 0 0 966160 0 109937 0 19587 0 3634 0 1099318 0 349894 0 James Brevig Cardiothoracic Surgeon 737465 0 262770 0 18000 0 11925 0 14104 0 1044264 0 0 0 John Fletcher Former VP/Operations Support 0 0 102560 0 481290 0 773 0 18005 0 602628 0 0 0 Jan Jones Former SVP/CAO 0 0 106169 0 653292 0 8197 0 25789 0 793447 0 0 0 Part I, Line 1a Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief People/Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2015, there were 13 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2015, the following Listed Persons received gross-up payments: Debra Canales Rhonda Medows, MD Greg Till The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation in the 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President, Chief People/Experience Officer 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. During 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Rhonda Medows, MD Greg Till The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Part I, Lines 4a-b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) Rod Hochman, MD a) SERP Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Bruce Lamoureux a) Taxable CBRP Paid - $7 b) Taxable SERP Earned but not Paid - $223,706 c) SERP Interest Credit - $22,489 5) Anthony Dorsch a) SERP Earned but not Vested - $45,065 b) SERP Interest Credit - $6,775 6) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 7) Debra Canales a) SERP Earned but not Vested - $432,239 8) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 9) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 10) Medrice Coluccio a) Taxable SERP Earned but not Paid - $345,799 b) Non-Taxable SERP Earned but not Paid - $6,226 c) SERP Interest Credit - $85,153 11) Elaine Couture a) Taxable SERP Earned but not Paid - $179,705 b) SERP Interest Credit - $47,129 c) Taxable CBRP Paid - $3 12) Tom McDonagh a) SERP Vested but not Paid - $323,732 b) SERP Interest Credit - $5,950 c) Taxable CBRP Paid - $5,569 13) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 14) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 15) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 16) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 17) Aaron Martin a) SERP Earned but not Vested - $170,424 18) Rhonda Medows a) SERP Earned but not Vested - $164,484 19) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 20) Jack Mudd a) SERP Earned but not Paid - $67,957 b) SERP Interest Credit - $42,960 21) Joel Gilbertson a) SERP Earned but not Vested - $143,438 b) SERP Interest Credit - $13,113 22) Sharon Toncray a) SERP Earned but not Vested- $135,371 b) SERP Interest Credit - $11,848 23) Greg Till a) SERP Earned but not Vested - $65,670 24) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 25) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 Part I, Lines 4a-b SEVERANCE 1) Randy Axelrod - $ 515,897 2) John Fletcher - $ 476,515 3) Jan Jones - $ 653,292 FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100% A Washington Health Care Facilities Authority 911108929 93978EA77 2006-06-22 208792185 Refund WHCFA Series 1999 & Capital projects in Washington 1 0 0 B Washington Health Care Facilities Authority 911108929 93978EA93 2006-06-22 165050000 Refund WHCFA Series 2002A & B and Series 1994 & 1995 0 0 0 C Washington Health Care Facilities Authority 911108929 93978E7V8 2010-07-01 173543991 To Finance a Portion of construction of a Tower in Everett 0 0 0 D Washington Health Care Facilities Authority 911108929 93978HDAO 2011-07-13 101296076 Proceeds were used to currently refund all outstanding Series 2001A Bonds 0 0 0 A 1610000 215938735 1980039 3336312 146353342 64269042 2009 0 1 1 1 B 165050000 1660244 2465562 160924194 2002 1 0 1 1 C 173548413 2543941 171004472 2011 0 0 1 1 D 32175000 101296076 1060339 100235737 2004 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 1 0.00600 1 1 B 0 0 0 0 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 ENTITY 1- ISSUE A - PART IV, Question 2c The most recent rebate computation for the bonds was completed through 6/22/2011. ENTITY 1- ISSUE B - PART IV, Question 2c The most recent rebate computation for the bonds was completed through 6/22/2011. ENTITY 2 - ISSUE A - PART IV, Question 2c The most recent rebate computation for the bonds was completed through 07/20/2015. ENTITY 2 - ISSUE B - PART IV, Question 2c The most recent rebate computation for the bonds was completed through 12/01/2011. ENTITY 2 - PART I & II - BOND ISSUE C The 2014C Series issued by the Washington Health Care Facilities Authority was issued to cover both the construction of ambulatory services at Swedish Edmonds as well as to partially refinance a taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to the taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. ENTITY 2 - PART I & II - BOND ISSUE D The 2015 Series issued by the Washington Health Care Facilities Authority was issued to cover capital expenditures for both Providence Health & Services - Washington dba Providence Sacred Heart Medical Center and Kadlec Regional Medical Center . Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to Providence Health & Services - Washington dba Providence Sacred Heart Medical Center. ENTITY 1- ISSUE A - PART II - TOTAL PROCEEDS The amount of Total Proceeds on Part II, Line 3 differs from the Issue Price due to Credit Enhancements, Issuance Costs and Investment Earnings. A Alaska Industrial Development and Export 926001185 011903CT6 2006-11-30 57177110 Reimburse Alaska Med Ctr for portion of costs to construct cancer ctr 1 0 0 B Alaska Industrial Development and Export 926001185 011903DZI 2011-11-17 126601436 Fund portion of expansion at PAMC & construct LTC facility 0 0 0 C Washington Health Care Facilities Authority 911108929 93978HKL8 2014-09-10 50064724 Partial refinance of taxable issue - Providence Regional Med. Ctr. Everett 0 0 0 D Washington Health Care Facilities Authority 911108929 93978HQU2 2015-08-12 12250803 Capital expenditures for Sacred Heart Medical Center 0 0 0 A 2450000 57177116 646775 56530335 2008 0 0 1 1 B 126618744 1601436 125017295 2012 0 0 1 1 C 50064724 567014 49497711 2015 0 0 1 1 D 12250803 172980 2993212 9084611 2018 0 0 0 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Form 990, Part VI, Section A, line 6 Providence Health & Services is the sole Corporate Member. Form 990, Part VI, Section A, line 7a The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. Form 990, Part VI, Section A, line 7b Other powers of the Corporate Member include the power: 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 religions 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 ministry or work of the Corporation. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the PH&S internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry 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 employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, 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 Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Form 990, Part XI, line 9: Interaffiliate Transactions 1,704,538,344. Recipient Organization Adjustments -1,416,854. Revenue Reclassifications 24,157. Expense Reclassifications -22,624. Pension Adjustment -9,218,868. Net Assets Transfers -176,631,686. Distribution to Foundation recorded as Net Asset Transfer 2,394,400. Rounding -38. FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART I, LINE 6 - VOLUNTEERS Hospital volunteers fill a variety of job duties. Many of these routine and repetitive tasks allow paid, licensed, certified and experienced staff to provide more attention to more affordable and comprehensive patient care. The following examples of customer service functions are provided for patients and their families: Comfort Volunteers - offer comfort items to patients including blankets, pillows and magazines, place the telephone and remote within reach, visit with patients, stock supplies and assist staff with errands. Emergency Department Liaison - greet visitors and patients, escort visitors to patient rooms, provide some comfort measures, such as blankets, pillows and magazines, stock supplies, run errands, assist with miscellaneous clerical projects. Women's Services - assist with newborn care, provide comfort services to new moms and visitors, stock supplies, assist staff with errands. Cuddle Corps - assist in the NICU providing a soothing touch to medically fragile infants when their parents are unable to care for them at that time. Same Day Surgery Liaison - serve as a "go-between" the reception and pre-operative areas, update family on the location of their loved one and teach them to use the OR tracker board, offer comfort measures, preparing supplies and assist with errands. Cancer Center - taking orders and delivering meals to patients, stocking supplies, making coffee, cleaning and tidying, transporting charts from main desk to nurse's station, transporting specimens, running errands to/from the Pharmacy. Gift Shop - ringing up purchases, providing excellent customer service, keeping shelves stocked with product, answering the telephone, delivering Gift Shop flowers to patient rooms. Emergency Room - stocking supplies, bring patients warm blankets, assisting with errands, other misc. tasks as assigned by nursing/physician staff. Information Desk/Errand-answering the Errand Desk telephone, transporting specimens, delivering flowers and mail, preparing various mailings, as directed by staff, making coffee, tidying the waiting area, making reminder calls for the Cancer Center. Cardiac Rehabilitation - assist staff in Rehab department with filing and tidying, assisting with recording results for exercise equipment, explaining how to properly use exercise equipment. Dietary - washing and stocking dishes, stocking juices, milk and ready-to-eat foods, tidying the Dining Room area, assisting with other tasks, as directed by Kitchen staff. Pet Therapy - limited to dogs and their owners. Visits patients and other visitors in waiting areas, and, with permission of nursing staff, in the Medical and Surgical Units. Must have proof of immunizations and letter of good behavior prior to volunteering. Examples of Hospice volunteer duties: Patient Care volunteers help to support the hospice patient and their family during the course of their illness through a variety of roles - including companionship, providing respite to the family caregiver, helping with light housekeeping tasks, assisting with errands and transportation, Life Review (recording of patient's voice on CD provided to family), handiwork (comfort pillows, prayer shawls, lap robes, etc. made and given to patients), and assist with correspondence or other activities for which the patient may need assistance. Animal-assisted activities/therapy (AAA/T) volunteer teams (handlers and their dogs) visit patients and families in skilled nursing facilities, assisted living facilities, adult family homes, and private residences. AAA/T volunteers must complete core training and patient care volunteer training. Complementary therapy volunteers are licensed and/or certified professionals who provide massage, music therapy, hypnotherapy, and other approved services to hospice patients. Services are provided in the patient's residence. Complementary therapy volunteers must complete core training and patient care volunteer training, and they must currently be licensed and/or certified by the state of Washington. Stepping Stones volunteers work with patients in our pediatric hospice and palliative care program and their families. They may play games or read books with patients, participate in outings, or provide practical and emotional support to siblings and other family members. Stepping Stones volunteers must complete our core training and patient care volunteer training, as well as a specialized four-hour training for working with pediatric patients. Transitions volunteers provide practical and emotional support to people with life-limiting illness who are not yet eligible or otherwise ready for hospice. Bereavement volunteers provide regular contact (through telephone calls and/or one-on-one visits) to adult clients who have experienced the death of a loved one. They may also help facilitate grief support groups Camp Erin volunteers provide support to kids at camp, serving as Big Buddies or helping to plan and organize camp activities. Camp Erin is an annual weekend camp for children and teenagers in King County who've lost a loved one. Administrative volunteers perform the administrative tasks necessary to support hospice office operations. These tasks may include filing, copying, word processing, collating, and notary, data entry, assembling mailings, and making phone calls, as well as working on special projects. Administrative volunteers must complete our core training. On-the-job training is also provided at the hospice office. Examples of Long-term Care, Assisted Living, Home Health, Nursing Homes/Transitional, and Home Infusion care volunteers: Volunteers donate their time and talents in a wide variety of ways. The largest group of volunteers worked directly with residents. This includes volunteers who provide one-on-one visits, assist with recreational groups (art class, field trips, spiritual services, Intergenerational Learning Center with children, dining services, the hair salon, laundry and housekeeping, etc), collaborate with staff to put on large special events (summer concert series, Valentine's Day dance), provide entertainment, assist in the Rehab Department, and NODA program, and serve as "Fresh Air Friends", providing one-on-one visits to escort residents outdoors on pleasant days. Administrative departments - including human resources, admissions, resident records, and other (stuffing envelopes and review charts to insure the required paperwork is present). Volunteers help with all aspects of support for Providence Senior and Community Services Special events such as print production and special events, i.e. greeters, spotters, runners, financial, set-up, tear down. FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. Providence Assurance Inc 3131 Camelback Road Ste 400 Phoenix AZ 85016 208194071 Insurance Captive AZ 261 30013878 Providence Health & Services - Washington Legacy LLC PO Box 196606 Anchorage AK 99519 320252199 Real Estate AK 3065163 44900003 Providence Health & Services - Washington Health Services Asset Management LLC 1801 Lind Ave SW 9016 Renton WA 98057 271698016 A/R & Collections WA 52 400538 Providence Health & Services - Washington Auxillium LLC 1801 Lind Ave SW 9016 Renton WA 98057 311750915 Nurse Staffing WA 0 0 Providence Health & Services - Washington Providence Joseph House GP LLC 1801 Lind Ave SW 9016 Renton WA 98057 273678218 Supportive Housing WA 47489 8356619 Providence Health & Services - Washington Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Supportive Housing WA 501( c)(3) Line 9 PH & S - Washington 1 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Supportive Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Dethman House 1205 Montello Ave Hood River OR 97031 473385506 Supportive Housing WA 501( c)(3) Line 7 N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type II PH & S - Washington 1 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Shell Corporation WA 501( c)(3) Line 11/Type II Providence Ministries 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 1 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 1 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 9 PH & S - Washington 1 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 1 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 1 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 1 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 Providence Health & Services 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 1 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 1 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 2800 South 192nd St 104 SeaTac WA 98188 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 11/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 11/Type II PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - Washington 1 Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352 910655392 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Kadlec Neurological Resource Center 1268 Lee Blvd Richland WA 99352 911266345 Healthcare WA 501(c )(3) Line 9 Western HealthConnect 0 Kadlec Foundation 888 Swift Blvd Richland WA 99352 237005501 Support Kadlec Regional Medical Center WA 501(c )(3) Line 11/Type I Kadlec Regional Medical Center 0 PacMed Clinics 1200 12th Ave S Seattle WA 98144 562290878 Healthcare WA 501(c )(3) Line 9 Western HealthConnect 0 Seattle Science Foundation 550 17th Ave Seattle WA 98122 611502822 Physician Collaboration WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica CA 90404 951684082 Healthcare CA 501(c )(3) Line 3 PHS - So California 0 John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica CA 90404 954291515 Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center 0 Saint John's HospitalHealth Center Foundation 2121 Santa Monica Blvd Santa Monica CA 90404 956100079 Support Saint John Health Center & JWCI CA 501(c )(3) Line 7 Providence Saint John's Health Center 0 Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton WA 98057 811244422 Shell Corporation WA 501(c )(3) Pending N/A 0 Providence Imaging Center 3340 Providence Drive Anchorage AK 99508 920118807 Medical Imaging AK PH&S - WA Related 11253639 12370238 0 1 0.99000 California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA N/A Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT N/A Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey 495 Portland OR 97213 260796953 Imaging - Diagnostics OR N/A Ctr for Med Imaging-Tanasbourne LLC 4400 NE Halsey 495 Portland OR 97213 200477972 Imaging - Diagnostics OR N/A Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA N/A Portland Medical Imaging LLC 4400 NE Halsey 495 Portland OR 97213 201054971 Imaging - Diagnostics OR N/A Oregon Advanced Imaging LLC 881 OHare Parkway Medford OR 97504 450471748 Medical Imaging OR N/A Minor & James Medical PLLC 515 Minor Avenue 200 Seattle WA 98104 911340223 Physician Clinic WA N/A Providence Surgery Center LLC 902 N Orange St Missoula MT 59802 841401625 Ambulatory Surgery Center MT N/A Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 260381897 Radiation Oncology OR N/A PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle WA 98104 203132044 Medical Imaging WA N/A PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA PH&S - WA Related -277191 1798542 0 0 0.61000 The Madison Spokane Inn LLC 15 West Rockwood Blvd Spokane WA 99204 841606484 Hotel Services WA PH&S - WA Rental 185937 887688 0 1 0.56530 Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR N/A Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard OR 97224 223883387 Ambulatory Surgery Center OR N/A ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 202829660 Ambulatory Surgery Center CA N/A ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 200905938 Ambulatory Surgery Center CA N/A Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID N/A Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA N/A Prov Radiation Oncology Develop Assn LLC 4400 NE Halsey 495 Portland OR 97213 260682491 Real Estate - MOB OR N/A Providence Partners for Health LLC 501 S Buena Vista St Burbank CA 91505 454041798 Clinical Quality & Integration CA N/A ProvidenceSilverton Rehab LLC 4400 NE Halsey 425 Portland OR 97213 481287267 Rehab Services OR N/A Southern Idaho Regional Laboratory LLC 611 N Perry Spokane WA 99202 820511819 Outpatient Lab ID N/A Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT N/A Tri-Cities Laboratory LLC 611 N Perry Spokane WA 99202 911773986 Outpatient Lab WA N/A Providence Health Ventures Inc 4101 Torrance Blvd Torrance CA 90503 330122216 Investment CA N/A C 0 Caron Health Corporation 510 W Front St Missoula MT 59802 810486082 Medical Physician Service MT N/A C 0 Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane WA 99204 900155714 Clinical/Medical Lab WA N/A C 0 Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane WA 99204 911216033 Clinical/Medical Lab WA N/A C 0 Yakima Medical Arts Inc 611 N Perry 100 Spokane WA 99202 910787963 Rental Real Estate WA N/A C 0 Bourget Health Services Inc PO Box 2687 Spokane WA 99220 911354431 Clinical/Medical Lab WA N/A C 0 1221 Madison Street Owners Assoc 747 Broadway Seattle WA 98122 201954319 Owners' Association WA N/A C 0 Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton WA 98057 800953654 Investment WA N/A C 0 PHN Holdings 20555 Earl Street Torrance CA 90503 461814184 Strategic Planning Services CA N/A C 0 Providence Health Network 20555 Earl Street Torrance CA 90503 800886966 Prepaid Healthcare CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 Providence Alaska Foundation B 3548277 Cost Providence Alaska Foundation C 1361062 Cost Providence Health Care Foundation B 101896 Cost Providence Health Care Foundation C 202435 Cost Providence Health Care Foundation - 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