2016-01-22T21:56:31-06:00 2014-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2014-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 Lind Ave SW No 9016 Renton WA 980579016 Todd Hofheins EVP/CFO 4255253985 2016-01-22 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2014 2016-04-25 22:37:26Z Rodney Hochman MD 1801 Lind Ave SW No 9016 Renton WA 980579016 5978319264 0 X washington.providence.org X 1859 WA Healthcare with special concern for the poor and vulnerable in WA. & AK. 16 16 31676 5315 5880705 1835155 43114695 42136077 3316627725 3439886452 58156447 134530104 999083666 1518048478 4416982533 5134601111 15667400 13951382 0 0 2879625793 2884542505 0 0 701334 1858381330 1936049739 4753674523 4834543626 -336691990 300057485 7118136633 10159130383 4680170845 7585061893 2437965788 2574068490 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 1310964403 0 1822472699 Acute Care Inpatient 96,106 Admissions in 2014 with 445,042 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. Providence Regional Medical Center Everett is nationally recognized as a top 100 Hospital and a distinguished hospital for clinical excellence four years running-the only Washington hospital to receive such recognition. We were also ranked number one for cardiac and critical care, and general surgery, for the fourth consecutive year. Healthgrades has honored Providence Regional Medical Center Everett with the Distinguished Hospital Award for Clinical Excellence. This award places Providence Regional in the top 5 percent of all hospitals in the nation for overall clinical performance. It also ranked among the top 10% of hospitals in the nation for cardiology several years in a row and for general surgery also.Providence Regional Medical Center Everett has the Emile Gamelin Service Line. This includes clinical services that are provided despite a significant financial loss. It provides a community need that would be unavailable in the area or would fall to the responsibility of the government or other non for profit organizations. Twelve clinical services are provided by Everett's Emile Gamelin Service line. These include access to mental health, dental care, primary care, diabetes, and asthma.Providence Holy Family Hospital's newly remodeled and expanded Family Maternity Center opened February 20, following completion of a $9.5 million construction project. With the expansion, Holy Family now has 16 larger LDRP rooms, four ante/post-partum rooms, three triage rooms, and a nursery with five specialty-care bassinets. That's an increase of one LDRP room, one ante/post-partum room, and two special-care nursery beds from the hospital's former maternity facilities. The triage rooms, intended to handle outpatient needs, are new. As before, the maternity center also includes a cesarean-section operating room. A special addition to the center is the Butterfly Room, a butterfly-adorned room intended for use by families mourning the loss of a baby. That feature is part of a supportive care services program offered through the Providence Center for Faith & Healing. The expansion added 124 square feet of floor space to each of the single-room maternity suites, boosting them to 340 square feet, which will provide greater comfort for mothers and their families, and better space to provide clinical care when needed. Holy Family currently handles more than 1,200 births a year, and there is potential for that number to rise as word-of-mouth spreads about the hospital's updated maternity center, which is designed to provide whatever services an expectant mother and her family need.Providence Mount Carmel Hospital is among the Top 100 Critical Access Hospitals (CAH's) 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.During 2014, Providence Mount Carmel Hospital received Healthgrades Outstanding Patient Experience award for delivering positive experiences for patients during their hospital stay. To be eligible for the Healthgrades 2014 Outstanding Patient Experience Award, Healthgrades evaluated 3,582 hospitals that submitted patient surveys. Of these hospitals, 3,000 hospitals met additional clinical quality requirements to be considered for this Healthgrades distinction. The top 15 percent of this group or 447 hospitals achieved the award.The following awards were received in 2014 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 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 National Cardiovascular Data Registry ACTION - GWTG registry Platinum Performance Achievement Award National Research Corporation Consumer Choice Award Washington State Hospital Association Patient Safety Award Spokane Clean Air Award.The neonatal intensive care unit (NICU) at Sacred Heart Children's Hospital has received 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.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 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 Maternity Center Expansion - AlaskaThe Mother-Baby Unit is only part of the new 85,782-square foot Maternity Center, which is designed to provide all aspects of maternity care. The Maternity Center project includes expansion and modernization of the Newborn Intensive Care Unit with 66 bassinets the Prenatal Unit with 14 beds and the Mother-Baby Unit with 31 beds. Construction completed in 2014. In addition, Providence Alaska Medical Center provides: Alaska's only Level III Newborn Intensive Care Unit Alaska's only advanced perinatal hospital care for women experiencing high-risk pregnancies and a full-service lactation program, providing inpatient and outpatient support with a full range of support products through our nursing boutique.Visionary imaging technology Physicians conduct minimally invasive procedures on this new system to treat a wide range of clinical problems including coronary artery disease - a leading cause of heart disorders in the U.S. These catheter-based procedures may reduce the risks and recovery time found in traditional surgical approaches. The benefits of catheter-based interventions include shorter hospital stays, reduced recovery time without the pain of a large incision, and less visible surgical scarring.Electronic Intensive Care Unit (eICU) - This program provides a second set of eyes to watch over critically ill patients in our intensive care unit. The eICU combines early warning alerts and remote monitoring technology to connect off-site critical care specialists with patients and their bedside teams. This technology is proven to reduce medical complications and improve outcomes. The eICU on the Providence Alaska Medical Center campus watches over patients at PAMC and at partner hospitals across the state.Behavioral Health - At Providence Alaska Medical Center, we provide the only psychiatric emergency department in Alaska along with a full range of inpatient and outpatient adult and adolescent behavior health services. We also offer the only voluntary adult behavioral in-patient health unit in Anchorage. 774837040 0 1077160713 Acute Care - Outpatient 1,831,326 Emergency & Ancillary VisitsCentralia Physical Medicine - Our clinic is proud to have three providers who serve as the leading state wide authorities in Muscular Dystrophy, Multiple Sclerosis and musculoskeletal medicine.Southwest Washington Boldt Diabetes & Nutrition Center - the only American Diabetes Association-certified clinic in Lewis County.Radiology team at Providence Health Care in Spokane received the President's Award for Strategic Innovation Reducing Radiation Exposure for its innovative achievements in care and service to the health of the communities served. The team demonstrated collaborations that lower the cost of care, improve access and the quality and safety of care, promote standardization, reduce variability, optimize resources and improve stewardship.The Patient Navigator Program at Southwest Providence Regional Cancer System helps enhance care and high quality of life during treatment, as well as assists loved ones during this challenging time. The dedicated nurse navigators for breast and lung cancer at Providence meet individually with hundreds of patients and family members each year. Cancer navigation services, in addition to educational special events, ease the way for more than 500 people with cancer and their families each year. The Providence St. Peter Hospital Sexual Assault Clinic & Child Maltreatment Center provides medical treatment for children and adolescents coping with long-term physical and mental health problems resulting from sexual abuse. In 2014, Providence provided nearly $1 million to support the clinic. The medical team and social work staff provide medical evaluations of sexually abused children and also provide critical court testimony based on their findings. They work with law enforcement and social service programs to help children overcome the effects of sexual, physical and emotional abuse. The sexual assault nurse examiners at the clinic are on call 24 hours a day to provide comfort and care, and collect forensic evidence for investigations. The clinic collaborates with the Thurston County Prosecuting Attorney's Office to run the Monarch Children's Justice and Advocacy Center. At the center, community agencies are located in one facility so that abuse victims can receive medical evaluations, forensic interviews and therapy in one place.Providence St. Mary Medical Center provided 700 flu shots in a drive-through clinic.Providence Regional Medical Center Everett includes 501 licensed beds, Emergency Services, a Cancer Center, Surgery and Recovery Services, a Cardiac Evaluation Unit, and a Progressive Care Unit. Providence Imaging Center - Providence Imaging Center is the only designated Breast Imaging Center of Excellence in Alaska. Providence Imaging Center offers the only integrated PET-CT scanner in Alaska and the only scanner that is accredited in both brain and oncology applications. Providence Imaging Center is also the only imaging center in Alaska that is accredited in all its Anchorage service offerings, including mammography, ultrasound guided breast biopsy, stereotactic guided breast biopsy, eight subspecialties of ultrasound, five subspecialties of MRI, PET-CT and CT. Pulmonary Rehabilitation - Providence Puff-Ins Pulmonary Rehabilitation Program is an education and exercise program designed for patients with Chronic Obstructive Pulmonary Disease (COPD). Pulmonary Rehabilitation provides patients and their families with information and support needed to meet the day-to-day challenges of living with COPD. Physical therapists and nurses with extensive pulmonary and cardiac experience administer the program.Laboratory Services - Providence offers the state's only laboratory for both inpatient and outpatient routine services. Among the testing available only at Providence is flow cytometry for same-day diagnosis of certain cancers and leukemia.The Providence Cancer Center - Our Cancer Center is the only commission-approved comprehensive cancer program in Alaska. We provide radiation oncology technologies available nowhere else in the state: high-dose rate Brachytherapy and Tomotherapy. We also provide The Susan Butcher Family Center, which offers support to children who have adults with cancer in their lives. Our oncology rehabilitation program is dedicated for cancer patients, and we provide a greater number of clinical trials for oncology patients than any other hospital in Alaska. Our Cancer Center also offers a free Healing Arts program for those with cancer or whose family or friends are experiencing cancer. 225647183 0 313689548 LTC/Hospice/Housing & Assisted Living - 262,375 Days for Long-Term Care/Asst. Living 312,591 Home Health Visits 355,590 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.Providence ElderPlace joined Full Life Care to expand its Program of All-inclusive Care for the Elderly (PACE) to Kent. The partnership offers medical care and social services to seniors who wish to continue to live in the community, thus avoiding or minimizing stays in hospitals and nursing homes.Providence Dominicare cares for all aspects of the person- physical, mental and spiritual. We are known for providing quality, compassionate care that respects the beliefs of patients and families. In addition to providing expert patient care, our staff focuses on teaching and supporting patients as well as caregivers, family and friends recognizing their importance in the healing process. 197934268 0 275163689 Primary Care 1,357,229 Clinic VisitsAs a teaching hospital, Providence St. Peter Hospital provides graduate-level medical education that helps reduce the doctor shortage and meet expanding community needs. Four of the five doctors from the 2014 graduating class will stay local - bringing more capacity to care for patients in southwest Washington communities. Providence supports the training of 21 family medicine physicians and other medical education programs and research annually. The physicians in the program support the Providence St. Peter Family Medicine Clinic. Of the nearly 7,000 active patients the clinic serves, 52 percent are insured through Medicaid and another 16 percent receive Medicare, neither of which reimburse for the full cost of care. Many other patients do not have any insurance at all. 13951382 13951382 0 Grant & Allocations - See Schedules F & I 211885650 13951382 275163689 2523334276 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 1 0 0 0 1 1 1 1 0 0 1 X 2343 0 1 31676 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 16 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 7.30 0.10 X X 60360 0 0 Chauncey Boyle SP Director 5.50 0.10 X 0 0 0 Marian Schubert CSJ - Eff914 Director 4.50 0.10 X 0 0 0 Phyllis Hughes RSM Director 5.00 0.10 X 0 0 0 Carolina Reyes MD Director 4.20 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 Peter J Snow Director 5.70 0.10 X 20860 0 0 Bob Wilson Director 5.00 0.10 X 18360 0 0 Sallye Liner Director 4.20 0.10 X 15360 0 0 Ellen L Wolf Director 7.10 0.10 X 15360 0 0 Isiaah Crawford Director 4.10 0.10 X 15360 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 15360 0 0 Rod F Hochman MD President / CEO 25.00 40.00 X 1951887 0 494326 Todd Hofheins EVP/CFO 23.00 37.00 X 607162 0 112921 Cindy Strauss SVP/Chief Legal Officer 23.00 37.00 X 488042 0 234850 Bruce Lamoureux CE/AK.Region 25.00 40.00 X 678361 0 69026 Anthony Dorsch CFO/PSMS Shared Services 48.00 0.00 X 384164 0 60840 Medrice Coluccio CE/Southwest WA.Region 50.00 2.00 X 2287808 0 124321 Michael L Butler President/Operations & Services 23.00 37.00 X 1540500 0 492128 Debra Canales EVP/Chief People & Experience Ofc. 21.00 35.00 X 1076219 0 23317 Richard Mandsager CE/PAMC 50.00 0.00 X 953254 0 41638 Lisa Vance SVP/Clinical Program Services 23.00 37.00 X 709715 0 58431 Randy Axelrod MD EVP/Clinical & Patient Svcs 23.00 37.00 X 701506 0 245640 Elaine Couture CE/PHC/Eastern WA. Region 58.00 2.00 X 613109 0 92519 Jack Friedman SVP/Account Care & Payor Rel. 19.00 31.00 X 596381 0 177566 Aaron Martin SVP/Strategy & Innovation 25.00 40.00 X 563108 0 18041 Craig L Wright MD SVP/Physician Svcs 23.00 37.00 X 549952 0 312082 Janice Newell SVP/Chief Information Officer 21.00 34.00 X 529442 0 220834 Deborah Burton SVP/Chief Nrsg. Officer 23.00 37.00 X 519689 0 55382 Robert Hellrigel CE/Senior & Community Services 21.00 34.00 X 518936 0 95905 David Brown VP/Strategy & Business Development 21.00 34.00 X 493612 0 143130 Orest Holubec SVP/Marketing & Communications 21.00 34.00 X 486207 0 53563 Mark Gargett VP/Digital Integration 19.00 31.00 X 476541 0 80347 Preston Simmons CE/Northwest WA. Region 24.00 40.00 X 462262 0 46510 Joel S Gilbertson SVP/Comm. Ptnrshp. / Ext. Affairs 23.00 37.00 X 419681 0 103211 John O Mudd SVP/Mission Leadership 21.00 34.00 X 418054 0 95818 Gary Flaming SVP/Chief Risk Officer 21.00 34.00 X 415719 0 89217 Jason Dryer Neurosurgeon 55.00 0.00 X 2165535 0 34120 Johnny Delashaw Neurosurgeon 55.00 0.00 X 1974650 0 32196 David Yam Neurosurgeon 55.00 0.00 X 1652467 0 27778 Shelly Handkins VP/CFO Revenue Cycle 50.00 0.00 X 1460445 0 59351 Atul Thakker Physician 55.00 0.00 X 1358005 0 42117 John F Koster MD Former President & CEO 0.00 0.00 X 896255 0 766217 Jeff W Rogers Former Corporate Secretary 0.00 0.00 X 231112 0 390991 Cindra R Syverson Former SVP/CHRO 0.00 0.00 X 2068293 0 18318 Ray Williams Former SVP/Physicians Svcs 0.00 0.00 X 1060879 0 4597 John Fletcher Former VP/Operations Support 0.00 0.00 X 1042943 0 431091 Jan J Jones Former SVP/CAO 0.00 0.00 X 879104 0 330527 Andy Agwunobi Former CE/PHC 0.00 0.00 X 401342 0 1083 Arnie Schaffer Former EVP/W.WA.Region 0.00 0.00 X 309706 0 245397 Terry L Smith Former SVP/Management Svcs 0.00 0.00 X 180427 0 310927 34381154 0 6236273 3749 1 1 0 The Everett Clinic 3901 Hoyt Avenue Everett WA 98201 Medical Services 22389705 Inland Northwest Blood Center 210 W Cataldo Avenue Spokane WA 99201 Medical Services 16763269 Inland Northwest Health Services PO Box 469 Spokane WA 99210 Medical Services 15298762 Allied Health Group File 50941 Los Angeles CA 90074 Allied Staffing 12084836 Inland Imaging LLC 801 S Stevens Street Spokane WA 99204 Imaging Services 11324895 489 38207 736759 12138078 22744584 6478449 59908 42136077 Acute Care/Inpatient 900099 1796513824 1796513824 Acute Care/Outpatient 621400 1061817888 1061817888 LTC/Homecare/Hospice 621610 309221427 309221427 Primary Care 621110 271244322 271244322 1088991 1088991 3439886452 39120954 39120954 30388914 19266 10932485 0 19456429 19266 19475695 633618 18842077 918582677 7493697 825839519 4827705 92743158 2665992 95409150 95409150 215416 736759 718795 -503379 -503379 25860 13651 12209 12209 2422051 1385998 1036053 1036053 Pharmacy Revenue 446110 24580384 3333774 1824800 19421810 Cafeteria Revenue 722210 16475987 219586 16256401 Laboratory Revenue 621500 13456336 868086 12588250 1443515193 45266423 2334615 1395914155 1498027900 5134601111 3488486649 5880705 1598097680 X 11843018 11843018 988145 988145 1120219 1120219 16039336 2288882 13750454 1919653855 1174225796 745096893 331166 272116638 35843495 236265366 7777 538493722 38989286 499487028 17408 138238954 83307786 54896140 35028 5620356 266389 5353967 1256858 1256858 324153 324153 1667946 1667946 545006541 250234521 294667485 104535 9366978 1151884 8201519 13575 127805179 59607106 68190788 7285 37964754 3647537 34317217 73034903 40680491 32335353 19059 26672806 5821730 20848909 2167 9664334 2819795 6817225 27314 74286537 75451299 -1164762 2977015 2977015 276841577 130647008 146194569 26406356 6058696 20347660 Medical Supplies 505019950 504981284 38666 Prof. Liab. Trust 74476067 74476067 Bad Debt Expense 39192614 38226624 965990 UBI Taxes 462413 462413 98002402 55133285 42733097 136020 4834543626 2523334276 2310508016 701334 2904419 34927355 388720402 583295465 5954684 1695261 535291965 538713832 33304865 27740380 53101746 75925085 41171987 95885053 5072865453 2462181998 2623170028 2610683455 1542049367 1722018012 105753444 122203289 21720654 33256787 1764993072 4312786409 7118136633 10159130383 577934307 665592937 10845286 118944216 811205001 845274482 825420649 769830032 609605 13540890 2454155997 5171879336 4680170845 7585061893 X 2376578881 2524680418 48068173 35157038 13318734 14231034 2437965788 2574068490 7118136633 10159130383 X 300057485 -70214828 -63243 -93676712 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1 1 0 1 304061 1 20000 0 1 92 324153 0 Part II-B, Line 1: Our Mission of compassionate care is grounded in our Catholic heritage. Our special focus on serving the poor and vulnerable compels us to advocate for a better and more just health care delivery system. We believe that health care is a basic human right. When individuals and families have access to health care, quality of life improves. As health reform opens the door to more coverage, we can't lose sight of the need for real change in every neighborhood and every city across our nation. Together, we are working to improve health for all we serve. Our 2014 Advocacy Agenda TRANSFORMING CARE TO CREATE HEALTHIER COMMUNITIES Responding to today's needs, our strategic plan calls us to improve the overall health of every community we serve. Together, our clinicians and caregiver teams are joining with other partners to develop innovative care delivery and economic models and to share best practices with expert-to-expert collaboration. This work is enriched by our proven experience with risk bearing care programs and community-based services. As an integrated, multi-state system Providence can help inform the development of policy solutions for greater access, innovative care and affordable payment structures. Even with the major coverage expansion now underway, we advocate for increased coverage in every state. Many remain uninsured, especially those in lower-income levels, and lack access to even basic health care. To address the needs we see each day, we partner with diverse community groups to develop plans for directing our resources. Continued flexibility to tailor care and services is essential to ensure community benefits go where they can do the most good. As we serve the most vulnerable, we are compelled to call for immigration reform and for greater investments in mental health care and services. Great strides are being made, but we cannot lose sight of unmet needs. REDESIGNING HOW CLINICAL CARE IS ORGANIZED AND PAID FOR At Providence, we are pursuing new ways of organizing care for our patients and communities. Across our system, we are transforming clinical practice and building partnerships with employers, insurers, providers and non-traditional partners to develop new payment models. We urge policy makers to support this important work with: * Policies that promote the growth of value-based, prepaid Medicare programs and other alternative payment and delivery models * A reformed, stable Medicare physician payment structure that repeals the sustainable growth rate formula and incents participation in new payment models * A short-stay Medicare hospital payment mechanism to address brief hospital admissions * Policies designed to transform care delivery that improve access and quality while also managing public program costs * Policy changes to expand access to telehealth and telemedicine services * Support for mergers, affiliations and joint ventures that enhance access, innovation and transformation PRESERVING FLEXIBILITY TO SERVE THE UNIQUE NEEDS OF OUR COMMUNITIES For generations, Providence has served communities with excellence, collaborating with local partners to tailor resources in order to meet unique local needs. This flexibility is vital to the effective design and delivery of community initiatives that serve people in need. At the same time, our society protects the ability of faith-based providers to serve consistent with their values. Providence urged policy makers to: * Oppose legislative or regulatory proposals that place unreasonable restrictions on how not-for-profits deliver charity and community benefit services * Support appropriate affiliations between faith-based and secular organizations * Strengthen federal and state conscience protections ENSURING COVERAGE EXPANSIONS ARE FAIR AND SUSTAINABLE Coverage expansion under the Affordable Care Act, while not perfect, is providing vital access to health insurance for millions of people who were uninsured. With larger numbers of people enrolled through the health insurance exchanges and broader Medicaid coverage, care will more often be received in the appropriate setting. This transition also provides a larger platform for clinical transformation and payment reforms. We urged policy makers to: * Support proposals that create robust health exchange marketplaces, market stability and seamless integration between Medicaid and federal and state-operated exchanges * Support Medicaid expansion in all states * Reconsider budget-driven reductions in Medicare and Medicaid provider payments as demand increases due to coverage expansions. Hospitals and other providers have absorbed significant payment reductions to offset the Affordable Care Act costs. Further reductions will make it difficult to provide access to thousands of newly-covered people. ENSURING ACCESS FOR THE MOST VULNERABLE AMONG US Significant strides have been made to improve access, yet many people remain outside the health care system or struggle to receive needed services. Large immigrant populations will not be able to purchase coverage through exchanges or receive coverage through Medicaid. Critical reforms are needed for acute and non-acute mental health care. We believe the time has come for: * Comprehensive federal immigration reform that establishes funding and community health care delivery models serving documented and undocumented immigrants * Local and federal reforms to improve access to and funding for all levels of behavioral health services 47750 20000 X 0 1582531 1442 1583973 489517 1055736 37278 1582531 483523 2500 3494 489517 8463851 51311 75538 8107177 483523 7596645 364798 677288 174880 8463851 0.00000 1.00000 0.00000 0 0 34060928 128278763 162339691 207257289 2081238632 1008612080 1279883841 190682175 86749089 103933086 52009768 2258432257 1366820829 943621196 778015 120127626 120905641 2610683455 Due From Affiliates 4011243714 Trustee Held Funds 191555026 Unamortized Finance Costs 16013579 Other Long-Term Receivables 54948603 Third Party Settlements 26741956 Charitable Trusts & Gift Annuities 111973 CSV of Life Insurance 78509 Deferred Compensation 457F 5141269 Bond Premium Discount 1091433 Donated Assets 20000 Accrued Rebates 5490000 Provider Tax 350347 4312786409 Self-Insured Trusts 255140517 Due To Affiliates 3930408173 Non-Trust Workers Comp 3114834 Accrued Pension Costs 865174067 LT Asset Retirement Obligation - FIN 47 21523938 Other Long-Term Payables 24963991 Third Party Settlements 71532816 Bank Loan Reserve 21000 5171879336 X Part III, Line 4: Artwork is displayed throughout the facilities 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 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 Sub-Saharan Africa 0 0 Grantmaking 555544 Middle East & North Africa 0 0 Grantmaking 254479 Central America & The Caribbean 0 0 Grantmaking 215426 South America 0 0 Grantmaking 50682 North America 0 0 Grantmaking 16243 East Asia & The Pacific 0 0 Grantmaking 14846 Russia & The Newly Independent States 0 0 Grantmaking 11200 South Asia 0 0 Grantmaking 1799 0 0 0 0 0 0 1120219 0 1120219 Sub-Saharan Africa Medical Supplies 0 264787 Medical Supplies Cost Middle East & North Africa Medical Supplies 0 247131 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 0 118898 Medical Supplies Cost Central America & The Caribbean Medical Supplies 0 110370 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 0 62799 Medical Supplies Cost Central America & The Caribbean Medical Supplies 0 60354 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 0 59153 Medical Supplies Cost South America Housing Rebuilding Effort 41200 Wire Transfer 0 Sub-Saharan Africa Medical Supplies 0 23122 Medical Supplies Cost North America Medical Supplies 0 16243 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 0 13216 Medical Supplies Cost Russia & The Newly Independent States Medical Supplies 0 11200 Medical Supplies Cost Central America & The Caribbean Medical Supplies 0 8776 Medical Supplies Cost East Asia & The Pacific Medical Supplies 0 8295 Medical Supplies Cost Middle East & North Africa Medical Supplies 0 6922 Medical Supplies Cost Central America & The Caribbean Medical Mission Grants 35739 Medical Mission Trips 16 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 891525 705959 185566 17302 196446 459247 Golf Classic 60650 30800 29850 1425 16991 9130 18254 952175 736759 215416 1425 34293 205576 477501 718795 -503379 25860 1428 12223 1 1.00000 25860 1428 12223 13651 12209 WA 1 0 0 0 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 0 0 88186571 88186571 0.01840 0 0 675590362 550756105 124834257 0.02600 0 0 2405287 1384531 1020756 0.00020 766182220 552140636 214041584 0.04460 0 0 7552877 1164678 6388199 0.00130 0 0 23070540 460000 22610540 0.00470 0 0 67832426 48662568 19169858 0.00400 0 0 4018062 675359 3342703 0.00070 0 0 5671647 105337 5566310 0.00120 108145552 51067942 57077610 0.01190 874327772 603208578 271119194 0.05650 0 0 7994 7994 0.00000 0 0 667 667 0.00000 0 0 6992 6992 0.00000 0 0 10082 10082 0.00000 0 0 326 326 0.00000 26061 26061 1 39192614 1123878261 1295332097 -171453836 X 1 1 11 1 Providence Alaska Medical Center 3200 Providence Drive Anchorage AK 99508 alaska.providence.org/ GACH-007 X X X X X B 2 Providence SHMC & Children's Hospital 101 West 8th Avenue Spokane WA 99204 washington.providence.org/ 00000162 X X X X A 3 Providence St Peter Hospital 413 Lilly Road NE Olympia WA 98506 washington.providence.org/ 00000159 X X X A 4 Providence Regional Med CtrColby 1321 Colby Avenue Everett WA 98201 washington.providence.org/ 00000084 X X X A 5 Providence Regional Med CtrPacific 916 Pacific Avenue Everett WA 98208 washington.providence.org/ 00000084 X X X A 6 Providence Holy Family Hospital 5633 North Lidgerwood Street Spokane WA 99208 washington.providence.org/ 00000139 X X X A 7 Providence Centralia Hospital 914 S Scheuber Road Centralia WA 98531 washington.providence.org/ 00000191 X X A 8 Providence St Mary Medical Center 401 W Poplar St Walla Walla WA 99362 washington.providence.org/ 00000050 X X X A 9 Providence Mt Carmel Hospital 982 East Columbia Colville WA 99114 washington.providence.org/ 00000030 X X X X A 10 Providence St Joseph's Hospital 500 East Webster Street Chewelah WA 99109 washington.providence.org/ 00000194 X X X A 11 Providence Kodiak Is Medical Center 1915 Rezanof Drive Kodiak Island AK 99615 alaska.providence.org/ GACH-008 X X B Providence Health & Services - WA 0 0 1 X X X X X X X X X 13 1 1 0 1 X http://washington.providence.org X 1 13 1 washington.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/docs/wa-charity-care-policy.pdf X www2.providence.org/obp/docs/financialassistancerequest(english).pdf X www2.providence.org/obp/states/WA/financial-assistance.html X X X X X 1 X 0 X 1 X 0 1 Providence Health & Services - Alaska 0 0 1 X X X X X X X X X 13 1 0 1 1 X alaska.providence.org/about-us/community-health-needs-assessments X 1 13 1 alaska.providence.org/about-us/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/docs/ak-charity-care-policy.pdf X www2.providence.org/obp/docs/financialassistancerequest(english).pdf X www2.providence.org/obp/states/ak/financial-assistance.html X X X X 1 X 0 X 1 X 0 1 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 3: Providence St. Peter Hospital, - Facility 7: Providence Centralia Hospital, - Facility 8: Providence St. Mary Medical Center, - Facility 4: Providence Regional Med. Ctr.,Colby, - Facility 5: Providence Regional Med. Ctr.,Pacific, - Facility 9: Providence Mt. Carmel Hospital, - Facility 6: Providence Holy Family Hospital, - Facility 2: Providence SHMC & Children's Hospital, - Facility 10: Providence St. Joseph's Hospital Group A-Facility 2 -- 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. Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 6a: Providence Holy Family Hospital Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 11: Mental Health & Substance Abuse:1. Christ Clinic Psychiatric Nurse Practitioner2. Community Detox funding3. Funding for Partners with Families and Children4. Consistent Care Emergency Room Diversion program5. Main Psych TriageCare Coordination/Access to Care:1. Consistent Care emergency Room Diversion Program2. Project Access funding3. Spokane Prescription Drug Assistance funding4. Spokane Medical School supportObesity & Diabetes:1. Partnerships with Empire Health Foundation and Spokane Regional Health District2. Coordination with our Educational Services Department and INHS The other issues mentioned in the needs assessment including nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes. Group A-Facility 2 -- 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. Group A-Facility 2 -- 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. Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 11: The organization initiated a three year program to implement Advanced Care Planning for 5 county areas. We also partnered with a local elementary school and introduced SQORD technology to encourage physical activity. There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them - Mental Health, Chemical Dependency, and other social determinants of health such as education, housing, and employment. Group A-Facility 3 -- 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. Group A-Facility 3 -- 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. Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 4 -- 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 Group A-Facility 4 -- 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. Group A-Facility 4 -- 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. Group A-Facility 4 -- 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. Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 5 -- 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 Group A-Facility 5 -- 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. Group A-Facility 5 -- 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. Group A-Facility 5 -- 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. Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 6 -- 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. Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 6a: Providence Sacred Heart Medical Center Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 11: Mental Health & Substance Abuse:1. Christ Clinic Psychiatric Nurse Practitioner2. Community Detox funding3. Funding for Partners with Families and Children4. Consistent Care Emergency Room Diversion program5. Main Psych TriageCare Coordination/Access to Care:1. Consistent Care emergency Room Diversion Program2. Project Access funding3. Spokane Prescription Drug Assistance funding4. Spokane Medical School supportObesity & Diabetes:1. Partnerships with Empire Health Foundation and Spokane Regional Health District2. Coordination with our Educational Services Department and INHS The other issues mentioned in the needs assessment including nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes. Group A-Facility 6 -- 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. Group A-Facility 6 -- 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. Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 11: The organization initiated a three year program to implement Advanced Care Planning for 5 county areas. We also partnered with a local elementary school and introduced SQORD technology to encourage physical activity. Finally, Providence Centralia explored a recovery unit for the hospital.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. Group A-Facility 7 -- 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. Group A-Facility 7 -- 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. Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 5: We have a Community Ministry Board comprised of community business leaders that meets throughout the year. The members go over the CHNA and they make suggestions to Administration and the Mission Council on the community needs they think we should address during the year. The Mission Council gives input to administration on community health needs and the amount of in kind donations that could be disbursed. Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 11: Focus on Youth at Risk:1. Contributions, both monetary and non-monetary, to Lincoln Health Center - a health clinic at an alternative school for at-risk teens.2. Backpack Project - backpacks with food and health related items are provided to youth who are homeless or itinerant.3. Signed an agreement with Child Profile the State data collection system for reporting vaccinations for both children and adults.Public Health (mobilization for action through planning and partnerships) community coalition and PSMMC was an active participant at identifying, reviewing, and prioritizing health risks and gaps through the CHNA. Needs that were identified that the hospital did not address includes: Teen Pregnancy, STD rates because there was already an active group of agencies in the community willing to continue strategic planning in this area. Health needs that the hospital developed planning for included other areas of youth at risk, access to mental health services, and reduction of communicable diseases through improved immunization rates and reporting community coalition to improve mental health care and access. Donations to Lincoln School Free Health Care Clinic, back pack program for homeless teens. Donations to SOS free health care clinic, and partnership with Public health department to provide mass influenza vaccinations (600) that were free to the public.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. Group A-Facility 8 -- 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. Group A-Facility 8 -- 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. Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 9 -- 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. Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 6a: Providence St. Joseph Hospital Group A-Facility 9 -- 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 Facility for whole person: resources in one place - many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - this continues to be an issue in this region. Providence is not situated to lead this effort. Group A-Facility 9 -- 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. Group A-Facility 9 -- 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. Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group A-Facility 10 -- 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. Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 6a: Providence Mount Carmel Hospital Group A-Facility 10 -- 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 Facility for whole person: resources in one place - many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - this continues to be an issue in this region. Providence is not situated to lead this effort. Group A-Facility 10 -- 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. Group A-Facility 10 -- 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. Group A-Facility 10 -- 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 Health & Services - WA Part V, Section B, line 16a website: www2.providence.org/obp/docs/wa-charity-care-policy.pdf Providence Health & Services - WA Part V, Section B, line 16b website: www2.providence.org/obp/docs/financialassistancerequest(english).pdf Providence Health & Services - WA Part V, Section B, line 16c website: www2.providence.org/obp/states/WA/financial-assistance.html Part V, Section B Facility Reporting Group B Facility Reporting Group B consists of: - Facility 1: Providence Alaska Medical Center, - Facility 11: Providence Kodiak Is. Medical Center Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 5: PAMC, in collaboration with the United Way of Anchorage, initiated a diverse 30 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs. Group B-Facility 1 -- 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 and the Municipality of Anchorage. Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 11: PAMC elected to address each of the identified community health needs:Poverty,Alcohol/Substance abuse,Healthy Behaviors, andAccess to affordable care.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. Group B-Facility 1 -- 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. Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 24: For non medically necessary services a patient may be charged full billed charges. Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 5: PKIMC initiated a diverse 11 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs. The Advisory Committee consisted of the following members:1. Donald Rush, CEO, Providence Kodiak Island Medical Center2. Bud Cassidy, Manager, Kodiak Island Borough3. Carol Juergens, MD, Owner, Kodiak Island Medical Associates4. Elsa DeHart, RN, Director, State of Alaska Kodiak Public Health Center5. JC Rathje, Executive Director, Kodiak Community Health Center6. Julie A. Tierney, Clinic Supervisor, U.S. Coast Guard Rockmore King Medical Clinic7. Mary Guilas Hawver, Director, Providence Kodiak Island Counseling Center (PKICC) and President, Filipino American Association8. Pat Branson, Executive Director, Senior Citizens of Kodiak9. Stewart McDonald, Superintendent, Kodiak Island Borough School District10. Tammy Hansen, Vice President of Health Services, Kodiak Area Native Association11. TC Kamai, Kodiak Chief of Police, City of KodiakThe CHNA Advisory group selected a diverse group of key informants from the community for an in depth interview in addition to conducting a community wide resident health needs survey. Representatives from the following list of organizations participated in the community input process of the CHNA.1. ALMA - the Latin Association of Women in Alaska2. State of Alaska Public Health Center3. Brother Francis Shelter4. Kodiak Island Housing Authority5. Filipino American Association6. Kodiak Island Medical Associates7. Kodiak Area Native Association8. Kodiak Community Health Center9. Kodiak Chamber of Commerce10. Senior Citizens of Kodiak, Inc.11. Alaska Housing Finance Corporation12. U.S. Coast Guard Rockmore-King Medical Clinic Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 11: PKIMC elected to address each of the two identified community health needs:1. Uninsured and Affordability of Care as Barriers to Access, and2. Substance Abuse.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. Group B-Facility 11 -- 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. Group B-Facility 11 -- 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 Health & Services - Alaska Part V, Section B, line 16a website: www2.providence.org/obp/docs/ak-charity-care-policy.pdf Providence Health & Services - Alaska Part V, Section B, line 16b website: www2.providence.org/obp/docs/financialassistancerequest(english).pdf Providence Health & Services - Alaska Part V, Section B, line 16c website: www2.providence.org/obp/states/ak/financial-assistance.html SCHEDULE H, PART V, LINE 10a Implementation strategies are posted at the follwing websites:http://washington.providence.org/shared/phc-landing/community-support/~/media/Files/Providence/About/CBR/EW/Community_Health_Needs_Assessment.pdf/http://washington.providence.org/shared/phc-landing/community-support/~/media/Files/Providence/Hospitals/WA/PHC/Community%20Benefit/Community_Health_Needs_Assessment_StevensCO.pdf/http://washington.providence.org/about/community-benefit/northwest-washington-community-benefit-report/~/media/Files/Providence/About/CBR/NW/CHNA%202013.pdf/ 43 Providence Marianwood 3725 Providence Pt Dr SE Issaquah WA 98029 Long-Term Care Providence Elderplace 4515 Martin Luther King Jr Way S Seattle WA 98108 In-Home Service Agency Prov St Peter Chemical Dependency Cter 2505 Olympic Highway N Suite 140 Shelton WA 98584 Chemical Dependency Center Prov St Peter Chemical Dependency Cter 24070 NE Highway 3 Suite A Belfair WA 98528 Chemical Dependency Center Prov St Peter Chemical Dependency Cter 508 1/2 Eighth Street Hoquiam WA 98550 Chemical Dependency Center Prov Internal Medicine Hawks Prairie 8645 Martin Way E Lacey WA 98516 Internal Medicine Clinic Prov South Sound Internal Medicine 3425 Ensign Rd NE Olympia WA 98506 Internal Medicine Clinic Prov Family Medicine West Olympia 1217 Cooper Pt Road SW Olympia WA 98502 Family Medicine Clinic Providence Clinic at Panorama 1450 Northwest Lane SW Olympia WA 98502 Family Medicine Clinic Providence Internal Medicine 1010 S Scheuber Road Centralia WA 98531 Internal Medicine Clinic Providence Imaging Center 908 S Scheuber Road Centralia WA 98531 Patient Diagnostic Imaging Prov Rochester Family Pract Clinic 18313 Paulson St SW Rochester WA 98579 Family Practice Medicine Providence Centralia Womens Center 1000 S Scheuber Road Centralia WA 98531 Comprehensive Women's Health Care Providence Physical Therapy 1809 Cooks Hill Road Centralia WA 98531 Patient Physical Therapy Service Prov Western WA Oncology-Lacey 4525 Third Avenue Suite 200 Lacey WA 98503 Outpatient Oncology Services Prov Western WA Oncology-Aberdeen 954 Anderson St Suite 102 Aberdeen WA 98520 Outpatient Oncology Services Prov Western WA Oncology-Centralia 2015 Cooks Hill Road Suite 200 Centralia WA 98531 Outpatient Oncology Services Providence SoundHomeCare & Hospice 3432 South Bay Road NE Olympia WA 98506 Home Care and Hospice Services Providence Mother Joseph Care Center 3333 Ensign Road NE Olympia WA 98506 Long-Term Care Providence Mount St Vincent 4831 35th Ave SW Seattle WA 98126 Long-Term Care/Assisted Living Prov Infusion & Pharmacy Services 2201 Lind Ave SW Renton WA 98057 Pharmaceutical Services Providence Hospice of Seattle 425 Pontius Avenue North Seattle WA 98109 Hospice Services Providence Home Services 2201 Lind Ave SW Suite 160 Renton WA 98057 Home Health Services Providence Mill Creek Medical Bldg 12800 Bothell-Everett Highway Everett WA 98208 Medical Building Providence Everett Healthcare Clinic 1001 N Broadway Everett WA 98201 Clinic Pavillion for Women & Children 900 Pacific Avenue Everett WA 98201 Clinic Prov Physician Group-Harbour Point 4112 Harbour Pointe Blvd SW Ste 100 Mukilteo WA 98275 Clinic Prov Physician Group-North Everett 1330 Rockefeller Everett WA 98201 Clinic Prov Physician Group-Marysville 11603 State Avenue Suite G Marysville WA 98272 Clinic Prov Physician Group-Monroe 14692 179th Avenue SE Suite 100 Monroe WA 98272 Clinic Mill Creek OBGYN 12800 Bothell-Everett Hywy Suite 110 Everett WA 98208 Clinic Pacific Campus OBGYN 900 Pacific Avenue Suite 501 Everett WA 98201 OB/Gyn Services Providence Dominicare 110 South Third Street East Chewelah WA 99109 Home Health Providence VNA Home Health 611 N Perry Bldg 2 Suite 202 Spokane WA 99202 Home Health Prov Emily Court Assisted Living 34 East 8th Avenue Spokane WA 99202 Assisted Living Providence St Joseph Care Center 17 East 8th Avenue Spokane WA 99202 Skilled Nursing Facility Providence Adult Day Health 6018 North Astor Spokane WA 99208 Adult Day Health Providence Extended Care Center 4900 Eagle Street Anchorage AK 99503 Skilled Nursing Facility Providence Alaska Physician Service Org 3200 Providence Drive Anchorage AK 99508 Behavioral & Family Medicine Providence Kodiak Island Counseling Ctr 717 E Rezanof Drive Kodiak Island AK 99615 Behavioral Medicine Providence Residential Treatment Program 3400 E 20th Avenue Anchorage AK 99508 Adolescent Residential Treatment Providence Crisis Recovery Center 3760 Piper Street Anchorage AK 99508 Behavioral Medicine PMG - Urgent Care & Family Medicine 2902 164th Street SW Lynnwood WA 98087 Clinic 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, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 39,192,614. 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 2014, 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 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 provision for bad debts in 2014 has decreased from 2013 as a result of the expansion of Medicaid programs and initiatives to assist patients in their Medicaid enrollment. 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 and Providence Holy Family Hospital partnered with the Spokane Regional Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Community Indicators Initiative as part of our comprehensive needs assessment. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Spokane community for the next three years, beginning in 2010.Providence Mount Carmel Hospital and Providence St. Joseph's Hospital partnered with the Northeast Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Northeast Trends Initiative. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Stevens County community for the next three years, beginning in 2011.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 WashingtonCommunity Ministry Board approves the community needs assessments.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:The geographic difficulties of a vast land mass, relatively undeveloped infrastructure and often extreme weather conditions make meeting the health care needs of Alaskans a unique challenge. Providence Health & Services Alaska serves the health needs of all people across the vast state of Alaska (population of 735,132). Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in six other Alaska communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon.Alaska's population is diverse (33 percent minority) and is widely distributed across great distances - only half the population is accessible by road. Providence Alaska Medical Center (PAMC) is the only comprehensive tertiary referral center serving all Alaskans, regardless of their ability to pay. In addition to PAMC, Providence Alaska has a family practice residency program, a continuum of post-acute care services, and a developing medical group located in Anchorage. Anchorage is the second most-diverse city in the nation with more than 90 languages spoken within the Anchorage school district. Thirty-four percent of the Anchorage community is a minority. While PAMC's primary service area is the Municipality of Anchorage, it serves residents throughout the state. As of the last census 7.6 percent of Anchorage residents lived below the poverty line, which is lower than the comparable state measure at 10.5 percent. Providence identified the following needs in the 2012-2013 community health needs assessment: poverty, healthy behaviors, alcohol/substance abuse, and access to affordable care. The 2015 community health needs assessment is currently in progress but not complete at the time of this submission. Providence Alaska manages four critical access hospitals located in the remote communities of Cordova, Kodiak, Seward and Valdez, all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. Each hospital serves as the primary health care provider for their community. In all of our communities, Providence has made a long-term commitment to meet the health care needs of the community through formal community health needs assessments, program and service expansion to meet those needs, and community partnerships.Providence Kodiak Island Medical Center is the island's only hospital in the Kodiak Island Borough with a population of roughly 14,000. PKIMC serves the city of Kodiak and the remote villages in the borough it also serves as a conduit of care for mariners and for communities farther down the Aleutian Islands towards Russia. Geographically isolated, the islands can only be accessed by air or sea. Commercial fishing is of historic and current economic importance and employment swings seasonally - with lower unemployment rates in the summer and higher rates in winter months. The 2013 Providence sponsored and conducted community health needs assessment (CHNA) identified the two greatest needs on the island as substance abuse and access to care due to affordability. Providence is planning the next CHNA for 2016.Providence Seward Medical Center serves the communities of Seward and Moose Pass (population est. 5,020). Seward is located at the head of Resurrection Bay on the Kenai Peninsula. The town is 126 road miles south of Anchorage. The 2015 community health needs assessment sponsored and conducted by Providence was in process as of the time of submission. In the prior community health needs assessment (2012-2013), 87% of the respondents needed care in the previous 12 months, yet 10 percent report being unable to receive care. When asked, the primary reasons cited from not receiving care were no insurance/could not afford it (43%), services not available (18%), and needed a specialist that was not available in Seward (14%). Although the trends show a decrease by each question, access continues to be an issue and an area of focus for Providence within the community. Along with community partners, Providence also addresses community needs that include: access to preventive care, overweight/obesity, and substance abuse.Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located approximately 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. The health need priorities identified by the community in the 2014 needs assessment process were overweight/lack of physical activity, availability and access to primary care services and mental health/substance abuse. Along with community partners, Providence works to address these community needs.Cordova Medical Center is the newest addition to the Providence Alaska family. Providence Alaska began management of the 13-bed critical access hospital and 10-bed long term care center on March 1, 2012. The City of Cordova is a community of about 2,300 people, which swells to 5,000 or more during the summer months. The city of Cordova sits on Prince William Sound and is only accessible by plane or boat (it is a 30 minute commercial flight from Anchorage). Cordova is a community best known for its commercial fishing and has a rich culture of Eyak Athabascan heritage. The most recent community health needs assessment completed in 2013, identified the major health needs as attracting and retaining providers, access to specialty care, affordability of care, care coordination across healthcare providers, and mental health/ substance abuse. 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, each community is pursuing trauma designation 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 is also expanding 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 and currently treats more than 1,500 patients. The most recent Anchorage community health needs assessment showed a reduction in need for seniors access to health care services, which can be partially attributed to the Providence's investment in senior care services. 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 these children have services and treatment not otherwise available to help them manage chronic illnesses. The Pediatric Sub-Specialty Clinic continues to provide services that would otherwise not be available in Alaska.To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, and physical activities at schools, Yellow Ribbon suicide prevention and an online get-fit challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with and supporting the Seward Health and Wellness coalition. Support and promote Seward Wellness for All's Wellness Project, which is geared toward improving participant health by decreasing cardiac risk factors. Providence's contribution includes: Free labs and health screenings as part of the program In-kind support of dietary staff time for nutrition classes and individual consultation In-kind administrative support for program management Continued support for City of Seward's employee program Know your Numbers Implement community-wide sliding-fee scale and on-demand lab testing program for increased accessibility to resources and maintenance of sliding fee scale.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education, and biometric screenings.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. 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, CaliforniaThe 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 hospital serves a population totaling 140,000 people in its primary service area in Walla Walla County and Columbia County in Washington, and Umatilla County, Oregon. Within this geography, 18.43% of the population is over age 65 and the median household income is $45,835. The unemployment rate in Walla Walla County is 7% and Columbia County is 10.08%. The hospital also serves 28,000 people in its secondary service area, which is comprised of Garfield County, Washington and Union County, Oregon. Within the secondary market, 20.55% of the population is over age 65 and the median household income is $47,045. In total, 17.8% of people in Walla Walla County are living in poverty, as well as 17.1% in Columbia County. In 2013, the Southeast Washington Region provided $10.8 million in charity care and community benefits.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 480,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 14.3% of its population is over the age of 65. The leading causes of death in Spokane County are cancer, heart disease and stroke. The maternal smoking rate is two times higher than the state average. 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 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:Providence in Southwest Washington provided more than $59 million in total community benefits, including $23.3 million in charity care and $25 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Southwest Washington hospitals subsidize a broad range of services that provide health benefits to the community but do not generate enough income to be financially self-sustaining. Examples include more than $5 million in programs such as psychiatry, chemical dependency, a sexual assault clinic and pediatrics.Here is more detail on key subsidized programs:*Providence Southwest Washington donated hospital services and more than $125,000 in sponsorships to community organizations. A total of $60,000 was donated by Providence to Project Access, a volunteer physician program that provides free specialty care to those who otherwise can't afford it. More than $250,000 in services were used in collaboration with the CHOICE Regional Health Network as part of the Emergency Department Consistent Care Program.*Based in Lacey, the Providence St. Peter Chemical Dependency Center offers a complete continuum of treatment options to diagnose, treat and provide ongoing recovery support. Our medically supervised programs offer excellence in clinical counseling, comprehensive education and a safe environment for recovery. In 2013, the Chemical Dependency Center was subsidized with $1.8 million from Providence. This support helped improve the quality of life for more than 1,394 substance abuse inpatients, 11,556 outpatients and their families.*The physicians, nurses, nurse practitioners and social workers at the Sexual Assault Clinic are always there for the victims of sexual abuse. Serving residents of Thurston, Lewis, Mason, Grays Harbor, Pacific and Wahkiakum counties, our specialists are on call 24 hours a day, seven days a week to provide medical evaluations for children, adolescents and adults when they are in crisis. In 2013, the clinic provided nearly $875,000 in subsidized services.*Providence provided more than $1.23 million in non-funded psychiatric services for nearly 5,700 patient visits in 2013, including inpatient and outpatient services. Services provided include an 18-bed voluntary acute care unit and Partial Hospitalization Program. Other Providence psychiatric services feature social workers and professional counselors who provide crisis intervention, counseling and support in the Emergency Center psychiatric nurses who provide home mental health services specialized services for those 55 and older in our Older Adult Mental Health Program and psychiatrists and ARNPs who offer treatment in our psychiatric medical clinic.*Providence St. Peter Hospital provided $3.25 million in training support of 19 family medicine physicians, other medical education programs and research.*More than 2,000 people benefited from free blood pressure checks, glucose and cholesterol screenings and low-cost high school sports physicals. Providence also provided free community education events, including The Flex Diet, The Smart Women's Guide to Heart Health, Providence Parenting University, Cancer Survivors Celebration, Harmony and Hope concerts and Wellness Roundup.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Providence in Eastern Washington provided more than $133 million in total community benefits, including $30 million in charity care and $76 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.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. In addition, the Board approves recommendations for financial support of community programs and services (representing a $1.8 million investment in 2013).Providence hospitals in Spokane are also the sole providers of many essential services in Spokane. Many of these services are subsidized as they operate at a loss. (SEE CONTINUATION) PART VI, LINE 5 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 PHC Foundation - Eastern Washington PO Box 2555 Spokane WA 99220 320014330 501(C)(3) 903287 Operational Support/Pmt of Foundation Expenses Providence St Peter Foundation 413 Lilly Road NE Olympia WA 98506 911097056 501(C)(3) 772095 Administrative support of the Foundation Providence General Foundation 916 Pacific Avenue Everett WA 98201 911041617 501(C)(3) 685087 Scholarships to honor outgoing Board members Inland Northwest Health Services PO Box 469 Spokane WA 99210 911307555 501(C)(3) 437633 Community Health Education Outreach Providence Mount St Vincent Foundation 4831 35th Avenue Southwest Seattle WA 98126 911188119 501(C)(3) 437335 Ministry Support Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 501(C)(3) 389975 Foundation Charitable Support Catholic Charities Spokane PO Box 2253 Spokane WA 99210 910569880 501(C)(3) 311788 21272 Cost Forgiveness of Debt Operational Support Providence Hospice and Home Care Foundation Snohomish County 2731 Wetmore Suite 500 Everett WA 98201 272552749 501(C)(3) 302821 Subsidized Foundation Expenses Project Access Northwest 1111 Harvard Avenue Seattle WA 98122 204377921 501(C)(3) 184020 Pilot project to support Medicaid eligible patients in receiving assistance from project Access in navigating the insurance system and gaining access to critical medical care. Also 2014 sponsorship.. Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 98029 931554288 501(C)(3) 174749 Subsidized Foundation Expenses Christ Clinic 914 W Carlisle Spokane WA 99205 911435174 501(C)(3) 167500 Operational Support Providence Hospice of Seattle Foundation 425 Pontius Ave N 300 Seattle WA 98109 912077378 501(C)(3) 161716 Subsidize foundation expenses Providence Health Care Foundation Centralia 914 South Scheuber Road Centralia WA 98531 911433382 501(C)(3) 142273 Purchase of LifeNet Modems by Lewis Cty EMS Agencies Partners with Families & Children 613 S Washington St Spokane WA 99204 680576560 501(C)(3) 109946 Monthly Support to an organization that provides a full range of services for children who have suffered abuse and/or neglect as well as provides mental health and chemical dependency treatment for parenting individuals and their family members. Ronald McDonald House 1015 W 5th Ave Spokane WA 99204 911176115 501(C)(3) 100000 Operational Support University of Washington - School of Medicine PO Box 358047 Seattle WA 98195 916001537 Government 75000 Physician Residency Program Washington State University Foundation PO Box 641927 Pullman WA 99164 911075542 501(C)(3) 75000 WWAMI Expansion Fund Daybreak Youth Services 11711 E Sprague Ave Suite D-4 Spokane Valley WA 99206 911083936 501(C)(3) 50000 Youth Services Program Diocese of Spokane - Nazareth Guild PO Box 1453 Spokane WA 99210 910564957 501(C)(3) 50000 Operational Support Hospice And Palliative Care Of Kodiak Inc PO Box 8682 Kodiak AK 99615 452208200 501(c)(3) 50000 Community Support Hospice of Spokane PO Box 2215 Spokane WA 99210 910995069 501(C)(3) 50000 Holistic approach to end of life care United Way of Valdez PO Box 707 Valdez AK 99686 920090499 501(C)(3) 50000 Health YearUp Inc 93 Summer Street Boston MA 02110 043534407 501 (C ) (3) 48331 Internship Support Providence NE Washington Hunger Coalition PO Box 46 Loon Lake WA 99148 463051292 501(C)(3) 45040 Community Support Northwest Autism Center 25 W Fifth Ave No 113 Spokane WA 99204 571138106 501(C)(3) 40000 Support for autism and related disorders Rural Resources Community Action 956 S Main ST Colville WA 99114 910793447 501(C)(3) 36617 Trauma and Health Impacts Program Community Detox Services of Spokane PO Box 2845 Spokane WA 99220 911108762 501(C)(3) 36000 Operational Support Bethany of the Northwest Foundation 916 Pacific Avenue 4th floor Everett WA 98201 943095265 501(C)(3) 31000 Donation to benefit ETCS special operational or capital needs. Economic Alliance of Snohomish County 808 134th Street SW Ste 101 Everett WA 98204 910647005 501(C)(4) 30000 To bring back high paying jobs to Snohomish County Project Access Spokane 104 S Freya Suite 114 Spokane WA 99202 916053239 501(C)(3) 30000 Helps feed under privileged children Spokane County Medical Society 104 S Freya St Suite 114 Spokane WA 99202 916053239 501(c)(6) 30000 Operational Support The Health Center 534 So 3rd Ave Suite 16 Walla Walla WA 99362 270401462 501(C)(3) 30000 Health Center Support YWCA of Spokane 930 N Monroe Spokane WA 99201 910565025 501(C)(3) 30000 Clinical Counseling March of Dimes 904 3rd Avenue Suite 230 Seattle WA 98101 131846366 501(C)(3) 26500 2015 March for babies sponsorship, Nurse of the Year Event Best Beginnings 3550 Commercial Drive Ste 104A Anchorage AK 99501 455066055 501(C)(3) 25000 AK Imagination Library Emergency Assistance and Food Bank of Valdez PO Box 848 Valdez AK 99686 341986012 501(C)(3) 25000 Community Support Alaska Literacy Program Inc 1345 Rudakof Circle Anchorage AK 99508 237451172 501(C ) (3) 24500 Health and wellness activities Center for Justice 35 W Main Suite 300 Spokane WA 99201 911939768 501(C)(3) 22000 Health and justice initiative Choice Regional Health Network 2409 Pacific Ave SE Olympia WA 98501 911704039 501(C)(3) 20000 Mental Health Access Program Valdez Senior Citizens Center PO Box 1635 Valdez AK 99686 920082275 501(C)(3) 20000 Meals on Wheels Women and Children's Free Restaurant 1620 N Monroe Spokane WA 99205 911399742 501(C)(3) 20000 Operational Support Young Men's Christian Association 2720 Rockefeller Ave Everett WA 98206 910565561 501(C)(3) 19503 Annual campaign sponsorship Everett Silvertips Hockey Club 2000 Hewitt Ave Suite 100 Everett WA 98201 980376631 Other 18000 Sponsorship United Way of Snohomish County 3120 McDougal Avenue Suite 200 Everett WA 98201 910606507 501(C)(3) 18000 2014 Sponsorship / Red Cross OSO Relief March of Dimes Foundation 222 W Mission Ave Suite 119 Spokane WA 99201 131846366 501(C)(3) 15000 Medical Research Prescription Drug Assistance 1111 Harvard Avenue Seattle WA 98122 331134368 501(C)(3) 15000 Donation to support low income families with access to prescription medications. Valdez Arts Council PO Box 3138 Valdez AK 99686 237328616 501(C)(3) 15000 Youth Outreach Valdez Museum & Historical Archive Association Inc PO Box 8 Valdez AK 99686 920159463 501(C)(3) 15000 Youth Outreach Beans Cafe PO Box 100940 Anchorage AK 99510 920072522 501(C)(3) 14000 The Children's Lunchbox Associates for Victims of Violence Inc PO Box 524 Valdez AK 99686 920083034 501(C)(3) 12500 Community Support Valdez Community Hospital Auxiliary PO Box 94 Valdez AK 99686 920096062 501(C)(3) 12500 Community Support American Academy of Family Medicine (Inland Northwest Chapter) 8510 W Newkirk Road Spokane WA 99224 237055510 501(C)(6) 10500 Sponsorship Brother Francis Shelter Kodiak Inc PO Box 670 Kodiak AK 99615 208594266 501(C)(3) 10000 Community Support Community Cancer Fund 621 W Mallon Ave STE 605 Spokane WA 99201 464735260 501 ( C)(3) 10000 Sponsorship Inland Northwest Community Foundation 421 W Riverside Ave Suite 606 Spokane WA 99201 910941053 501(C)(3) 10000 Priority Spokane Research Project Kodiak Women's Resource and Crisis Center PO Box 2122 Kodiak AK 99615 920070130 501(C)(3) 10000 Homeless Prevention Medical Teams International 9680-153rd Avenue NE Redmond WA 98052 930878944 501(C)(3) 10000 Donation for mobile dental program for Everett and Marysville. Salvation Army NW Division 222 E Indiana Ave Spokane WA 99207 941156347 501(C)(3) 10000 Winter Warming Shelter Program School Health Care Assoc of Spokane County PO Box 8755 Spokane WA 99203 274299158 501 ( C)(3) 10000 Sunset School Health Center Spokane Regional Health District 1101 W College Ave Rm 330 Spokane WA 99201 911527532 Government 10000 Operational Support St Joseph Family Center 1016 N Superior St Spokane WA 99202 910564989 501(C)(3) 10000 Operational Support Wilson Strategic Communication 3500 188th St SW STE 590 Lynnwood WA 98037 201502691 Other 10000 Operational Support YFA Connections PO Box 3344 Spokane WA 99220 237049675 501(C)(3) 10000 REACH Street Outreach Program Tri-County Economic Development District 986 S Main Suite A Colville WA 99114 911360381 Govt 9950 NE WA Ag and Food Center Greater Spokane Inc PO Box 822 Spokane WA 99210 910418800 501(c)(6) 9650 Sponsorship American Cancer Society 250 Williams St NW Atlanta GA 30303 131788491 501(C)(3) 9000 Support Relay for Life/Cancer Research/Fundraising Immaculate Conception Catholic Church 320 W Maple Street Colville WA 99114 911427871 501(C)(3) 8604 Summer nutrition and learning program Take The Next Step 202 S Sams Street Monroe WA 98272 203291700 501(C)(3) 8302 Video views donation The Alaska Community Foundation 3201 C Street 110 Anchorage AK 99503 920155067 501(C)(3) 8000 Community Support Walla Walla Center for the Arts 207 W Main St Walla Walla WA 99362 464911492 501(C)(3) 7500 Communty Support Washington Poison Center 155 NE 100th Street 100 Seattle WA 98125 943214597 501(C)(3) 7000 Commitment to become a member organization Lilac Bloomsday Association 1610 W Riverside Spokane WA 99201 911054846 501(C)(3) 6500 Sponsorship Lutheran Social Services of Alaska 1303 W 33rd Anchorage AK 99503 943055592 501(C)(3) 6500 HUGSS and Coats program National Multiple Sclerosis Society 192 Nickerson St Ste 100 Seattle WA 98109 135661935 501(C)(3) 6000 Community Support American Childhood Cancer Organization PO Box 8031 Spokane WA 99203 911890353 501(C)(3) 5000 Childhood Cancer support American FDM Association 10200 Crumley Ranch Road Austin TX 78738 261533601 501(C)(3) 5000 Community Support Blue Mountain Community Foundation 8 So 2nd St Suite 618 Walla Walla WA 99362 911250104 501(C)(3) 5000 Community Health Support First Night Spokane 211 N Wall Spokane WA 99203 912126547 501(C)(3) 5000 Sponsorship Inland Northwest Blood Center 210 West Cataldo Ave Spokane WA 99201 910499130 501(C)(3) 5000 Sponsorship Kettle Falls Community Program 365 W 3rd Kettle Falls WA 99141 264704088 501(C)(3) 5000 Support mental health program Portland Workforce Alliance 6433 NE Tillamook Portland OR 97213 272964874 501(C ) (3) 5000 Community Benefit Providence Gamelin House 4515 MLK Jr Way South 200 Seattle WA 98108 311744654 501(C)(3) 5000 Ministry Support Providence Joseph House 11215 5th Ave SW Seattle WA 98146 273678314 501(C)(3) 5000 Ministry Support Providence Peter Claver House 7101 38th Avenue South Seattle WA 98118 311629656 501(C)(3) 5000 Ministry Support Providence St Elizabeth House 3201 SW Graham Street Seattle WA 98126 912171539 501(C)(3) 5000 Ministry Support Providence Vincent House 1423 First Ave Seattle WA 98101 201910170 501(C)(3) 5000 Ministry Support Safe Crossings Foundation 1402 3rd Avenue Suite 1430 Seattle WA 98101 752992774 501( C)(3) 5000 Corporate Sponsorship of Luncheon Senior Assistance Fund Of Eastern Washington 1222 N Post St Spokane WA 99201 911679172 501(C)(3) 5000 Community Outreach Senior Citizens of Kodiak Inc 302 Erskine Drive Kodiak AK 99615 237348249 501(c)(3) 5000 Meals on Wheels SOS Clinic 1200 SE 12th St College Place WA 99362 731626280 501(C)(3) 5000 Health Center Support Spokane Hope School 310 N Riverpoint Blvd Box V Spokane WA 99202 201535497 501(C)(3) 5000 Health and Justice Program Spokane Neighborhood Action Program 3102 W Fort George Wright Drive Spokane WA 99224 911311127 501(C)(3) 5000 A/C units for low income individuals. United Way of Thurston County 1211 Fourth Ave E Olympia WA 98506 910713462 501(C)(3) 5000 Community Sponsorship University Of Washington Foundation Mackenzie Hall Box 353200 Seattle WA 98195 943079432 501 ( C)(3) 5000 Business Leadership Celebration Volunteers of America 2802 Broadway Avenue Everett WA 98201 910577129 501(C)(3) 5000 Inspire Hope Luncheon-Silver sponsorship level Washington Food Coalition PO Box 95752 Seattle WA 98145 943123637 501(C)(3) 5000 Support state food coalition Washington State Catholic Conference 710 Ninth Avenue Seattle WA 98104 910973641 501 ( C)(3) 5000 Gold Sponsorship Washington State University College of Nursing PO Box 1495 Spokane WA 99210 911937810 Government 5000 Amanda Lennick Memorial scholarship Women Making a Difference 956 S Main Colville WA 99114 371412015 501(C)(3) 5000 Community Benefit support YMCA of the Inland Northwest 1126 N Monroe St Spokane WA 99201 910827958 501(C)(3) 5000 Community Health Archbishop Brunett Retreat Center - Palisades 4700 SW Dash Point Road 100 Federal Way WA 98023 910778147 501(C)(3) 0 36792 FMV Sound System Community Support Seattle Center Foundation 305 Harrison Street Seattle WA 98109 911003385 501 ( C)(3) 8000 FMV Med Supplies Community Health 96 6 Medical assistance 4 139 Cost Financial assistance on behalf of individuals Prescription Medication 2357 154618 Cost Medications for Uninsured Medical Items 5 155 Cost Misc Med Purchases for Needy Patients Transportation Assistance 2030 55330 Cost Cab/Transportation Fare for Needy Patients Lodging / Hotel 1386 97051 Cost Good Night Sleep Program / Overnight lodging for Needy Patients Home Care 21 4281 Cost Home Care Merchant Card for Purchases 205 5100 Cost Merchant Purchase Cards to assist poor & needy patients Meals 120 3000 Cost Meals or food purchased to assist poor & needy patients Medical Residency 8 81660 Cost Psych Residency Program at University of Washington Gas Cards 530 13250 Cost Gas Cards for poor and needy patients Patient Pharmaceuticals Support 1 15 Cost Purchased Pharmaceuticals for needy patient Rent 5 1749 Cost Rent Support for Needy Patients Utilities 11 1883 Cost Utilities paid for poor & needy patients Wig/Scarves for Cancer Patient 5 507 Cost Wig purchased for a cancer patient Wheelchair transport 1678 45252 Cost American Medical Response Student Tuition 63 524155 Cost University of Great Falls 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 1184387 0 750000 0 17500 0 473741 0 20585 0 2446213 0 0 0 Todd Hofheins EVP/CFO 589662 0 0 0 17500 0 89039 0 23882 0 720083 0 0 0 Cindy Strauss SVP/Chief Legal Officer 470542 0 0 0 17500 0 212878 0 21972 0 722892 0 0 0 Bruce Lamoureux CE/AK.Region 501450 0 159411 0 17500 0 42921 0 26105 0 747387 0 0 0 Anthony Dorsch CFO/PSMS Shared Services 315929 0 0 0 68235 0 39703 0 21137 0 445004 0 0 0 Medrice Coluccio CE/Southwest WA.Region 434139 0 1836169 0 17500 0 110229 0 14092 0 2412129 0 878684 0 Michael L Butler President/Operations & Services 983000 0 540000 0 17500 0 466289 0 25839 0 2032628 0 0 0 Debra Canales EVP/Chief People & Experience Ofc. 706646 0 265000 0 104573 0 11700 0 11617 0 1099536 0 0 0 Richard Mandsager CE/PAMC 309427 0 626327 0 17500 0 31078 0 10560 0 994892 0 0 0 Lisa Vance SVP/Clinical Program Services 434708 0 246809 0 28198 0 38628 0 19803 0 768146 0 0 0 Randy Axelrod MD EVP/Clinical & Patient Svcs 681191 0 0 0 20315 0 222505 0 23135 0 947146 0 0 0 Elaine Couture CE/PHC/Eastern WA. Region 463902 0 131707 0 17500 0 71399 0 21120 0 705628 0 0 0 Jack Friedman SVP/Account Care & Payor Rel. 531342 0 47539 0 17500 0 151650 0 25916 0 773947 0 0 0 Aaron Martin SVP/Strategy & Innovation 463108 0 100000 0 0 0 11700 0 6341 0 581149 0 0 0 Craig L Wright MD SVP/Physician Svcs 519920 0 0 0 30032 0 293065 0 19017 0 862034 0 0 0 Janice Newell SVP/Chief Information Officer 511942 0 0 0 17500 0 208385 0 12449 0 750276 0 0 0 Deborah Burton SVP/Chief Nrsg. Officer 346075 0 156114 0 17500 0 31767 0 23615 0 575071 0 0 0 Robert Hellrigel CE/Senior & Community Services 373982 0 144954 0 0 0 73345 0 22560 0 614841 0 0 0 David Brown VP/Strategy & Business Development 354112 0 139500 0 0 0 121500 0 21630 0 636742 0 0 0 Orest Holubec SVP/Marketing & Communications 348449 0 120258 0 17500 0 31673 0 21890 0 539770 0 0 0 Mark Gargett VP/Digital Integration 360689 0 115852 0 0 0 57037 0 23310 0 556888 0 0 0 Preston Simmons CE/Northwest WA. Region 316356 0 145906 0 0 0 24096 0 22414 0 508772 0 0 0 Joel S Gilbertson SVP/Comm. Ptnrshp. / Ext. Affairs 402181 0 0 0 17500 0 81301 0 21910 0 522892 0 0 0 John O Mudd SVP/Mission Leadership 371637 0 34705 0 11712 0 77766 0 18052 0 513872 0 0 0 Gary Flaming SVP/Chief Risk Officer 264317 0 133902 0 17500 0 70770 0 18447 0 504936 0 0 0 Jason Dryer Neurosurgeon 643992 0 1521543 0 0 0 11700 0 22420 0 2199655 0 0 0 Johnny Delashaw Neurosurgeon 1045217 0 915033 0 14400 0 11700 0 20496 0 2006846 0 0 0 David Yam Neurosurgeon 597626 0 1029841 0 25000 0 11700 0 16078 0 1680245 0 0 0 Shelly Handkins VP/CFO Revenue Cycle 397093 0 1063352 0 0 0 35679 0 23672 0 1519796 0 0 0 Atul Thakker Physician 1095594 0 212641 0 49770 0 23934 0 18183 0 1400122 0 0 0 John F Koster MD Former President & CEO 49738 0 624015 0 222502 0 762492 0 3725 0 1662472 0 1162929 0 Jeff W Rogers Former Corporate Secretary 0 0 12493 0 218619 0 390991 0 0 0 622103 0 467812 0 Cindra R Syverson Former SVP/CHRO 23967 0 1162497 0 881829 0 10140 0 8178 0 2086611 0 651475 0 Ray Williams Former SVP/Physicians Svcs 1424 0 434467 0 624988 0 0 0 4597 0 1065476 0 286164 0 John Fletcher Former VP/Operations Support 32671 0 215075 0 795197 0 408292 0 22799 0 1474034 0 739867 0 Jan J Jones Former SVP/CAO 30294 0 153867 0 694943 0 303683 0 26844 0 1209631 0 595726 0 Andy Agwunobi Former CE/PHC 0 0 401342 0 0 0 1083 0 0 0 402425 0 0 0 Arnie Schaffer Former EVP/W.WA.Region 281 0 95241 0 214184 0 239449 0 5948 0 555103 0 329975 0 Terry L Smith Former SVP/Management Svcs 35751 0 39958 0 104718 0 309097 0 1830 0 491354 0 320288 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 and 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 2014, there were three 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 2014, the following Listed Persons received gross-up payments: Debra Canales Anthony Armada Lisa Vance Craig Wright, MD Cindra Syverson Arnie Schaffer 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 and 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 2014, the following Listed Persons received relocation/housing program payments: Debra Canales Anthony Armada Lisa Vance Craig Wright, MD Cindra Syverson Arnie Schaffer 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 Earned but not Vested- $423,527 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $61,763 3) Cindy Strauss a) SERP Earned but not Vested - $173,177 b) SERP Interest Credit - $20,200 4) Medrice Coluccio a) Taxable SERP Vested but not Paid - $1,647,518 b) SERP Interest Credit - $86,583 5) Mike Butler a) SERP Earned but not Vested - $375,980 b) SERP Interest Credit - $55,936 6) Lisa Vance a) Taxable CBRP Paid - $65 b) Taxable SERP Earned but not Paid - $246,744 c) SERP Interest Credit - $5,405 7) Randy Axelrod a) SERP Earned but not Vested - $210,806 8) Bruce Lamoureux a) Taxable CBRP Paid - $654 b) Taxable SERP Earned but not Paid - $158,756 c) SERP Interest Credit - $20,220 9) Elaine Couture a) Taxable SERP Earned but not Paid - $131,451 b) SERP Interest Credit - $48,789 c) Taxable CBRP Paid - $256 10) Jack Friedman a) Taxable SERP Earned but not Paid - $47,539 b) SERP Interest Credit - $100,696 11) Craig Wright, MD a) SERP Earned but not Vested - $172,424 b) SERP Interest Credit - $91,172 12) Janice Newell a) SERP Earned but not Vested - $185,427 b) SERP Interest Credit - $4,758 13) Deborah Burton a) Taxable SERP Earned but not Paid - $156,114 b) SERP Interest Credit - $4,843 14) Robert Hellrigel a) SERP Earned but not Vested - $38,135 b) SERP Interest Credit - $6,970 15) David Brown a) SERP Earned but not Vested - $74,010 b) SERP Interest Credit - $19,770 16) Orest Holubec a) SERP Earned but not Vested - $18,642 b) SERP Interest Credit - $1,332 17) Mark Gargett a) Taxable SERP Earned but not Paid - $111,973 b) Taxable CBRP Paid - $3,879 c) SERP Interest Credit - $22,957 18) Preston Simmons a) Taxable SERP Earned but not Paid - $145,906 b) Non-Taxable SERP Earned but not Paid - $69 c) SERP Interest Credit - $2,794 19) Joel Gilbertson a) SERP Earned but not Vested - $48,936 b) SERP Interest Credit - $13,976 20) Jack Mudd a) Taxable SERP Earned but not Paid - $34,705 b) SERP Interest Credit - $52,292 21) Gary Flaming a) Taxable SERP Earned but not Paid - $127,565 b) Taxable CBRP Paid - $6,338 c) SERP Interest Credit - $1,640 22) Anthony Dorsch a)SERP Interest Credit - $6,775 b)SERP Earned but Not Vested - $30,142 23) Richard Mandsager a)SERP Interest Credit - $7,027 b)Taxable CBRP Earned but Not Paid - $52 c)Taxable SERP Earned But Not Paid - $626,275 24) Shelly Handkins a)Taxable CBRP Earned but Not Paid - $66,550 b)Taxable SERP Vested But Not Paid - $996,802 25) Atul Thakker a)Taxable CBRP Earned but Not Paid - $109,891 b)Non-Taxable DCRP Earned but Not Paid - 1,166 26) Cindra Syverson a) Taxable SERP Paid - $1,154,015 b) Taxable CBRP Paid - $8,482 c) SERP Interest Credit - $7,244 27) Ray Williams a) Taxable SERP Paid - $424,467 28) John Fletcher a) Taxable SERP Paid - $213,729 b) Non-Taxable SERP Paid - $374,151 c) Taxable CBRP Paid - $1,346 29) John Koster, MD a) Taxable SERP Paid - $624,015 b) Non-Taxable SERP Paid - $538,914 c) SERP Interest Credit - $196,163 30) Jan Jones a) Taxable SERP Paid - $153,823 b) Taxable CBRP Paid - $45 c) Non-Taxable SERP Paid - $282,092 31) Arnie Schaffer a) Taxable SERP Paid - $95,241 b) Non-Taxable SERP Paid - $234,734 32) Jeff Rogers a) Taxable CBRP Paid - $12,493 b) Non-Taxable CBRP Earned but not Paid - $10,159 c) SERP Earned but not Paid - $242,193 d) ESP Paid - $218,619 33) Terry Smith a) Taxable SERP Paid - $22,869 b) Taxable CBRP Paid - $17,090 c) Non-Taxable CBRP Paid - $44 d) Non-Taxable SERP Paid - $297,419 Part I, Lines 4a-b SEVERANCE 1) Cindra Syverson - $813,696 2) Ray Williams - $624,988 3) John Fletcher - $555,934 4) Jan Jones - $592,802 5) Arnie Schaffer - $193,271 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 2014, 100 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. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports 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 16 1980039 3336312 146353342 64269042 2009 0 1 1 1 B 165050000 14 1660244 2465562 160924194 2002 1 0 1 1 C 173548413 15 2543941 171004472 2011 0 0 1 1 D 23780000 101296076 34 1060339 100235737 2004 1 0 1 1 A 0 0 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 0 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 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 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 1 - ISSUE D - PART I, Question (f) Proceeds were used to currently refund all outstanding Series 2001A Bonds. 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 - ISSUE B - PART I, Question (f) Reimburse Providence Alaska Medical Center for portion of costs to construct cancer center. ISSUE C, Part I, Question (f) Fund portion of expansion & renovation at PAMC & Portion of construction of long-term care facility. ENTITY 1 - PART I & II - BOND ISSUE D 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. A Alaska Industrial Development and Export 926001185 011903BEO 2003-09-04 37426100 Reimburse Alaska Region for Capital expenditures 0 0 0 B Alaska Industrial Development and Export 926001185 011903CT6 2006-11-30 57177110 Reimburse Alaska Medical Ctr for portion of costs to construct cancer cter 0 0 0 C Alaska Industrial Development and Export 926001185 011903DZI 2011-11-17 126601436 SEE PART VI 0 0 0 D Washington Health Care Facilities Authority 911108929 93978HKL8 2014-09-10 50064724 Partial refinance of taxable issue - Providence Regional Med. Ctr. Everett 0 0 0 A 31400000 37426100 501778 36924322 14 2003 0 0 1 1 B 57177116 6 646775 56530335 2008 0 0 1 1 C 126618744 13 1601436 125017295 2012 0 0 1 1 D 50064724 565711 30366074 19132939 2015 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 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 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 X 1 47750 Appraisal X Educ. Courses 21 10600 FMV X Photographs 13 1558 FMV 0 0 1 0 Part I, Column (b): The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. 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 staff and reviewed by the 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 IX, line 11g Agency/Contract Labor: Program service expenses 34,916,927. Management and general expenses 42,763,574. Fundraising expenses 0. Total expenses 77,680,501. Medical Director & Med Physician Fees: Program service expenses 88,748,548. Management and general expenses 25. Fundraising expenses 0. Total expenses 88,748,573. Repairs & Maintenance: Program service expenses 32,650,939. Management and general expenses 107,227,627. Fundraising expenses 62. Total expenses 139,878,628. Billing & Collections: Program service expenses 0. Management and general expenses 40,070,001. Fundraising expenses 0. Total expenses 40,070,001. Records Management: Program service expenses 1,157,114. Management and general expenses 771,034. Fundraising expenses 82. Total expenses 1,928,230. Transcription & Translation Services: Program service expenses 2,000,299. Management and general expenses 4,988,542. Fundraising expenses 0. Total expenses 6,988,841. Dietary: Program service expenses 2,154,390. Management and general expenses 1,208,245. Fundraising expenses 1,015. Total expenses 3,363,650. Other Patient Services: Program service expenses 83,347,106. Management and general expenses 4,728,477. Fundraising expenses 0. Total expenses 88,075,583. Other Administrative Services: Program service expenses 2,547,785. Management and general expenses 34,738,295. Fundraising expenses 50,481. Total expenses 37,336,561. General Consulting Fees: Program service expenses 2,711,413. Management and general expenses 58,171,665. Fundraising expenses 52,895. Total expenses 60,935,973. Form 990, Part XI, line 9: Interaffiliate Transactions 149,186,382. Recipient Organization Adjustments 3,894,272. Revenue Reclassifications -496,778. Expense Reclassifications -2,793,984. Pension Adjustment -98,220,393. Net Assets Transfers -149,052,319. Net Assets (Liabilities) Assumed 3,806,071. Rounding 37. 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 measurers, 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). During 2014, RNs volunteered for 14 hours for the annual PSCS flu vaccine clinic held in Renton. Volunteers provided education to PCSC employees regarding the flu vaccine, prepared vaccines for administration, and documented the vaccine consent for PSCS employees. 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, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective March 1, 2014, the Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation. 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 260 35036244 Providence Health & Services - Washington Legacy LLC PO Box 196606 Anchorage AK 99519 320252199 Real Estate AK 2927361 49354262 Providence Health & Services - Washington Health Services Asset Management LLC 1801 Lind Ave SW 9016 Renton WA 98057 271698016 A/R & Collections WA 0 205877 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 8370372 Providence Health & Services - Washington Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 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 - 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