2014-12-22T14:09:15-06:00 2013-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2013-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 Lind Ave SW No 9016 Renton WA 980579016 Todd Hofheins EVP/CFO 4255253985 2014-12-22 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2013 2016-02-25 16:41:14Z Rodney Hochman MD 1801 Lind Ave SW No 9016 Renton WA 980579016 5286334171 0 X washington.providence.org X 1859 WA Healthcare with special concern for the poor and vulnerable in WA. & AK. 17 17 26884 5108 6391810 1842480 46183482 43114695 3246968295 3316627725 69253173 58156447 398076606 999083666 3760481556 4416982533 13902077 15667400 0 0 2093041728 2879625793 0 0 1165003 1697104707 1858381330 3804048512 4753674523 -43566956 -336691990 7187936085 7118136633 5044892423 4680170845 2143043662 2437965788 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 1456207961 0 1754493500 Acute Care - Inpatient 536,538 Adult & Pediatric Admissions 114,790 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 Providence cares Whether tenderly holding a special-needs child who requires round-the-clock care, or easing the way for a stroke patient who faces both physical and financial struggles, the people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life, regardless of ability to pay. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River 150 years ago, committed to the care and healing of poor and vulnerable frontier neighbors. 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. Together with our community partners, we identify where the greatest unmet needs are among people in the communities we serve. Many of these services provide access to: mental health and substance abuse services, preventive care and emergency department coordination, chronic disease management, support and education, meeting basic needs such as hunger, housing and transportation.Providence Health & Services - Washington is a not-for-profit network of hospitals, senior care centers, physicians, home health services, clinics and other services operating in Alaska and Washington. The hospitals included in this return include the following:1) Providence Alaska Medical Center - Anchorage, AK.2) Providence Sacred Heart Medical Center & Children's Hospital - Spokane, WA.3) Providence St. Peter Hospital - Olympia, WA.4) Providence Regional Medical Center - Everett, WA.5) Providence Holy Family Hospital - Spokane, WA.6) Providence Centralia Hospital - Centralia, WA.7) Providence St. Mary Medical Center - Walla Walla, WA.8) Providence Mt. Carmel Hospital - Colville, WA.9) Providence St. Joseph Hospital - Chewelah, WA.10) Providence Kodiak Island Medical Center - Kodiak, AK.Examples of 2013 achievements:Providence Regional Medical Center received designation as a Level II Trauma Center.Providence Centralia Hospital coordinated the largest health education event in Lewis County - about 2,000 attended.Providence St. Peter Hospital provided $3.25 million in training support of 19 family medicine physicians and $1.7 million to support student internships.Cordova Community Medical Center created electronic connection eICU - two-way video and audio system helping providers in remote locations 24 hours a day, seven days a week.Providence Valdez Medical Center's Sound Wellness Alliance Network offered biometric screening to more than 500 people.For the 13th time, Providence Sacred Heart Medical Center & Children's Hospital has received the Consumer Choice Award from the National Research Corporation.For the 13th consecutive year, Providence Sacred Heart Medical Center & Children's Hospital made the list of "100 Most Wired Hospitals and Health Systems".Providence St. Mary Medical Center received several awards in 2013. The hospital was named by Healthgrades in the top 15 percent in the nation for the experience we provide patients, and in the top 10 percent of the nation for patient safety. Consumer Reports gave us its highest possible rating for surgery in 2013 as well. We were the only hospital in the region to earn an excellent rating, and one of only seven in the state.The ministries of Providence in Washington and Alaska have a shared vision to create an experience of connected care for each patient. We also work to achieve the Triple Aim, which calls us to:*Improve our population's health*Give our patients the best care experience*Make sure our services are affordable 864219256 0 1041243495 Acute Care - Outpatient 1,962,355 Emergency & Ancillary VisitsSEE LINE 4A NARRATIVE 231967678 0 279483284 LTC/Hospice/Housing & Assisted Living - 390,447 Days for Long-Term Care/Asst. Living; 304,056 Home Health Visits; 366,058 Hospice DaysAdult day programs provide a supportive and stimulating environment for older adults and others who would benefit from extra care, activities, and social stimulation. Social opportunities include exercise, gardening, arts and crafts, cooking, games, music, guest speakers, field trips, and celebrations. Assisted living facilities support independent lifestyles with many outstanding amenities and a full array of daily activities. Our residents can access the services they need such as meals, laundry, housekeeping, and personal assistance and still enjoy the privacy of their own apartments with their own furnishings.We provide comprehensive professional skilled nursing and rehabilitation including physical, emotional, and spiritual care for the whole person. We take pride in giving compassionate care and services with dignity and respect for the individual.Providence ElderPlace is an innovative program of health care and social services for older adults. Our model of care is known as PACE (Program of All Inclusive Care for the Elderly). PACE programs keep older adults as healthy as possible in the community by providing comprehensive health care and social services.We offer exceptional skilled care for patients of all ages, with all medical diagnoses, within the comfort of their home. Home Health patients are those who find it taxing to leave their home. They may have a new diagnosis or illness, be coping with a chronic condition, such as heart failure or diabetes, or recovering from surgery, such as a total hip or knee replacement, or hospitalization.Providence Hospice provides comprehensive and compassionate physical, emotional, and spiritual care to people of all ages nearing the end of their lives, including support for their family and friends. 185025941 0 222926134 Primary Care 1,535,758 Clinic VisitsSEE LINE 4A NARRATIVE 20739604 0 24987846 Healthcare Joint Ventures 15667400 15667400 0 Grant & Allocations - See Schedules F & I 221432945 15667400 247913980 2773827840 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 X 2014 0 1 26884 1 1 1 0 0 0 0 1 1 0 0 0 0 X 17 17 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 1801 Lind Ave SW 9016 Renton WA 980579016 X Michael Holcomb Chair of the Board 8.60 0.10 X X 60335 0 0 Lucille Dean SP Director 9.40 0.10 X 0 0 0 Mary Corita Heid RSM Director 5.00 0.10 X 0 0 0 Michael A Stein Director 6.00 0.10 X 18335 0 0 Eugene Al Parrish Director 5.00 0.10 X 15335 0 0 Dana A Rasmussen Director 4.30 0.10 X 18335 0 0 James S Roberts MD Director 9.00 0.10 X 30835 0 0 Peter J Snow Director 5.70 0.10 X 20835 0 0 Bob Wilson Director 5.00 0.10 X 15335 0 0 Sallye Liner Director 4.00 0.10 X 15335 0 0 Cheryl M Scott Director 4.60 0.10 X 15335 0 0 Ellen L Wolf Director 7.10 0.10 X 15335 0 0 Isiaah Crawford Director 4.10 0.10 X 15335 0 0 Martha Diaz Aszkenazy Director 7.70 0.10 X 15335 0 0 Kirby McDonald Director 4.60 0.10 X 15335 0 0 Dave Olsen Director 5.50 0.10 X 15335 0 0 Charles Chuck Watts Director 4.60 0.10 X 15335 0 0 John F Koster MD - Thru 0313 President / CEO 21.00 33.00 X 3202727 0 247248 Rod F Hochman MD - Eff 0413 President / CEO 25.00 40.00 X 1402907 0 515903 Todd Hofheins EVP/CFO 23.00 37.00 X 570367 0 90110 Jeffrey W Rogers - Thru 513 Corporate Secretary 19.00 31.00 X 1040781 0 189880 Cindy Strauss - Eff 613 SVP/Chief Counsel/Corp. Secretary 23.00 37.00 X 955824 0 248254 Bruce Lamoureux SVP/CEO - AK. Region 58.00 0.00 X 907279 0 95774 Anthony Dorsch CFO/AK. Region 48.00 0.00 X 345451 0 91536 Terry L Smith SVP/Management Svcs 23.00 37.00 X 1612950 0 226158 Deborah Burton SVP/Chief Nrsg. Officer 25.00 40.00 X 1347109 0 66039 Michael L Butler President/Operations & Services 23.00 37.00 X 1272743 0 742629 Randy Axelrod MD EVP/Clinical & Patient Svcs 23.00 37.00 X 1055259 0 219690 Janice J Jones SVP/CAO 21.00 34.00 X 999701 0 159493 Myron Berdischewsky MD SVP/CMQO 23.00 37.00 X 855510 0 158577 Jack Friedman SVP/Account Care & Payor Rel. 21.00 34.00 X 826281 0 177752 Ray Williams SVP/Physicians Svcs 21.00 34.00 X 761267 0 203589 Cindra R Syverson SVP/CHRO 23.00 37.00 X 717450 0 292188 Craig L Wright MD SVP/Physicians Svcs 23.00 37.00 X 708798 0 451637 John O Mudd SVP/Mission Leadership 21.00 34.00 X 542246 0 208258 Claudia Haglund VP/Governance & Sponsorship 19.00 31.00 X 494375 0 157049 Joel S Gilbertson SVP/Comm.Ptrshp & External Affairs 21.00 34.00 X 456594 0 126245 David Brown VP/Strategy & Innovation 21.00 34.00 X 434606 0 168959 Orest Holubec SVP/Marketing & Communications 23.00 37.00 X 423960 0 61310 Gary Flaming SVP/Chief Risk Officer 22.00 35.00 X 381771 0 94294 Arnold Schaffer EVP/W. WA. Region 23.00 37.00 X 1441657 0 233992 Elaine Couture SVP/CEO - PHC 54.00 1.00 X 723792 0 104285 Preston Simmons CEO - NW WA. Region 40.00 0.00 X 698142 0 67019 Medrice Coluccio CEO - SW WA. Region 60.00 0.00 X 545901 0 498343 Atul Thakker Physician Surgeon 55.00 0.00 X 1339221 0 32638 David Yam Neurosurgeon 55.00 0.00 X 1045952 0 25997 John Fletcher VP/Operations 55.00 0.00 X 1078053 0 286772 Paul Anderson CIO/WA-MT Region 55.00 0.00 X 986220 0 4709 Jeffrey Roaten Pediatric Surgeon 55.00 0.00 X 927829 0 34291 Karl Carrier Former CFO - CA. Region 0.00 0.00 X 181409 0 201988 Kerry L Carmody Former COO - CA. Region 0.00 0.00 X 757578 0 357950 31343735 0 6840556 3173 1 1 0 The Everett Clinic 3901 Hoyt Avenue Everett WA 98201 Medical Services 19926225 Inland Imaging LLC 122 W 7th Avenue Suite 410 Spokane WA 99202 Imaging Services 11740137 Inland Northwest Blood Center 203 W Cataldo Avenue Spokane WA 99201 Medical Services 10207827 W3 LLC 925 North Point Pkwy Suite 160 Alpharetta GA 30005 IT Consulting & Management 8804767 Pathology Associates Medical Labs PO Box 2720 Spokane WA 99220 Lab Services 7774146 869 38065 612419 11693676 25738867 5031668 7000 43114695 Acute Care/Inpatient 900099 1748002550 1748002550 Acute Care/Outpatient 621400 1037391295 1037391295 LTC/Homecare/Hospice 621610 278449303 278449303 Primary Care 621110 222101393 222101393 Healthcare JVs 900099 27397686 24895401 2502285 3285498 3285498 3316627725 32536763 32536763 29977125 25892 13667832 110394 16309293 -84502 16224791 799978 15424813 870318610 8663923 846964439 6398410 23354171 2265513 25619684 25619684 256595 612419 695636 -439041 -439041 31589 15765 15824 15824 2421354 1499162 922192 922192 Pharmacy Revenue 446110 20613995 605620 1890128 18118247 Cafeteria Revenue 722210 18785843 0 173763 18612080 Laboratory Revenue 621500 16296024 83006 945386 15267632 926664038 8320193 80270 918263575 982359900 4416982533 3323134259 6391810 1044341769 X 14268326 14268326 442057 442057 957017 957017 18595225 1652744 16942481 1772655757 1135631678 636627509 396570 152867865 85286748 67539434 41683 812492097 228043197 583882302 566598 123014849 78918303 44059996 36550 6528204 632928 5895276 2859262 2859262 158675 158675 1424602 1424602 509502437 262498409 247004028 9099735 6587753 2511982 112390906 68879196 43440855 70855 39621591 3358753 36262838 87613202 45928579 41684623 22941471 5918266 17004847 18358 8292129 2334008 5944917 13204 51114241 50983249 130992 2854978 2854978 220123125 120028167 100094958 53164124 33850433 19313691 Medical Supplies 479072178 479014743 57435 Bad Debt Expense 97577879 97572309 5570 Prof. Liab. Trust 70975000 70975000 UBI Taxes 744000 744000 82323591 51040977 31261429 21185 4753674523 2773827840 1978681680 1165003 3903073 2904419 347716675 388720402 3556265 5954684 489647879 535291965 31562946 33304865 55335834 53101746 41394819 41171987 4852075634 2228905606 2488430486 2623170028 1334579669 1542049367 98870848 105753444 21349593 21720654 2271587998 1764993072 7187936085 7118136633 500334779 577934307 7414775 10845286 828765001 811205001 143088 1582735 281958940 609605 3426275840 3277993911 5044892423 4680170845 X 2085155320 2376578881 47032095 48068173 10856247 13318734 2143043662 2437965788 7187936085 7118136633 X -336691990 22786793 -1254629 610081952 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1 1 0 1 154952 1 128772 0 1 3723 287447 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 2013 Advocacy Agenda Providence has long advocated for important healthcare and social programs in our communities. As we maintain our special focus on serving the poor and vulnerable, we also remain committed to delivering higher-quality, affordable care to all we serve. Across our system, we are pursuing innovative models of care and ways to quickly implement best practices in an increasingly collaborative, connected setting. In an environment of high unemployment and increasing individual and community need, we urge policy leaders to maintain the stability, scope and purpose of programs supporting the most vulnerable among us. While health care cost increases are slowing, we recognize that we need to do even more to reduce the cost of care. We believe it is possible to realize further cost savings in a thoughtful, sustainable way and are committed to partnering with others, including the government, to achieve that goal. Our experience as an integrated, multi-state system can help inform the development of policy solutions. Work for affordable and lasting health reform * As Medicare and Medicaid reforms emerge, we urged policy makers to take a longer-term and balanced approach - rather than using a shortsighted, budget-driven perspective. Cutting in one area to pay for an increase in another frequently damages integrated systems that are deeply connecting services, and could disrupt large collaborative efforts, such as accountable care models that are in early development. * Health reform should contribute meaningful reductions to the federal deficit and state budget planning. We see continued opportunities through improved efficiency and innovation, such as coordinated, community-based care focused on the Triple Aim. Preserve and advance coverage expansion * The Affordable Care Act creates a significant opportunity to achieve higher levels of insurance coverage. We support Medicaid expansion in every state, with funding levels preserved to ensure broad access to quality care. * We support the development of effective health insurance exchanges that offer affordable insurance options to the largest number of individuals and families who are eligible to participate. We believe these exchanges must establish incentives for provider-payer collaboration to assist in the development of new payment models and redesigned care. * An adequate supply of clinicians is needed to meet the demands of coverage expansion and to address shortages of nurses, physicians and other health care workers. We advocate for strengthening graduate medical education, nursing education and other health care worker training programs. Care for the most vulnerable among us * Although insurance coverage levels will dramatically increase in 2014, we cannot forget those who will need extra support to improve their access to care. Individuals and families living in rural communities experience barriers to a full continuum of care in their local areas. There are many who live in isolation due to frailty, chronic disease or behavioral health challenges. We will continue to speak for all those who are marginalized and unable to access the health care they need. Expand clinical transformation * Health care is evolving rapidly and dramatically - there is no more important time than now to work on improving care and outcomes through transformative change. Payment model reform, in both Medicare and Medicaid, must advance in alignment with and support of care model changes. * We ask policy makers to support proposals that promote the use of new technologies and greater clinical integration across providers and care settings. This includes expanding telemedicine, advancing the adoption of interoperable electronic health records and reducing barriers to clinical integration and participation in collaborative care models. Work for the common good and social justice * We ask policy makers to ensure that comprehensive immigration reform includes ways to improve access to health care for immigrants, regardless of legal status. * We support medical malpractice reforms that promote justice for patients harmed, improve health care quality and reduce liability insurance premiums. Working together to provide the best care Providence caregivers work collaboratively to develop leading care practices and employ those practices to deliver quality, affordable care to every patient in every community served. Working together, the combined health systems employ more than 64,000 people who serve millions of people across five states. Partnering to fulfill community need Providence reaches out beyond the walls of our hospitals and clinic settings to touch lives in the places where relief, comfort and care are needed. Guided by a willingness to adapt to meet changing times and unmet community needs, Providence collaborates with a diverse range of partners to provide a lasting community benefit. In 2013, Providence provided $951 million in community benefit. The cornerstone of the Providence Mission is to provide quality care that is accessible for all in the community. This Mission is firmly rooted in the work started more than 157 years ago by the Sisters of Providence and we honor and live by their commitment every day. Meeting the needs of our communities remains at the heart of what we do. 489517 1055736 37278 1582531 483523 2500 3494 489517 8463851 51311 75538 8107177 483523 7596645 364798 677288 174880 8463851 6401153 106633 1289282 162845 7578 30000 7596645 0.00000 1.00000 0.00000 0 0 22491197 139163897 161655094 193485862 1946701383 935598838 1204588407 160216774 86084764 74132010 52015596 1903970639 1207222004 748764231 101971 433928315 434030286 2623170028 Due From Affiliates 1479654474 Trustee Held Funds 190240194 Unamortized Finance Costs 16357171 Assets Held Under Securities Lending 9385869 Other Long-Term Receivables 49133156 Third Party Settlements 9535377 Charitable Trusts & Gift Annuities 117372 CSV of Life Insurance 160912 Deferred Compensation 457F 5141269 Bond Premium Discount 1141582 Donated Assets 20000 Accrued Rebates 4105696 1764993072 Self-Insured Trusts 229327805 Due To Affiliates 1371515686 Taxable Bond Issues 820923814 Accrued Pension Costs 745607363 LT Asset Retirement Obligation - FIN 47 15617221 Liabilities Under Securities Lending 11306755 Other Long-Term Payables 29074684 Third Party Settlements 54596583 Bank Loan Reserve 24000 3277993911 X Part V, Line 4: The Endowment Funds are intended to be used to provide home health services to the poor & vulnerable in Eastern Washington & Alaska. 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 437031 Central America and the Caribbean 0 0 Grantmaking 254192 Middle East & North Africa 0 0 Grantmaking 196216 Russia & Neighboring States 0 0 Grantmaking 62476 East Asia & The Pacific 0 0 Grantmaking 5340 North America 0 0 Grantmaking 1180 South America 0 0 Grantmaking 338 South Asia 0 0 Grantmaking 244 0 0 0 0 0 0 957017 0 957017 Central America and the Caribbean Medical Supplies 245097 Medical Supplies Cost Middle East & North Africa Medical Supplies 89153 Medical Supplies Cost Middle East & North Africa Medical Supplies 104471 Medical Supplies Cost Russia & Neighboring States Medical Supplies 62476 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 58239 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 243531 Medical Supplies Cost Sub-Saharan Africa Medical Supplies 121783 Medical Supplies Cost 7 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 808305 573010 235295 17882 199201 439803 Golf Classic 60709 39409 21300 5160 16336 8190 9064 869014 612419 256595 5160 34218 207391 448867 695636 -439041 31589 1532 14233 1 1.00000 31589 1532 14233 15765 15824 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 118728691 118728691 0.02550 0 0 425914055 291855214 134058841 0.02880 0 0 4057407 3163029 894378 0.00020 548700153 295018243 253681910 0.05450 0 0 8178191 1315538 6862653 0.00150 0 0 24604422 10533577 14070845 0.00300 0 0 73099621 45316233 27783388 0.00600 0 0 3324177 1159096 2165081 0.00050 0 0 5457667 8950 5448717 0.00120 114664078 58333394 56330684 0.01220 663364231 353351637 310012594 0.06670 0 0 1132 1132 0.00000 0 0 76453 76453 0.00000 0 0 16296 16296 0.00000 0 0 49775 49775 0.00000 143656 143656 1 97577879 1039589468 1045879979 -6290511 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 1 X X X X X X X X X 13 1 1 1 X http://washington.providence.org X X X X X X X X X 1 0 1 1 100.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X 1 0 1 X 0 1 Providence Health & Services - Alaska 1 X X X X X X X X X 13 1 1 1 X http://alaska.providence.org X X X X X X X 0 0 1 1 100.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 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 Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 3: 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. Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 4: Providence Holy Family Hospital Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 7: 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. Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 14g: 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. Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 20d: 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. Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 3: The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community. Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 14g: 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. Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 20d: 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. Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 3: 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 Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 7: 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. Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 14g: 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. Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 20d: 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. Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 3: 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 Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 7: 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. Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 14g: 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. Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 20d: 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. Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 3: 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. Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 4: Providence Sacred Heart Medical Center Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 7: 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. Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 14g: 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. Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 20d: 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. Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 7 -- Providence Centralia Hospital Part V, Section B, line 3: The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community. Facility 7 -- Providence Centralia Hospital Part V, Section B, line 14g: 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. Facility 7 -- Providence Centralia Hospital Part V, Section B, line 20d: 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. Facility 7 -- Providence Centralia Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 3: 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. Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 7: 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. Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 14g: 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. Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 20d: 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. Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 3: 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. Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 4: Providence St. Joseph Hospital Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 7: 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. Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 14g: 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. Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 20d: 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. Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 3: 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. Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 4: Providence Mount Carmel Hospital Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 7: 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. Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 14g: 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. Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 20d: 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. Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Part V, Section B Facility Reporting Group B Facility Reporting Group B consists of: - Facility 1: Providence Alaska Medical Center, - Facility 11: Providence Kodiak Is. Medical Center Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 3: 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. Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 4: The CHNA for Providence Alaska Medical Center was prepared in collaboration with United Way of Anchorage and the Municipality of Anchorage. Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 7: Although there was an identified need related to Alcohol/Substance Abuse, prevention was not addressed. While there was an identified need related to Poverty, the focus was on homelessness. Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 20d: 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. Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 3: 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 Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 20d: 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. Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 22: For non medically necessary services a patient may be charged full billed charges. 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 $ 97,577,879. 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 2013, 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: It is Providence's policy to exclude all bad debts from Community Benefit information.The Consolidated Audited Financial Statements do not contain a footnote specific to Bad Debt Expense. 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 and 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. 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). Alaska has a significant number of high-need communities as ranked by the Thompson Reuters Community Need Index. Alaska is a demographically young state with 51 percent of the population under age 35, although the fastest growing age group is the over 55 population. 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. By percentage of gross revenue in 2013, approximately 18 percent of revenue was from Medicare, 17 percent from Medicaid and the remainder from other payers. The percentage of bad debt, charity care and self pay continues to remain high, at 8.7 percent of gross revenue. While the economic recession has impacted Alaska to a lesser degree than other states, the unemployment rate in Anchorage averaged 6.5 percent in 2013. In 2011, 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. 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 periodic 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 (population 14,135). 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. Geographically isolated, the islands can only be accessed by air or sea. More than half of the population on Kodiak Island was white in 2013 (58 percent). The next largest ethnic groups were Asian (20 percent) and then American Indian/Native Alaskan (13 percent). 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. For peak employment period in September, the unemployment rate was 4.4 percent in 2013, yet the entire year averaged 5.6 percent. The 2013 community health needs assessment identified the two greatest needs on the island as access to care due to affordability and substance abuse. Providence Seward Medical Center serves the communities of Seward and Moose Pass (population 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 majority of the population in Seward was white in 2010 (74 percent). The next largest ethnic groups were American Indian/Native Alaskan (13 percent) and then black (three percent). The median age was 38 years old. In the 2012 community health needs assessment, 87% of the respondents needed care in the previous 12 months, yet 10 percent were 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. According to the 2010 census, the majority (87 percent) of the population in the City of Valdez were white, with 13 percent of the population American Indian/Alaska Native. The median age was 37 years old in Valdez according to the 2010 census, a slightly older median age than the state (34 years old). In the 2011 community health needs assessment, approximately one in 12 community survey respondents reported that they or their family had to go without basic needs in the year prior to the survey. Of those who went without basic needs, almost half said they went without dental care (49 percent) and/or health care (46 percent). Along with community partners, Providence works to address community needs that include: health and wellness, mental health/ substance abuse, and access to and awareness of health care services. 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 median age was 42 years old according to the 2010 census. The majority of the population is white (79 percent) and American Indian/Alaska Native 15.4 percent. 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 will continue to provide funding and office space for 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, 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 the Seward Health and Wellness coalition. Programs include: Free primary care for up to 70 residents, expanding availability of charity care/sliding fee scale in the clinic, expanding the Know Your Numbers campaign and increasing access to dietary support and physical activities.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:Providence Health & Services owns or operates 32 general acute care hospitals, three ambulatory care centers, five medical groups, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center, 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 22 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; Everett, Seattle, Edmonds, Issaquah, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met.ALASKA REGION:Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Children's Hospital at Providence (the only one of its kind in Alaska), the state's only Level III NICU, Heart and Cancer Centers, the state's largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaskan communities. A continuum of post acute care services, including home health, hospice, assisted living and a skilled nursing facility provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The three critical access hospitals located in the remote communities of Kodiak, Seward, Valdez and Cordova are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.WESTERN WASHINGTON REGION - NORTHWEST:Providence cares for the residents of five Northwest Washington counties through a comprehensive network of facilities and services. Our hospital, Providence Regional Medical Center, contains more than $60 million in some of the world's most advanced medical technology, and is home to the state's busiest emergency room. Our Pavilion for Women & Children houses maternity and newborn intensive care, and offers breast care and other services for women, children and families. Our Providence Medical Group clinics provide a full range of primary and specialty care throughout Snohomish County. The Providence Regional Cancer Partnership is an innovative partnership that offers all aspects of outpatient cancer care under one roof, using some of the world's most sought-after cancer care technology. The Providence Everett Healthcare Clinic provides high-quality care for those who may otherwise not be able to afford it. Providence Hospice & Home Care of Snohomish County delivers compassionate, home-based care to those who are confined to the home. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON:In the Eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 200 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.WESTERN WASHINGTON REGION - SOUTHWEST:Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider. *Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.*Providence Centralia Hospital is a 102-bed, not-for-profit community based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves. *Providence Medical Group operates more than 25 clinics, with more than 160 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.*Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare andHospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia); Providence Blanchet House (Centralia); Providence Rossi House (Centralia) and Providence Place (Chehalis). Part VI, Line 7, Reports Filed With States WA,OR,CA,MT,AK PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUED - W. WA. - SOUTHWEST Providence Centralia Hospital and Providence St. Peter Hospital serve 489,000 people with 20% of the population over age 65. The median household income is $47,216. Within the Western Washington Region - Southwest, the percentage of people living in poverty includes: Thurston (11.7%), Lewis (15.4%), Mason (17.3%), Grays Harbor (19.0%) and Pacific (17.2%). The unemployment rates for the counties include Thurston (7.04%), Lewis (11.2%), Mason (9.74%), Grays Harbor (11.82%) and Pacific (10.65%). In 2013, the Western Washington Region - Southwest provided more than $59 million in charity care and community benefitsSOUTHEAST WASHINGTON REGION:The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The 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 Providence Alaska Foundation PO Box 196604 Anchorage AK 99519 920093565 501(C)(3) 1147209 0 Operational Support PHC Foundation - Eastern Washington PO Box 2555 Spokane WA 99220 320014330 501(c)(3) 949570 0 Operational Support Providence St Peter Foundation 413 Lilly Road NE Olympia WA 98506 911097056 501(C)(3) 796395 0 Operational Support Catholic Social Services Inc 225 Cordova St Bldg B Anchorage AK 99501 920037322 501(C)(3) 506000 0 Community Support Inland Northwest Health Services PO Box 469 Spokane WA 99210 911307555 501(c)(3) 468327 0 Community Health Education Outreach Project Access Northwest 1111 Harvard Ave Seattle WA 98122 204377921 501(c)(3) 365292 0 Operational Support/Premium assistance for low income, uninsured & underinsured residents of King & Kitsap Counties. University of Washington - School of Medicine Box 358047 Seattle WA 98195 916001537 Government 338907 0 Physician Residency Program University of Alaska 3211 Providence Dr K101A Anchorage AK 99508 926000147 Government 305000 0 Community Support Providence Hospice and Home Care Foundation Snohomish County 2731 Wetmore Suite 500 Everett WA 98201 272552749 501(c)(3) 304599 0 Operational Support Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 98029 931554288 501(c)(3) 277698 0 Operational Support Providence Hospice of Seattle Foundation 425 Pontius Ave N 300 Seattle WA 98109 912077378 501(C)(3) 275189 0 Operational Support Providence Academy Preservation 750 Anderson Street Vancouver WA 98661 911937645 501 (C )(3) 250000 0 Historical Preservation Providence Mount St Vincent Foundation 4831 35th Avenue Southwest Seattle WA 98126 911188119 501(C)(3) 213138 0 Operational Support Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 501 (C )(3) 212500 0 Global To Local Fund/Award/Sponsorship Anchorage Project Access PO Box 196604 Anchorage AK 99519 920152088 501(C)(3) 205000 0 Community Support Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 501(c ) (3) 203243 0 Operational Support Providence Health Care Foundation 914 S Scheuber Rd Centralia WA 98531 911433382 501(c ) (3) 200587 0 Operational Support Alaska Sports Hall Of Fame Inc 1415 Echo Canyon Rd Anchorage AK 99516 810649085 501(C)(3) 200000 0 Community Support Coalition To Protect America's Healthcare PO Box 30211 Bethesda MD 20824 522253225 501 (C )(4) 200000 0 Community Health Catholic Charities of Spokane PO Box 2253 Spokane WA 99210 910569880 501(c)(3) 183140 3427876 Cost Forgiveness of Debt Operational Support/Operational Support for St. Margaret's Shelter Alaska School Activities Association 4048 Laurel St 203 Anchorage AK 99508 920116510 501(C)(3) 180000 0 Community Support City of Cordova PO Box 1210 Cordova AK 99574 926000138 Government 150000 0 Community Support Kodiak Island Health Care Foundation 1911 E Rezanof Drive Kodiak AK 99615 920146203 501(C)(3) 125000 0 Operational Support Washington State University Foundation PO Box 641927 Pullman WA 99164 911075542 501(c)(3) 125000 0 Community Benefit SNAP-Ed food grant and WWAMI. Covenant House of Alaska PO Box 104640 Anchorage AK 99510 133419755 501(C)(3) 123260 0 Community Support Partners with Families & Children 613 S Washington St Spokane WA 99204 680576560 501(c)(3) 116692 0 Monthly Support Everett Community College 2000 Tower Street Everett WA 98201 910759103 Government 100000 0 Increase the availability of registered nurses to serve Snohomish County. Christ Clinic 914 W Carlisle Spokane WA 99204 911435174 501(c)(3) 98040 0 Operational Support/Psychiatric Nurse Practitioner Program Better Health Together PO Box 271 Spokane WA 99210 900997482 501(c)(3) 95000 0 Operational Support United Way of Anchorage 701 W 8th Avenue Ste 230 Anchorage AK 99501 920027948 501(C)(3) 90595 0 Community Support Faith in Practice 7500 Beechnut Street Suite 208 Houston TX 77074 760415986 501 (C )(3) 89093 0 Community Health/Gala/Capital Campaign Community Health Association of Spokane 203 N Washington St Suite 300 Spokane WA 99201 911641797 501(c)(3) 75000 0 Operational Support Prescription Drug Assistance Foundation 1111 Harvard Ave Seattle WA 98122 331134368 501(c)(3) 75000 0 Operational Support/Medication Access to Underinsured Spokane County Medical Society 104 S Fraya St Suite 114 Spokane WA 99202 916053239 501(c )(6) 71175 0 Operational Support/Sponsorship Tukwila School District NO406 4640 S 144th Street Tukwila WA 98168 916001638 Government 60000 0 Success Coordinator The American Heart Association 140 S Arthur Street Suite 610 Spokane WA 99202 135613797 501(c)(3) 57500 0 Medical Research Anchorage Orthopedic Society Inc 1200 Airport Heights Way 195 Anchorage AK 99508 562513639 501( C) (6) 50000 0 Community Support Catholic Relief Services PO Box 17090 Baltimore MD 21297 135563422 501 (C )(3) 50000 0 Philippines Disaster Relief Daybreak Youth Service 960 E Third Ave Spokane WA 99202 911083936 501(c)(3) 50000 0 Youth Services Program/Rapid Response Project Hospice And Palliative Care of Kodiak Inc PO Box 8682 Kodiak AK 99615 452208200 501(C)(3) 50000 0 Community Support Seaview Community Services PO Box 1045 Seward AK 99664 920043803 501(C)(3) 50000 0 Community Support Seward Community Health Center 417 1st Ave Ste 2895 Seward AK 99664 273912808 501(C)(3) 50000 0 Community Support Spokane Regional Health District 1101 W College Ave Rm 330 Spokane WA 99201 911527532 Government 50000 0 Operational Support Choice Regional Health Network 2409 Pacific Ave SE Olympia WA 98501 911704039 501(C)(3) 45000 0 Mental Health Program Grant & Thurston County Project Providence General Foundation 916 Pacific Avenue Everett WA 98201 911041617 501(c ) (3) 37282 0 Operational Support University of Great Falls 1301 20th St South Great Falls MT 89405 810231777 501(c ) (3) 36664 0 Nursing Program Support Community Detox Services of Spokane PO Box 2845 Spokane WA 99220 911108762 501(c)(3) 36000 0 Operational Support Snohomish County Economic Development Council 728 134th Street SW Ste 128 Everett WA 98204 910647005 501(c ) (4) 30000 0 Assist the Economic Alliance fulfill its mission as a catalyst for economic growth. The Health Center 534 So 3rd Ave Suite 16 Walla Walla WA 99362 270401462 501(c ) (3) 30000 0 Health Center Support Project Access Spokane 104 S Freya Suite 114 Spokane WA 99202 916053239 501(c)(3) 28750 0 Helps feed underprivileged children The Waterfall Foundation PO Box 70049 Fairbanks AK 99707 541980898 501 (C )(3) 28000 0 2013 Charity Event Sponsorship Spokane Addiction Recovery Centers 812 S Walnut St Spokane WA 99204 910793707 501(c)(3) 27360 0 Operational Support Bethel Christian Life Center PO Box 639 Colville WA 99114 943143251 501(c)(3) 26400 0 Operational Support Alaska Dental Society 9170 Jewel Lake Road Anchorage AK 99502 920064057 501( C) (6) 25000 0 Community Support Christian Health Associates 1825 Academy Drive Anchorage AK 99507 920152088 501(C)(3) 25000 0 Community Support Hospice of Spokane PO Box 2215 Spokane WA 99210 910995069 501(c)(3) 25000 0 Operational Support YWCA of Spokane 930 N Monroe St Spokane WA 99201 910565025 501(c)(3) 23720 0 Community Health/Counseling for Domestic Abuse Medical Teams International 9680-153rd Avenue NE Redmond WA 98052 930878944 501(c ) (3) 22229 0 Support the MTI Mobile Dental Van for visits to the Marysville site and the Everett Gospel Women's shelter. Sisters of Providence Pariseau 1801 Lind Avenue SW 9016 Renton WA 98057 911289932 501 (C )(3) 21100 0 Sponsorship Indiana Institute For Global Health Inc Wishard Hospital OPW M200 1001 W 10th Street Indianapolis IN 46202 203210232 501 (C )(3) 20885 0 International Residency Program American Heart Association 708 Broadway Tacoma WA 98402 135613797 501(c ) (3) 20000 0 Snohomish County Heart Chase Washington Business Alliance 2401 Elliot Avenue Suite 375 Seattle WA 98121 352460900 501 (C )(4) 20000 0 Sponsorship University of Washington 1959 NE Pacific St NW125 Seattle WA 98195 916001537 Government 18750 0 Funding for the Program Director of the Palliative Medicine Fellowship to develop, implement and manage the Palliative Medicine Fellowship. Rural Resources Community Action 956 S Main St Colville WA 99114 910793447 501(c)(3) 16463 0 Operational Support/Darkness to Light Program Diocese of Spokane - Nazareth Guild PO Box 1453 Spokane WA 99210 910564957 501(c)(3) 15000 0 Operational Support Group Health Foundation PO Box 34015 Seattle WA 98124 911246278 501 (C )(3) 15000 0 Support Health Gala March of Dimes 904 3rd Avenue Suite 230 Seattle WA 98101 131846366 501(c ) (3) 15000 0 Sponsorship of March of Babies annual walk and Relay for Life. March of Dimes Foundation 222 W Mission Ave Suite 119 Spokane WA 99201 131846366 501(c)(3) 15000 0 Medical Research 2013 National League of Cities Conference Organizing Committee 603 Stewart Street 819 Seattle WA 98101 461531018 Other 12500 0 Sponsorship United Way of Spokane County 920 N Washington St Suite 100 Spokane WA 99201 910606058 501(c)(3) 12500 0 Operational Support Washington State University Extension PO Box 1495 Spokane WA 99210 916001108 Government 11500 0 Community Education Beans Cafe PO Box 100940 Anchorage AK 99510 920072522 501(C)(3) 10300 0 Community Support Northport School District #211 PO Box 1280 Northport WA 99157 911086089 Government 10125 0 Putting Kids First Program Cancer Patient Care of Spokane County 1507 E Sprague Ave Spokane WA 99202 916055019 501(c)(3) 10000 0 Community Education School Health Care Association of Spokane City PO Box 8755 Spokane WA 99203 274299158 501(c)(3) 10000 0 Sunset School Health Center St Joseph Family Center 1016 N Superior St Spokane WA 99202 910564989 501(c)(3) 10000 0 Operational Support The American Heart Association PO Box 4002030 Des Moines IA 50340 135613797 501 (C )(3) 10000 0 Sponsorship - Puget Sound 2013 Heart Walk The Foraker Group 161 Klevin ST Ste 101 Anchorage AK 99508 920177787 501(C)(3) 10000 0 Community Support United Way of Snohomish County 3120 McDougal Avenue Suite 200 Everett WA 98201 910606507 501(c ) (3) 10000 0 Premier sponsorship-year round United Way Events YMCA SeattleKingSnohomish Development Dept 1118 Fifth Ave Seattle WA 98101 910482890 501 (C )(3) 10000 0 Sponsorship Refugee Connections Spokane 500 S Stone St 189 Spokane WA 99202 900652201 501(c)(3) 9910 0 Refugee Patient Passport Project Greater Spokane Inc PO Box 822 Spokane WA 99210 910418800 501(c )(6) 8730 0 Sponsorship Spokane School District #81 200 N Bernard St Spokane WA 99201 916001582 Government 8600 0 Maps Program computers American Cancer Society 728 134th Street SW Ste 101 Everett WA 98204 841316555 501(c ) (3) 8500 0 Relay for life sponsorships Providence Heritage House at the Market 1533 Western Avenue Seattle WA 98101 510216586 501(C)(3) 8000 0 Ministry Support NW Business Press dba Journal of Business 429 East Third Ave Spokane WA 99204 911387421 Other 7745 0 Community Education Municipality of Anchorage 715 L St Ste 200 Anchorage AK 99501 920059987 Government 7585 0 Community Support Washington Center for Nursing 1101 Andover Park W Ste 105 Tukwila WA 98188 680568743 501 (C )(3) 7500 0 Sponsorship Inland Northwest Blood Center 210 West Cataldo Ave Spokane WA 99201 910499130 501(c)(3) 7000 0 Sponsorship First Covenant Church 212 S Division Spokane WA 99202 916000748 501(c)(3) 6637 0 Community Benefit Lilac Bloomsday Association 1610 W Riverside Spokane WA 99201 911054846 501(c)(3) 6500 0 Sponsorship Providence NEW Hunger Coalition PO Box 64 Loon Lake WA 99148 463051292 501(c)(3) 6190 0 Operational Support National Multiple Sclerosis Society 192 Nickerson St Ste 100 Seattle WA 98109 135661935 501(C)(3) 6000 0 Community Support American Cancer Society 920 N Washington Suite 200 Spokane WA 99201 841316555 501(c)(3) 5500 0 Medical Research Providence Pariseau 1801 Lind Ave SW 9016 Renton WA 98057 911289932 501(C)(3) 5300 0 Ministry Support AFACT - Anchorage Faith & Action Congregations Together PO Box 143294 Anchorage AK 99514 050591944 501(C)(3) 5000 0 Community Support Blue Mountain Community Foundation 8 So 2nd St Suite 618 Walla Walla WA 99362 911250104 501(c ) (3) 5000 0 Community Health Support Cataldo Catholic School 455 W 18th Ave Spokane WA 99203 911427965 501(c)(3) 5000 0 Summer of Service and Exercise Children's Miracle Network PO Box 304 Spokane WA 99210 911307555 501(c)(3) 5000 0 Sponsorship Comprehensive Health Education Foundation 419 3rd Avenue West Seattle WA 98119 916186093 501 (C )(3) 5000 0 Sponsorship Cook Inlet Tribal Council Inc 3600 San Jeronimo Drive Anchorage AK 99508 920094184 501(C)(3) 5000 0 Community Support Everett Public Schools PO Box 3112 Everett WA 98213 911329342 Government 5000 0 STEM Partnership Center First Night Spokane 211 N Wall Spokane WA 99203 912126547 501(c)(3) 5000 0 Sponsorship Mid City Concerns 1222 W 2nd Ave Spokane WA 99201 910833015 501(c)(3) 5000 0 Operational Support Reach Out and Read 56 Roland St Ste 100D Boston MA 02129 043481253 501(c ) (3) 5000 0 Purchase books for Reach Out and Read Program. Second Harvest Inland Northwest 1234 E Front Ave Spokane WA 99202 237173826 501(c)(3) 5000 0 Operational Support SOS Clinic 1200 SE 12th Street College Place WA 99324 731626280 501(c ) (3) 5000 0 Health Center Support State of Alaska PO Box 110204 Juneau AK 99811 926001185 Government 5000 0 Community Support Volunteers of America 2802 Broadway Avenue Everett WA 98201 910577129 501(c ) (3) 5000 0 Inspire Hope luncheon sponsorship. Woman Making A Difference 956 S Main St Colville WA 99114 910793447 501(c)(3) 5000 0 Rural Resources Community Action Women's and Children's Free Restaurant 1620 N Monroe Spokane WA 99205 911399742 501(c)(3) 5000 0 Operational Support Zak Foundation PO Box 19188 Spokane WA 99219 271771407 501(c)(3) 5000 0 Sponsorship Sponsorship 103 9 Employee emergency assistance 1 132 FMV Financial assistance of employees paid to Providence St. Peter FDN. Prescription Medication 1538 125598 Cost Medication Patient Healthcare 1 444 Cost Resident Bed-Hold Transportation Assistance 2251 56073 Cost Patient Transport Housing Assistance 9 3858 Cost Housing Home Care 38 1897 Cost Home Care Merchant Card for Purchases 1380 16494 Cost Merchant Purchase Cards to assist poor & needy patients Meals 2 56 Cost Meals or food purchased to assist poor & needy patients Garment 4 317 Cost Gauntlets for Breast Cancer Patients Gas Cards 225 5625 Cost Gas Cards for poor and needy patients Gifts 16 1102 Cost Misc gifts for cancer patients Fabric 15 245 Cost Fabric purchased for poor/needy patient Utilities 7 572 Cost Utilities paid for poor & needy patients Wig/Scarves for Cancer Patient 98 848 Cost Wig purchased for a cancer patient Mammograms 106 3753 Cost Mammograms for poor & needy Patients Backpacks for Needy Children 4 177 Cost Backpacks provided for needy children Student Tuition 16 122212 University of Great Falls Wheelchair transport 1915 46381 Cost American Medical Response Medical Mission Grants 88 56273 Medical Mission Trips 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 John F Koster MD - Thru 0313 President / CEO 1316766 0 1868461 0 17500 0 215651 0 31597 0 3449975 0 0 0 Rod F Hochman MD - Eff 0413 President / CEO 1051406 0 334001 0 17500 0 486988 0 28915 0 1918810 0 0 0 Todd Hofheins EVP/CFO 432363 0 120504 0 17500 0 65303 0 24807 0 660477 0 0 0 Jeffrey W Rogers - Thru 513 Corporate Secretary 442462 0 529200 0 69119 0 168789 0 21091 0 1230661 0 0 0 Cindy Strauss - Eff 613 SVP/Chief Counsel/Corp. Secretary 413323 0 525001 0 17500 0 223587 0 24667 0 1204078 0 0 0 Bruce Lamoureux SVP/CEO - AK. Region 493658 0 396121 0 17500 0 69618 0 26156 0 1003053 0 0 0 Anthony Dorsch CFO/AK. Region 269745 0 75706 0 0 0 69457 0 22079 0 436987 0 0 0 Terry L Smith SVP/Management Svcs 639022 0 906428 0 67500 0 202105 0 24053 0 1839108 0 0 0 Deborah Burton SVP/Chief Nrsg. Officer 323817 0 1005792 0 17500 0 42736 0 23303 0 1413148 0 296416 0 Michael L Butler President/Operations & Services 954645 0 300598 0 17500 0 713468 0 29161 0 2015372 0 0 0 Randy Axelrod MD EVP/Clinical & Patient Svcs 613884 0 315700 0 125675 0 192796 0 26894 0 1274949 0 0 0 Janice J Jones SVP/CAO 604348 0 377853 0 17500 0 132205 0 27288 0 1159194 0 0 0 Myron Berdischewsky MD SVP/CMQO 527449 0 310561 0 17500 0 134979 0 23598 0 1014087 0 0 0 Jack Friedman SVP/Account Care & Payor Rel. 508016 0 300765 0 17500 0 151382 0 26370 0 1004033 0 0 0 Ray Williams SVP/Physicians Svcs 120595 0 200000 0 440672 0 179162 0 24427 0 964856 0 0 0 Cindra R Syverson SVP/CHRO 404069 0 312381 0 1000 0 267888 0 24300 0 1009638 0 0 0 Craig L Wright MD SVP/Physicians Svcs 509167 0 128777 0 70854 0 432646 0 18991 0 1160435 0 0 0 John O Mudd SVP/Mission Leadership 368604 0 158842 0 14800 0 189558 0 18700 0 750504 0 0 0 Claudia Haglund VP/Governance & Sponsorship 342176 0 134699 0 17500 0 136830 0 20219 0 651424 0 0 0 Joel S Gilbertson SVP/Comm.Ptrshp & External Affairs 354361 0 84733 0 17500 0 103698 0 22547 0 582839 0 0 0 David Brown VP/Strategy & Innovation 303119 0 131437 0 50 0 146627 0 22332 0 603565 0 0 0 Orest Holubec SVP/Marketing & Communications 328545 0 77915 0 17500 0 39407 0 21903 0 485270 0 0 0 Gary Flaming SVP/Chief Risk Officer 266837 0 97434 0 17500 0 75446 0 18848 0 476065 0 0 0 Arnold Schaffer EVP/W. WA. Region 280756 0 525624 0 635277 0 220482 0 13510 0 1675649 0 0 0 Elaine Couture SVP/CEO - PHC 462244 0 244048 0 17500 0 79886 0 24399 0 828077 0 0 0 Preston Simmons CEO - NW WA. Region 327192 0 362233 0 8717 0 44501 0 22518 0 765161 0 0 0 Medrice Coluccio CEO - SW WA. Region 424188 0 104213 0 17500 0 473973 0 24370 0 1044244 0 0 0 Atul Thakker Physician Surgeon 1078540 0 228615 0 32066 0 6293 0 26345 0 1371859 0 0 0 David Yam Neurosurgeon 591709 0 454243 0 0 0 3825 0 22172 0 1071949 0 0 0 John Fletcher VP/Operations 564903 0 495650 0 17500 0 259901 0 26871 0 1364825 0 0 0 Paul Anderson CIO/WA-MT Region 8833 0 570297 0 407090 0 2603 0 2106 0 990929 0 0 0 Jeffrey Roaten Pediatric Surgeon 770261 0 157534 0 34 0 11475 0 22816 0 962120 0 0 0 Karl Carrier Former CFO - CA. Region 5542 0 175407 0 460 0 200502 0 1486 0 383397 0 106408 0 Kerry L Carmody Former COO - CA. Region 19669 0 207213 0 530696 0 333783 0 24167 0 1115528 0 0 0 Part I, Line 1a Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief Human Resource 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 2013, none of the Officers, Directors or Key Employees listed on Form 990, Part VII utilized First Class or Companion Travel. 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 2013, the following Key Employee received gross-up payments: Craig Wright, MD - Relocation The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. 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 Human Resources 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 2013, the following Key Employees received relocation/housing program payments: Craig Wright, MD Ray Williams Terry Smith Randy Axelrod 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) John F. Koster, MD a) Taxable SERP Earned but not Paid- $350,711 b) SERP Interest Credit - $191,190 2) Rod Hochman, MD a) SERP Earned but not Vested- $444,760 b) SERP Interest Credit - $24,378 3) Todd Hofheins a) SERP Earned but not Vested - $57,974 4) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,111 b) SERP Interest Credit- $97,420 c) ESP Interest Credit - $7,567 5) Cindy Strauss a) SERP Earned but not Vested - $190,313 b) SERP Interest Credit - $14,149 6) Terry Smith a) Taxable SERP Earned but not Paid - $67,662 b) Taxable CBRP Earned but not Paid - $147 c) Non-Taxable CBRP Earned but not Paid - $353 d) ESP Interest Credit - $5,823 e) SERP Interest Credit - $118,609 7) Debbie Burton a) Taxable SERP Earned but not Paid - $915,149 b) SERP Interest Credit - $20,728 8) Mike Butler a) SERP Earned but not Vested - $478,094 b) SERP Interest Credit - $201,306 9) Randy Axelrod, MD a) SERP Earned but not Vested- $181,321 10) Jan Jones a) Taxable CBRP Earned but not Paid - $84 b) Taxable SERP Earned but not Paid - $148,227 c) Non-Taxable CBRP Earned - $101 d) SERP Interest Credit - $100,997 11) Myron Berdischewsky, MD a) Taxable CBRP Earned but not Paid - $2,548 b) Taxable SERP Earned but not Paid - $108,227 c) Non-Taxable CBRP Earned - $2,060 d) SERP Interest Credit - $105,170 12) Ray Williams a) SERP Interest Credit - $12,906 b) SERP Earned but not Vested - $153,506 13) Cindra Syverson a) SERP Earned but not Vested - $144,043 b) SERP Interest Credit - $103,147 14) Craig Wright, MD a) SERP Earned but not Vested - $221,797 b) SERP Interest Credit - $181,734 15) Jack Mudd a) Taxable SERP Earned but not Paid - $50,004 b) SERP Interest Credit - $165,857 16) Claudia Haglund a) Taxable SERP Earned but not Paid - $35,007 b) SERP Interest Credit - $70,109 c) ESP Interest Credit - $2,161 17) Joel Gilbertson a) SERP Earned but not Vested - $52,868 b) SERP Interest Credit - $32,392 18) David Brown a) SERP Interest Credit - $39,209 b) SERP Earned but not Vested - $80,917 19) Orest Holubec a) SERP Interest Credit - $6,443 b) SERP Earned but not Vested - $21,490 20) Gary Flaming a) SERP Interest Credit - $4,233 b) Taxable SERP Earned but not Paid - $17,362 c) Taxable CBRP Earned but not Paid - $1,640 d) Non-Taxable CBRP Earned - $4,730 21) Bruce Lamoureux a) Taxable CBRP Earned but Not Paid - $682 b) SERP Interest Credit - $50,757 c) Taxable SERP Earned but Not Paid - $190,527 22) Anthony J. Dorsch a) SERP Interest Credit - $16,592 b) SERP Earned but Not Vested - $28,496 23) Arnold Schaffer a) Taxable SERP Earned but Not Paid - $243,622 b) Non-Taxable SERP Earned but Not Paid - $72,587 24) Elaine Couture a) Interest Credit - $58,648 b) Taxable SERP Earned but Not Paid - $136,763 c) Taxable CBRP Earned but Not Paid - $267 25) Preston Simmons a) Interest Credit - $24,473 b) Taxable SERP - $38,189 26) Medrice Coluccio a) SERP Interest Credit - $128,452 b) Non-Taxable SERP Earned but Not Paid - $324,770 27) Atul Thakker a) Taxable CBRP Earned but Not Paid - $79,370 28) John Fletcher a) Taxable CBRP Earned but Not Paid - $6,261 b) SERP Interest Credit - $197,142 c) Taxable SERP Earned but Not Paid - $343,192 d) ESP Interest Credit - $4,372 29) Paul Anderson a) Taxable SERP Earned but Not Paid - $455,600 b) Taxable CBRP Earned but Not Paid - $33,292 30) Karl Carrier a) Taxable SERP Earned but not Paid - $33,144 b) Non-Taxable SERP Earned - $193,497 31) Kerry L. Carmody a) Taxable SERP Earned but not Paid - $67,254 b) SERP Interest Credit - $47,294 c) Non-Taxable SERP Earned - $250,674 Part I, Lines 4a-b SEVERANCE 1) Ray Williams - $376,916 2) Arnold Schaffer - $461,542 3) Paul Anderson - $324,835 4) Kerry L. Carmody - $456,910 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 and personal objectives. In 2013, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and EPIC watchlist. In 2013 the percent allocation for each of these strategic priorities was: Mission driven 5% Financially responsible 15% People centered 10% Service oriented 10% EPIC Watchlist 10% To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income. A Washington Health Care Facilities Authority 911108929 93978EA77 2006-06-22 208792185 Refund WHCFA Series 1999 & Capital projects in Washington 1 0 0 B Washington Health Care Facilities Authority 911108929 93978EA93 2006-06-22 165050000 Refund WHCFA Series 2002A & B and Series 1994 & 1995 0 0 0 C Washington Health Care Facilities Authority 911108929 93978E7V8 2010-07-01 173543991 To Finance a Portion of construction of a Tower in Everett 0 0 0 D Washington Health Care Facilities Authority 911108929 93978HDAO 2011-07-13 101296076 Proceeds were used to currently refund all outstanding Series 2001A Bonds 0 0 0 A 1610000 215938735 1980039 3336312 146353342 64269042 2009 0 1 1 1 B 165050000 1660244 2465562 160924194 2002 1 0 1 1 C 173548413 2543991 171004472 2011 0 0 1 1 D 15385000 101296076 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 Date Rebate Computation Performed Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 11/13/2008 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 12/01/2011 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 11/13/2008. 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. 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 center 0 0 0 C Alaska Industrial Development and Export 926001185 011903DZI 2011-11-17 126601436 SEE PART VI 0 0 0 A 27500000 37426100 501778 36924322 2003 0 0 1 1 B 57177110 646775 56530335 2008 0 0 1 1 C 126618731 1601436 125017295 2012 0 0 1 1 A 0 1 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 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 A 1 B 1 C 1 Form 990, Part VI, Section A, line 6 Providence Health & Services is the sole Corporate Member. Form 990, Part VI, Section A, line 7a The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. Form 990, Part VI, Section A, line 7b Other powers of the Corporate Member include the power: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced 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 determined 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 written 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 43,654,821. Management and general expenses 36,257,642. Fundraising expenses 0. Total expenses 79,912,463. Medical Director & Med Physician Fees: Program service expenses 72,998,067. Management and general expenses 37,359. Fundraising expenses 0. Total expenses 73,035,426. Repairs & Maintenance: Program service expenses 27,971,578. Management and general expenses 88,999,420. Fundraising expenses 0. Total expenses 116,970,998. Billing & Collections: Program service expenses 0. Management and general expenses 19,509,202. Fundraising expenses 0. Total expenses 19,509,202. Records Management: Program service expenses 1,440,397. Management and general expenses 1,208,979. Fundraising expenses 0. Total expenses 2,649,376. Transcription & Translation Services: Program service expenses 2,398,842. Management and general expenses 4,711,184. Fundraising expenses 0. Total expenses 7,110,026. Dietary: Program service expenses 1,120,531. Management and general expenses 1,931,543. Fundraising expenses 0. Total expenses 3,052,074. Other Patient Services: Program service expenses 82,091,436. Management and general expenses 1,112,167. Fundraising expenses 0. Total expenses 83,203,603. Other Administrative Services: Program service expenses 25,842,785. Management and general expenses 36,214,955. Fundraising expenses 0. Total expenses 62,057,740. General Consulting Fees: Program service expenses 4,979,952. Management and general expenses 57,021,577. Fundraising expenses 0. Total expenses 62,001,529. Form 990, Part XI, line 9: Interaffiliate Transactions 413,644,325. Recipient Organization Adjustments 7,344,911. Revenue Reclassifications -3,395,810. Expense Reclassifications 968,986. Pension Adjustment 205,354,703. Net Assets Transfers -13,825,643. Assets Released for Operations 550. Rounding -10,070. 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 ALASKA REGION: Examples of volunteer activities: Volunteers plan and implement arts and craft activities with the elders every other week; A volunteer offers service in case of an emergency situation to assist with the use of radios; A volunteer visits PVMC Extended Care and provides big smiles and conversation to the residents; participates in Bible Study with residents to whom this is of interest; joins in almost every Sunday Worship, providing music and kind words; available when there is a need for a 1:1 with residents; A volunteer serves as both the Chairperson of the PVMC Health Advisory Council, and as our representative to the Community Ministry Board in Anchorage; volunteers at the hospital and helps to coordinate the visiting pediatric clinic at the hospital; acts as an advocate for the community of Valdez, working with the Local Emergency Planning Committee within the community of Valdez and in this role advocates for our local disaster planning at the hospital; Pet Partners visit through every cottage and visit with all residents and patients every month; Musicians visit in the evenings and play a variety of music for our residents; Licenced beauticians and one hair washing volunteer are available for all residents and patients and have very flexible schedules to meet everyone's needs; Various religious services are offered, including an Orthodox Priest who visits regularly; Teachers, principals, and parents from a local elementary school spend time interacting with residents at Providence Extended Care; Shoppers are available to those residents that cannot get out (monitored and accounted for by the banker). FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED HOSPICE OF SEATTLE: Patient Care Volunteers help to support the hospice patient and their family during the course of their illness meeting a variety of needs including respite, companionship, helping with light household tasks and providing personal services such as letter writing, reading and running errands. Transitions Volunteers help to support clients and their family facing a life limiting illness with a prognosis of 12 months or less with a variety of needs. Duties are similar to those of patient care volunteers. Bereavement Volunteers help surviving families/significant others of Hospice patients for up to 15 months following the death of the patient. Safe Crossings Volunteers provide support services to children connected with Providence Hospice of Seattle regarding issues around terminal illness and assist with bereavement support. Complementary therapy volunteers perform the same services as patient care volunteers with the addition of offering a licensed modality such as massage, music therapy or animal-assisted activities (animal/animal handler must be Delta Certified) if requested by the patient, family and care team. Stepping Stones volunteers help support children and their families facing a life limiting illness in a variety of ways. Volunteers may read books, play games or serve as one-to-one support to families. Camp Erin volunteers assist with an annual weekend grief camp sponsored by Providence Hospice and The Moyer Foundation for children ages 5-17. MOTHER JOSEPH CARE CENTER: Assist with resident activities, (Groups, Outings, Special Events, Communion, One to One, Ride along to Doctor appointments), Through Job programs (Work Source), they work closely with staff on Job retraining. PROVIDENCE CENTRALIA HOSPITAL: The regular hospital 108 volunteers fill a variety of job duties that include: Patient Support Services, Hospitality/Guest Services and Clerical Assistance, Information Desk, including "way-finding" for patients and visitors. We had 306 volunteers who helped with the Wellness Round-Up & the Festival of Trees in 2013. We also had 76 volunteers who worked all day to paint homes on August 3rd, 2013, for our annual community service event, Paint the Town, which is administered jointly by Volunteer Services and Foundation. PROVIDENCE HOSPICE & HOMECARE OF SNOHOMISH COUNTY: Our volunteers provide the following services to patients and their families of our agency: Patient companionship Family respite Notary services Barbers Tuck-ins (supply deliveries, prescription pick up & delivery) Vigils Life Review (recorded conversations provided to family on CD) Office Sewing Development events Transport Handyman Special projects Standing Together (Children's grief group) Camp Erin Bereavement interns Lifeline Palliative Care PROVIDENCE MOUNT ST. VINCENT: 205 volunteers donated their time and talents at The Mount in a wide variety of ways, offering 30,616 hours of service. The largest group of volunteers worked directly with residents. This includes volunteers who provided one-on-one visits, assisted with recreational groups (e.g. art class, field trips) and/or collaborated with staff to put on large special events (summer concert series, Valentine's Day dance, etc). Another large recipient of volunteer hours was the Sewing Ladies shop (providing free sewing services to residents and selling items in a shop); Emilie's Treasures (The Mount's on-site thrift boutique), the Auxiliary (fundraising for the PMSV foundation) and the Gift Shop. Volunteers also supported staff in several offices, including human resources, admissions, resident records and volunteer services. Volunteers also worked in the Intergenerational Learning Center (with children), dining services, the hair salon, laundry and housekeeping, etc. Volunteers taught writing classes, made home cooked meals for Ladies Luncheon, tended bar at Happy Hour, assisted residents with eating, and provided countless hours of weeding and plant watering services. Mount volunteers range in age from 14 to 100, adding to the rich intergenerational mix of The Mount. 53 of these 205 volunteers have been active for more than 5 years, adding to the genuine sense of connection and community that is so evident here. According to the national volunteer wage, the financial value of the hours donated is $677,838. PROVIDENCE MARIANWOOD: Volunteers at Providence Marianwood are highly valuable in many positions and many departments. The positions vary between direct contact with the residents and those who prefer to help behind the scenes. Volunteer positions include: Group Activities, Nurturing Visitor, Dining Room Assistant, Dining Room Host/Hostess, Clerical, TCU Leisure Cart, Special entertainment Groups, Special Event Groups, Inter Generational Groups, Sammamish Garden Club, the Needle Brigade and Special Project Groups. The Departments utilizing volunteers this past year were: Activities, Admissions, Auxiliary, Dietary, Human Resources, Nursing, Plant Services, Reception, Occupational Therapy, Physical therapy, and Volunteers. The volunteers at Providence Marianwood meaningfully impact the quality of life for our residents. They are truly a vital component in the compassionate care that we provide every day. PROVIDENCE REGIONAL MEDICAL CENTER EVERETT: CAMP PROV Volunteers ages 14 and up perform a variety of support activities to special needs children ages 2-10 and their siblings at a day camp located at Forest Park in Everett. Tasks include swimming, art projects, reading, preparing food, singing and fun. Call Volunteer Services to sign up for an information packet. CLERICAL AND OFFICE SUPPORT Assist staff with clerical and office duties in clinical and administrative departments. Duties may include filing and collating, answering phones, using office machines and using a computer. EXPERIENCE SPECIFIC Provide Comfort Dog services (if dog is certified by Delta Society); join the Heart to Heart volunteers to talk with others experiencing open heart surgery; personal interactions and clerical work at the Cancer Center & Breast Center regarding cancer survivors and provide an understanding ear for patients fighting cancer. FAMILY CARE AND GUEST SERVICES Family care volunteers act as a liaison between hospital staff and families in public areas like our surgery waiting lounge and information desks. These volunteers provide information and support to families while a loved one is being cared for. GIFT SHOP Customer service, cashier duties, and re-stocking merchandise. Minimum age is 18 years or 16 if you work with another 16-year-old friend. HIGH SCHOOL SUMMER PROGRAM - NEW! Our high school summer volunteer program is a great fit for students who are friendly, have a good way with people and are dedicated to volunteer service. If that sounds like you, we encourage you to apply. Here are the basic requirements: * Commit to volunteer a minimum of 40 hours * Currently a high school sophomore, junior or senior (must be 16 - 18 years old) We recently changed the program from a year-round schedule to a 10-week summer schedule to ensure that students can complete their volunteer service commitment. Information packets will be sent to students that are signed up in February. PATIENT AND FAMILY ADVISOR Work collaboratively with staff, physicians and other volunteers to make a difference in our patients' healthcare experience. Meet with hospital leadership to enhance the patient care experience; serve on committees to bring the patient and family perspective to hospital operations; evaluate programs, forms and materials. PATIENT SUPPORT Patient support volunteers provide support to patients, families and staff in clinical areas. Tasks include talking and walking with patients and families, running errands, filling charts, stocking rooms and much more. FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED PROVIDENCE SOUND HOMECARE: Providence Sound Homecare and Hospice utilizes volunteers in our Hospice program and in our bereavement programs. The Hospice volunteers provide direct and indirect patient care and bereavement. Volunteers provide direct patient care such as: respite, companionship for patients and caregivers, run errands, light housekeeping, gardening, hair care, etc. For indirect patient care the volunteers make gowns, participate in our annual fundraising program, training, assist with our volunteer newsletter, attend support groups and assist with our adult bereavement programs, etc. Volunteers in our children's bereavement program, SoundCareKids, assisted children and adults process their grief. PROVIDENCE ST. PETER HOSPITAL: Volunteer Services Department provides support placing 300-400 on boarded volunteers up to 46 departments at Providence St. Peters Hospital. Volunteers perform many routine and repetitive tasks that allow paid, licensed, certified and experienced staff to provide more attention to more affordable and comprehensive patient care. The following customer service functions are provided for Providence St. Peter Hospital and/or the patients and their families: gift shop clerks, gift grant fundraising, and department volunteer placement in needed areas doing variety of tasks with the most common being: greeters, assisting individuals to get to their desired area in the hospital, delivering flowers, mail, answering phones/taking messages, putting packets together, stocking areas, taking inventory, blowing up balloons, entering non confidential data into computer, filing and mass mailings. PROVIDENCE STRATEGIC & MANAGEMENT SERVICES: Providence Regina House runs both a food and clothing bank which is open twice per week. We not only provide food and clothing, but also have other duties included organizing food and clothing donations, food distribution, assistance with our plant/greenhouse program, food demonstrations, and janitorial duties as assigned. In 2013, approximately 300 volunteers gave 5,200 hours of their time at Providence Regina House PROVIDENCE SENIOR & COMMUNITY SERVICES Volunteers helped with the execution of our special events: Providence Golf Classic, O'Christmas Trees Procurement Party, Signature Cocktail Contest, Designer Day, Christmas Carnival, Silver Bells Luncheon, and Gala Dinner & Auction. PROVIDENCE HOME INFUSION Here's a summary of what students do when they rotate through Oral Dose pharmacy - 1. Observation of Order Entry duties 2. Observation of Pyxis duties 3. Observation of ordering process from our drug wholesaler 4. Learn the responsibilities of the "daily fill" medication packaging counter and work online during their rotation as one of our regular staff would. 5. Learn the responsibilities of the "cycle fill" counter and work online during their rotation as one of our regular staff would. - This includes cycle bubble cards, as well as medi-sets. 6. Filing of prescriptions by number. (SEE CONTINUATION) FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED SAINT MARY MEDICAL CENTER 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 errand assist with miscellaneous clerical projects. FAMILY BIRTH CENTER - assist with newborn care, provide comfort services to new moms and visitors, stock supplies, assist staff with errands. 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. MEDICAL RECORDS: Ensure that medical records ready to be shredded have been electronically scanned, run errands for staff, may assist with some scanning. CANCER RESOURCE CENTER - Work with the American Cancer Society to connect cancer patients with resources including the Look Good, Feel Better program, transportation services, support groups and financial assistance. SPIRITUAL CARE - Works with the Chaplaincy department to offer communion and spiritual support for patients that request it. EMILIE COURT: * Arts & Crafts Assistant * Beauty Basket Assistant * Bible Study Leader * Bingo Caller or Helper * Birthday Party Assistant * Bridge Assistant * Current Events Leader * Decorating Assistant * Entertainment Assistant * Exercise Leader * One on One Companion * Outing Assistant/Escort * Pet Visitation * Special Event Assistant * Story Time Leader * Wine & Cheese Assistant SACRED HEART & HOLY FAMILY: As major medical centers, Sacred Heart and Holy Family have many activities and services needing volunteers. Below is a sampling of the types of services: Children's Hospital Kids need a hospital that understands children - and we need volunteers who have a heart for children. Our volunteers in the Sacred Heart Children's Hospital provide comfort and care for children of all ages, from holding and soothing infants and toddlers to simply hanging out with older kids. Volunteers help our staff meet the special needs of our littlest patients and their families. Other opportunities include: Children's Clubhouse: In a special partnership with the Spokane Association of REALTORS, realtors and others donate their time to watch over children in the Clubhouse while their parents and/or siblings attend to medical needs. Pediatric Services: Whether on a patient floor or in the pediatric surgery center, you can help ease the way for our youngest patients, whether it be reading to them, volunteering in a play area or sitting by their bedside so they are not alone. Ronald McDonald Family Room: An overnight satellite facility within the Children's Hospital is hosted by the Ronald McDonald House and staffed during the daytime by volunteers. Clerical Services If you have clerical and organizational skills, we have several opportunities for you to help out, whether in medical records, an office setting or our Foundation offices. Family Services Serving as a greeter at any of our information desks requires sensitivity, compassion and hospitality. You'll provide information and assistance to families and friends who have loved ones in the hospital. Various areas available for volunteers include: Greeter / Information Desk, Main Floor Greeter / Information Desk, Heart Institute Greeter / Information Desk, Surgery & Family Waiting Room Greeter / Information Desk, Skybridge Family Waiting Room Gift Shop Become a "retail therapist" by volunteering in one of the best boutique gift shops in the city with unique and unusual gifts and a full-service floral shop. Greet customers and help them shop for that special something. If you like helping people and shopping, you have what it takes! Music Music plays an important part in healing the mind and body, with several programs available. One of the most popular is playing the grand piano in the lobby. Auditions required. Patient Services Cancer Resource Center: Together with the American Cancer Society, you can volunteer in the Cancer Resource Center to help patients navigate their way. Emergency Department: This is a perfect opportunity for those 18 and over who are considering a medical or nursing career. Sacred Heart has the busiest emergency room in the city and is also a level II trauma center and houses the only pediatric trauma care in the region. Errands & Escorts: Enjoy helping people and getting lots of exercise? Then this is the assignment for you! Your shift will include assisting patients and families as they are admitted and discharged, running errands, delivering flowers, plus helping staff by delivering patient records, laboratory specimens and much more. Intensive Care Unit: Another great opportunity for those considering a medical or nursing career is to help in the critical care units by stocking supplies or transporting specimens, X-rays, etc. as directed. Patient Visitation Program: Visit patients who may not have family or friends nearby to provide assistance and a listening ear. No One Dies Alone Program: Volunteers sit vigil with patients who have no one by their side at the end of life. Surgery Admit Unit: Volunteers in this busy unit assist clinical staff with various duties to help patients prior to surgery. Pet Visitation (must be Pet Partner-certified dogs) If you love animals and want to experience the special gift a pet visit brings to patients and families in the hospital, consider this assignment. Our Pet Visitation Program cannot exist without escorts, who assist the Delta-certified dogs and handlers in making patient visits and brightening the day for patients young and old. Pharmacy Volunteers in the Pharmacy must have a Level B Pharmacy license to assist with prescription drop-offs/pick-ups, sorting and a variety of other duties. It provides a professional environment and exposure to a Pharmacy career in a realistic setting. Retired Physicians and RNs (with current licenses) House of Charity Medical Clinic: If you are a retired physician or nurse, your expertise is needed in providing medical care to the homeless at the House of Charity medical clinic in downtown Spokane. Spiritual Care Eucharistic Ministers: Many of our patients request daily Communion and/or a blessing or prayer while they are in the hospital. Our volunteer Eucharistic ministers work closely with Pastoral Care staff to provide this service as part of their health care ministry. Special Projects Inevitable in a hospital of this size, there are special projects where volunteers can help make a difference! These projects are usually of shorter duration, whether in medical records, radiology or helping with a United Way campaign! Once you are a volunteer, you are eligible to add extra hours by way of a special project as needs are identified! Supply Chain Management From bandages to heart valves, this department makes sure the right item is given to the right caregiver at the right time. Walking is involved, including stocking and delivering items to medical floors. (SEE CONTINUATION) FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED DOMINICARE: Plan and gather employee appreciation treats for quarterly staff meetings and make monthly satisfaction survey phone calls to clients. ST. JOSEPH CARE CENTER Our volunteers provide a variety of services for our residents. These include one to one visitations, religious services, medical appointment companion, activity assistance, pet therapy, outing companions, decorating, and musical entertainment. The one to one visitations have included conversation, sensory stimulation, reading, prayer; computer assistance; manicures, jigsaw puzzle partner, etc. The activity department has built a working relationship with Career Path Services where by volunteers are paid through the state to be part of a work-site training. These volunteers are here to gain experience in a long-term care setting before enrolling Nursing Assistant classes. MOUNT CARMEL HOSPITAL The volunteers are Providence Mount Carmel Hospital provide the following for the hospital: * Manage the onsite gift shop * Provide blood pressures are various community functions * Stock the vending machines on site * Provide a variety of clerical support for several departments in the hospital. * Greeters at the Patient Access desk - Escort patients to the various departments as requested * Baby Stockings for the first baby born in the new year ST. JOSEPH HOSPITAL: We have three types of volunteers who serve us including Auxiliary, Support, and Youth. There has been a change in how we label our volunteers. Some of the groups (entertainers, and church groups for example) were previously identified as volunteers, the definition of volunteer has been reassessed and we have determined that these individuals and groups should be termed "facility guests". The reduction in the numbers of our volunteer force reflects this new interpretation of "volunteers". * Assisting Wheel Chair Transport, Crafting, Letter Writing * Companion Visiting, Shopping, Outings, Patio Sitting, Adopt-A-Resident * Creative Nail Painting, Baking Projects, Decorating, Writing * Diversions Reading, Playing Games, Exercise, Coffee Conversation * Entertaining Assisting with Celebrations, Performing, Special Events * Fundraising Gift Shop Attendant, Baking, Organizing, Creating * Leading Horticulture, Sharing Special Talents, Creating Special Interest Groups * Supportive Greeters, Ministry of Presence, Education, Eucharistic Ministry FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. Providence Assurance Inc 3131 Camelback Road Ste 400 Phoenix AZ 85016 208194071 Insurance Captive AZ 261 33991040 Providence Health & Services - Washington Legacy LLC PO Box 196606 Anchorage AK 99519 320252199 Real Estate AK 207548 47995831 Providence Health & Services - Washington Health Services Asset Management LLC 1801 Lind Ave SW 9016 Renton WA 98057 271698016 A/R & Collections WA 220134 1040715 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 - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Housing WA 501( c)(3) Line 9 PH & S - Washington 1 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Housing WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 1 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - 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Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 PHS - So California 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 1 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Shell Corporation WA 501( c)(3) Line 11/Type I N/A 1 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 1 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 1 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 1 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 1 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 PH & S - Washington 1 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington 1 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 1 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 1 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 747 Broadway Seattle WA 98122 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 11/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 11/Type I PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - Washington 0 PHN Holdings 20555 Earl Street Torrance CA 90503 461814184 Strategic/Planning services for PHN CA 501( c)(4) Pending PHS - So California 0 Providence Health Network 20555 Earl Street Torrance CA 90503 800886966 Prepaid Healthcare CA 501( c)(4) Pending PHN Holdings 0 Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID PAML LLC Related 0 0 0.50000 Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT PH&S - MT Related 0 0 0.75000 California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA PHS - So California Related 0 0 0.85900 Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR PH&S - OR Related 0 0 0.51000 Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 260381897 Radiation Oncology OR PH&S - OR Related 0 0 0.67000 Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 260796953 Imaging - Diagnostics OR PH&S - OR Related 0 0 0.75000 Ctr for MedImaging-Tanasbourne LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 200477972 Imaging - Diagnostics OR PH&S - OR Related 0 0 0.75000 Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA PHS - So California Investment 0 0 0.50000 Medalia Healthcare LLC 1801 Lind Ave SW 9016 Renton WA 98057 911660459 Physician Benefits WA PH&S - WA Investment 0 0 0.50000 Minor & James Medical PLLC 515 Minor Avenue 200 Seattle WA 98104 911340223 Physician Clinic WA Swedish MJM Holdings Inc N/A 0 0 0.69500 Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT PAML LLC Related 0 0 0.49000 Oregon Advanced Imaging LLC 881 OHare Parkway Medford OR 97504 450471748 Medical Imaging OR PH&S - OR Related 0 0 0.70000 Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard OR 97224 223883387 Ambulatory Surgery Center OR PH&S - OR Related 0 0 0.51000 PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA PH&S - WA Related 0 0 0.61000 Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA Bourget Health Services Inc Related 0 0 0.75000 PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle WA 98104 203132044 Medical Imaging WA Swedish Health Services Related 0 0 0.63000 Portland Medical Imaging LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 201054971 Imaging - Diagnostics OR PH&S - OR Related 0 0 0.75000 Prov Radiation Oncology Develop Assn LLC 4401 NE Halsey St Bldg II 495 Portland OR 97213 260682491 Real Estate - MOB OR PH&S - OR Investment 0 0 0.50000 Providence Imaging Center 3340 Providence Drive Anchorage AK 99508 920118807 Medical Imaging AK PH&S - WA Related 13011277 20077220 0 0 0.99000 Providence Partners for Health LLC 501 S Buena Vista St Burbank CA 91505 454041798 Clinical Quality & Integration CA PHS - So California Related 0 0 0.50000 ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 202829660 Ambulatory Surgery Center CA PHS - So California Related 0 0 0.51000 ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 200905938 Ambulatory Surgery Center CA PHS - So California Related 0 0 0.51000 Southern Idaho Regional Laboratory LLC 611 N Perry Spokane WA 99202 820511819 Outpatient Lab ID PAML LLC Related 0 0 0.50000 Tri-Cities Laboratory LLC 611 N Perry Spokane WA 99202 911773986 Outpatient Lab WA PAML LLC Related 0 0 0.25000 Providence Health Ventures Inc 4101 Torrance Blvd Torrance CA 90503 330122216 Investment CA N/A C 0 Caron Health Corporation 510 W Front St Missoula MT 59802 810486082 Medical Physician Service MT N/A C 0 Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane WA 99204 900155714 Clinical/Medical Lab WA N/A C 0 Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane WA 99204 911216033 Clinical/Medical Lab WA N/A C 0 Yakima Medical Arts Inc 611 N Perry 100 Spokane WA 99202 910787963 Rental Real Estate WA N/A C 0 Bourget Health Services Inc PO Box 2687 Spokane WA 99220 911354431 Clinical/Medical Lab WA N/A C 0 1221 Madison Street Owners Assoc 747 Broadway Seattle WA 98122 201954319 Owners' Association WA N/A C 0 Washington Cancer Centers PC 1560 N 115th G-16 Seattle WA 98133 911792791 Cancer Treatment WA N/A C 0 Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton WA 98057 800953654 Investment WA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 Providence Alaska Foundation B 1147209 Cost Providence Alaska Foundation C 2709950 Cost Providence Health Care Foundation C 611043 Cost Providence Health Care Foundation B 200587 Cost Providence Health Care Foundation - Eastern Washington B 949570 Cost Providence Health Care Foundation - Eastern Washington C 3252877 Cost Providence Hospice & Home Care Foundation Snohomish County C 724069 Cost Providence Hospice & Home Care Foundation Snohomish County L 304599 Cost Providence Hospice of Seattle Foundation B 275189 Cost Providence Hospice of Seattle Foundation C 1009509 Cost Providence Hospice of Seattle Foundation Q 249255 Cost Providence Marianwood Foundation B 277698 Cost Providence Marianwood Foundation C 477074 Cost Providence Mount St Vincent Foundation B 213138 Cost Providence Mount St Vincent Foundation C 1258635 Cost Providence St Mary Foundation B 203243 Cost Providence St Mary Foundation C 377173 Cost Providence St Mary Foundation Q 106301 Cost Providence St Peter Foundation C 1198846 Cost Providence St Peter Foundation B 796395 Cost Swedish Medical Center Foundation B 212500 Cost