TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CAROLINA REYES MD...................................................................... DIRECTOR	4.60 ................. 0.10	X		30,360	0	0
(2) DAVE OLSEN...................................................................... BOARD VICE CHAIR	5.50 ................. 0.10	X		30,360	0	0
(3) DICK P ALLEN...................................................................... DIRECTOR	2.00 ................. 0.10	X		30,360	0	0
(4) ISIAAH CRAWFORD PHD...................................................................... DIRECTOR	4.10 ................. 0.10	X		30,360	0	0
(5) MARY LYONS PHD...................................................................... DIRECTOR	1.50 ................. 0.10	X		30,360	0	0
(6) MICHAEL HOLCOMB...................................................................... DIRECTOR	5.30 ................. 0.10	X		30,360	0	0
(7) PHOEBE YANG...................................................................... DIRECTOR	2.00 ................. 0.10	X		25,360	0	0
(8) RICHARD BLAIR...................................................................... BOARD CHAIR	4.60 ................. 0.10	X		60,360	0	0
(9) SALLYE LINER MSN RN...................................................................... DIRECTOR	4.70 ................. 0.10	X		25,360	0	0
(10) SR DIANE HEJNA CSJ RN...................................................................... DIRECTOR	1.90 ................. 0.10	X		0	0	0
(11) SR LUCILLE DEAN SP...................................................................... DIRECTOR	2.10 ................. 0.10	X		0	0	0
(12) SR PHYLLIS HUGHES RSM DRPH...................................................................... DIRECTOR	5.00 ................. 0.10	X		0	0	0
(13) WALTER NOCE JR...................................................................... DIRECTOR	2.00 ................. 0.10	X		30,360	0	0
(14) CINDY STRAUSS...................................................................... SECRETARY	39.00 ................. 21.00		X	0	1,884,790	690,548
(15) DONALD ANDERSON JR...................................................................... ASSISTANT SECRETARY FOR ENROLLMENT	39.00 ................. 21.00		X	210,649	0	37,871
(16) JIM WATSON ESQ...................................................................... ASSISTANT SECRETARY	33.00 ................. 27.00		X	0	576,188	65,143
(17) JO ANN ESCASA-HAIGH...................................................................... EVP/ASSISTANT TREASURER	33.00 ................. 27.00		X	0	1,110,835	527,424

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN WHIPPLE........................................................................ ASSISTANT SECRETARY	33.00 .......................17.00	X				1,029,547	0	345,689
(19) MIKE BUTLER........................................................................ PRESIDENT	39.00 .......................21.00	X				0	4,583,366	968,461
(20) VENKAT BHAMIDIPATI........................................................................ EVP/TREASURER	39.00 .......................21.00	X				0	1,227,009	673,841
(21) AARON MARTIN........................................................................ SVP/STRATEGY & INNOVATION	47.00 .......................23.00		X			0	1,196,074	435,284
(22) AMY COMPTON-PHILLIPS........................................................................ EVP/CHIEF CLINICAL OFFICER	36.00 .......................19.00		X			0	1,654,073	667,254
(23) BRUCE LAMOUREUX........................................................................ CE/AK REGION	42.00 .......................23.00		X			1,041,300	0	245,054
(24) DAVID BROWN........................................................................ VP/STRATEGY & BIZ DVLPMT	36.00 .......................19.00		X			1,450,101	0	280,369
(25) DEBBIE BURTON........................................................................ SVP/CHIEF NRSG. OFFICER	39.00 .......................21.00		X			752,349	0	219,917
(26) DEBRA CANALES........................................................................ EVP/CAO	39.00 .......................21.00		X			0	2,732,103	724,111
(27) ELAINE COUTURE........................................................................ CE/PHC/EASTERN WA. REGION	39.00 .......................21.00		X			1,291,466	0	466,696
(28) GREG TILL........................................................................ VP/CHIEF TALENT OFFICER	42.00 .......................23.00		X			963,974	0	295,508
(29) JANICE NEWELL........................................................................ SVP/CHIEF INFORMATION OFFICER	39.00 .......................21.00		X			1,512,913	0	154,123
(30) JOEL GILBERTSON........................................................................ SVP/COMMUNITY PARTNERSHIPS	39.00 .......................21.00		X			1,606,496	0	361,983
(31) LISA VANCE........................................................................ SVP/CLINICAL PROGRAM SRVCS	39.00 .......................21.00		X			1,110,575	265,260	351,383
(32) MARY CRANSTOUN........................................................................ VP/TOTAL REWARDS	39.00 .......................21.00		X			874,811	0	290,673
(33) MEDRICE COLUCCIO........................................................................ CE/SOUTHWEST WA. REGION	39.00 .......................21.00		X			840,271	0	252,176
(34) MIKE WATERS........................................................................ VP, CAO/PHYSICIAN SERVICES	0.00 .......................65.00		X			863,546	0	295,528
(35) OREST HOLUBEC........................................................................ SVP/CHIEF COMM/EXT AFF OFF	36.00 .......................19.00		X			0	1,111,242	274,690
(36) PRESTON SIMMONS........................................................................ CE/NORTHWEST WA. REGION	42.00 .......................23.00		X			1,464,460	0	359,641
(37) RHONDA MEDOWS MD........................................................................ EVP/POPULATION HEALTH	39.00 .......................21.00		X			0	2,024,470	605,869
(38) SHARON TONCRAY........................................................................ SVP/CHIEF LABOR EE COUNSEL	39.00 .......................21.00		X			1,423,352	0	178,439
(39) TOM MCDONAGH........................................................................ VP/CHIEF INVESTMENT OFFICER	37.00 .......................21.00		X			1,103,684	0	122,850
(40) ATUL THAKKER........................................................................ PHYSICIAN	50.00 .......................5.00			X		2,156,827	0	160,380
(41) BRANDEN REYNOLDS........................................................................ PHYSICIAN	45.00 .......................5.00			X		1,650,104	0	118,406
(42) DAVID YAM........................................................................ NEUROSURGEON	55.00 .......................0.00			X		2,497,372	0	154,546
(43) JASON DREYER........................................................................ NEUROSURGEON	50.00 .......................0.00			X		2,866,204	0	192,681
(44) NEIL WORRALL........................................................................ PHYSICIAN	48.00 .......................2.00			X		1,581,645	0	126,305
(45) ROD F HOCHMAN MD........................................................................ FORMER PRESIDENT/CEO	0.00 .......................60.00				X	0	6,569,155	4,266,266
(46) TAMMY TEODOSIO........................................................................ FORMER ASSISTANT SECRETARY	33.00 .......................17.00				X	122,692	0	24,264
(47) TODD HOFHEINS........................................................................ FORMER EVP/CFO/TREAS.	0.00 .......................60.00				X	0	820,571	35,946
(48) HARVEY SMITH........................................................................ FORMER SVP/CHIEF CUSTOMER SVC. OFF	0.00 .......................0.00				X	0	583,049	16,156
(49) JACK MUDD........................................................................ FORMER SVP/MISSION LEADERSHIP	0.00 .......................29.00				X	477,056	0	124,468
(50) TERRY SMITH........................................................................ FORMER SVP/MANAGEMENT SVCS	0.00 .......................0.00				X	0	232,094	21,187

(A) Name and business address	(B) Description of services	(C) Compensation
EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA,WI53593	SOFTWARE & LICENSE	29,343,717
THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT,WA98201	MEDICAL SERVICES	23,179,043
INLAND NORTHWEST HEALTH SVC PO BOX 2185 SPOKANE,WA99210	STAFFING SERVICES	19,306,682
WESTERN WASHINGTON MEDICAL 12728 19TH AVE SE STE 300 EVERETT,WA98201	MEDICAL SERVICES	13,169,512
CROSS COUNTRY STAFFING INC LA LOCKBOX FILE 50941 LOS ANGELES,CA90074	STAFFING SERVICES	12,982,806
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 898

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON		Employer identification number 51-0216586

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON			Employer identification number 51-0216586
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

346,198

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

674,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

1,020,198

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	OUR 2018 ADVOCACY AGENDA AT PROVIDENCE ST. JOSEPH HEALTH, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE ST. JOSEPH HEALTH IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE ST. JOSEPH HEALTH AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION

Return Reference

Explanation

Part II-B, Line 1:

OUR 2018 ADVOCACY AGENDA AT PROVIDENCE ST. JOSEPH HEALTH, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE ST. JOSEPH HEALTH IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE ST. JOSEPH HEALTH AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 20,000

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	4,202,915	3,758,083	3,867,662	3,666,745	3,623,076
b	Contributions ...	113,806	110,125	81,983	87,481	81,777
c	Net investment earnings, gains, and losses	204,390	480,178	169,113	185,739	150,368
d	Grants or scholarships ...	193,582	145,471	360,675	72,303	188,476
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	53,686
g	End of year balance ......	4,273,843	4,202,915	3,758,083	3,867,662	3,666,745

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

0.470 %

Temporarily restricted endowment SchDMd Bullet

99.530 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	511,310,221		511,310,221
b	Buildings ....	2,038,422,374	985,804,921	1,052,617,453
c	Leasehold improvements	404,665,379	254,342,861	150,322,518
d	Equipment ....	3,041,936,847	2,240,098,666	801,838,181
e	Other .....	108,712,998		108,712,998
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,624,801,371

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				7,749,095,939
(2) TRUSTEE HELD FUNDS				376,954,138
(3) UNAMORTIZED FINANCING COSTS				29,218,298
(4) INV PEND SALES SYS POOLED NT				26,650,708
(5) THIRD PARTY SETTLEMENTS				13,905,719
(6) OTHER LONG-TERM RECEIVABLES				9,054,644
(7) ACCRUED REBATES				10,811,160
(8) DEFERRED COMPENSATION 457F				6,125,269
(9) PROVIDER TAX				4,489,785
(10) CHARITABLE TRUSTS & GIFT ANNUITIES				87,893
(11) ARTWORK				20,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				8,226,413,553

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO AFFILIATES	5,059,914,976
I/C - TAX-EXEMPT BOND LIABILITIES	543,157,468
ACCRUED PENSION COSTS	943,948,842
OTHER LONG-TERM PAYABLES	444,076,900
NON-TRUST WORKERS COMP	281,381,234
THIRD PARTY SETTLEMENTS	64,677,229
ASSET RETIREMENT OBLIGATION - FIN 47	194,601,395
BANK LOAN RESERVE	25,153,406
SELF INSURED TRUSTS	42,428
PROVIDER TAX PAYABLE	80,033
PENDING INVESMENT PURCHASES - NT	998,016
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,558,031,927
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part III, Line 4:	ARTWORK IS RECEIVED FROM A LOCAL WORLD-RENOWNED GLASS SCULPTOR DALE CHIHULY, AND IS DISPLAYED AT PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY TO ENHANCE THE ENVIRONMENT FOR THE PATIENTS AND THEIR FAMILIES.
Part V, Line 4:	THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE HOME HEALTH SERVICES TO THE POOR & VULNERABLE IN EASTERN WASHINGTON AND TO SUPPORT HOSPITAL OPERATIONS IN EVERETT. THE PRINCIPAL IS AVAILABLE IN CASE OF EMERGENCY/CRISIS, THROUGH AN APPLICATION PROCESS.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING	705,187
	NORTH AMERICA	0	0	GRANTMAKING	125,122















3a	Sub-total .....	0	0		830,309
b	Total from continuation sheets to Part I ...				0
c	Totals (add lines 3a and 3b)	0	0		830,309

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS			102,583	HEALTH CARE PROJECTS FOR THE COMMUNITY	FMV
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	602,604	CHECK
NORTH AMERICA	HOUSING PROJECTS	81,573	CHECK
NORTH AMERICA	HOUSING PROJECTS			43,549	HOUSING PROJECTS	FMV

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	4
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Part I, Line 2:	PROVIDENCE HEALTH & SERVICES - WASHINGTON (PH&S - WA) REQUIRES A POTENTIAL RECIPIENT TO COMPLETE AN APPLICATION WHICH INCLUDES WHO WILL BE SERVED/BENEFIT FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED.
Part I, Line 3, Column (f)	THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 PROVIDENCE O'CHRISTMAS TREES (event type)	(b) Event #2 GOLF CLASSIC (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,120,158	73,750	51,705	1,245,613
2	Less: Contributions . . . .	902,037	50,750	43,320	996,107
3	Gross income (line 1 minus line 2) . . . . . .	218,121	23,000	8,385	249,506

4	Cash prizes . . . . .
5	Noncash prizes . . . .		1,440	9	1,449
6	Rent/facility costs . . . .	18,605	18,825	8,015	45,445
7	Food and beverages . . .	181,129	12,700	105	193,934
8	Entertainment . . . .
9	Other direct expenses . . .	232,963	26,256	14,342	273,561
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				514,389
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-264,883

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .			25,025	25,025

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .	1,973	1,973
5	Other direct expenses . . .	6,170	6,170

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

8,143

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

16,882

Enter the state(s) in which the organization conducts gaming activities: WA

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

PATRICIA L SZABO

Address

4831 35TH AVENUE SW
SEATTLE,WA98126

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

PATRICIA L SZABO

Gaming manager compensation right arrow

$ 0

Description of services provided right arrow

PROVIDED OVERSIGHT OF SALE OF RAFFLE TICKETS AND ACCOUNTING FOR PROCEEDS RECEIVED.

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	66,895,699		66,895,699	0.950 %
b	Medicaid (from Worksheet 3, column a) . . . . .	956,076,429	693,131,727	262,944,702	3.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	617,050	323,745	293,305	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,023,589,178	693,455,472	330,133,706	4.680 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10,486,069	733,905	9,752,164	0.140 %
f	Health professions education (from Worksheet 5) . . .	40,928,538	6,188,783	34,739,755	0.490 %
g	Subsidized health services (from Worksheet 6) . . . .	4,394,501	27,594,561
h	Research (from Worksheet 7) .	3,127,372	2,049,865	1,077,507	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,248,197	5,024	4,243,173	0.060 %
j	Total. Other Benefits . .	63,184,677	36,572,138	49,812,599	0.710 %
k	Total. Add lines 7d and 7j .	1,086,773,855	730,027,610	379,946,305	5.390 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	148	148	0 %
3	Community support	11,228	11,228	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	5,859	5,859	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other	26,691	26,691	0 %
10	Total	43,926	43,926	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

41,210,319

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,550,989,801

Enter Medicare allowable costs of care relating to payments on line 5.....

1,956,618,122

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-405,628,321

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?13Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DRIVE ANCHORAGE,AK99508 ALASKA.PROVIDENCE.ORG/ GACH-007	X	X	X	X		X
2	PROVIDENCE SHMC & CHILDREN'S HOSPITAL 101 WEST 8TH AVENUE SPOKANE,WA99204 WASHINGTON.PROVIDENCE.ORG/ 00000162	X	X	X			X	C
3	PROVIDENCE ST PETER HOSPITAL 413 LILLY ROAD NE OLYMPIA,WA98506 WASHINGTON.PROVIDENCE.ORG/ 00000159	X	X				X	A
4	PROVIDENCE REGIONAL MED CTRCOLBY 1321 COLBY AVENUE EVERETT,WA98201 WASHINGTON.PROVIDENCE.ORG/ 00000084	X	X				X	B
5	PROVIDENCE REGIONAL MED CTRPACIFIC 916 PACIFIC AVENUE EVERETT,WA98208 WASHINGTON.PROVIDENCE.ORG/ 00000084	X	X				X	B
6	PROVIDENCE HOLY FAMILY HOSPITAL 5633 NORTH LIDGERWOOD STREET SPOKANE,WA99208 WASHINGTON.PROVIDENCE.ORG/ 00000139	X	X				X	C
7	PROVIDENCE CENTRALIA HOSPITAL 914 S SCHEUBER ROAD CENTRALIA,WA98531 WASHINGTON.PROVIDENCE.ORG/ 00000191	X					X	A
8	PROVIDENCE ST MARY MEDICAL CENTER 401 W POPLAR STREET WALLA WALLA,WA99362 WASHINGTON.PROVIDENCE.ORG/ 00000050	X	X				X
9	PROVIDENCE MT CARMEL HOSPITAL 982 EAST COLUMBIA COLVILLE,WA99114 WASHINGTON.PROVIDENCE.ORG/ 00000030	X	X			X	X	C
10	PROVIDENCE ST JOSEPH'S HOSPITAL 500 EAST WEBSTER STREET CHEWELAH,WA99109 WASHINGTON.PROVIDENCE.ORG/ 00000194	X	X				X	C
11	PROVIDENCE KODIAK IS MEDICAL CENTER 1915 REZANOF DRIVE KODIAK ISLAND,AK99615 ALASKA.PROVIDENCE.ORG/ GACH-008	X				X
12	PROVIDENCE SEWARD MEDICAL & CARE CENTER 417 1ST AVENUE SEWARD,AK99664 ALASKA.PROVIDENCE.ORG/ RPCH-001	X					X
13	PROVIDENCE VALDEZ MEDICAL CENTER 911 MEALS AVENUE VALDEZ,AK99686 ALASKA.PROVIDENCE.ORG/ CAH-002	X				X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROVIDENCE ALASKA MEDICAL CENTER (1)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE ALASKA MEDICAL CENTER (1)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE ALASKA MEDICAL CENTER (1)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROVIDENCE ALASKA MEDICAL CENTER (1)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROVIDENCE ST MARY MEDICAL CENTER (8)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE ST MARY MEDICAL CENTER (8)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE ST MARY MEDICAL CENTER (8)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROVIDENCE ST MARY MEDICAL CENTER (8)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROVIDENCE KODIAK IS MEDICAL CNT (11)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE KODIAK IS MEDICAL CNT (11)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE KODIAK IS MEDICAL CNT (11)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROVIDENCE KODIAK IS MEDICAL CNT (11)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROVIDENCE SEWARD MED & CARE CNT (12)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE SEWARD MED & CARE CNT (12)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE SEWARD MED & CARE CNT (12)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROVIDENCE SEWARD MED & CARE CNT (12)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROVIDENCE VALDEZ MEDICAL CENTER (13)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE VALDEZ MEDICAL CENTER (13)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE VALDEZ MEDICAL CENTER (13)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROVIDENCE VALDEZ MEDICAL CENTER (13)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PHS - WASHINGTON (GROUP A - 3 & 7)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP A - 3 & 7)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP A - 3 & 7)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PHS - WASHINGTON (GROUP A - 3 & 7)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PHS - WASHINGTON (GROUP B - 4 & 5)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP B - 4 & 5)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP B - 4 & 5)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PHS - WASHINGTON (GROUP B - 4 & 5)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PHS - WASHINGTON (GROUP C-2 6 9 & 10)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A URL BELOW

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://COMMUNITYBENEFIT.PROVIDENCE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP C-2 6 9 & 10)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP C-2 6 9 & 10)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PHS - WASHINGTON (GROUP C-2 6 9 & 10)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 5: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS THE CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE.THE PERSONS CONSULTED IN CONDUCTING THE CHNA TO ENSURE BROAD COMMUNITY REPRESENTATION AND PROCESS INTEGRITY WERE:1. DR. DICK MANDSAGER, RASMUSON FOUNDATION2. LILY GADAMUS - SOUTHCENTRAL FOUNDATION3. LISA AQUINO - CATHOLIC SOCIAL SERVICES4. LISA MCGUIRE - DHSS, STATE OF ALASKA5. MICHELLE TIERNEY SOUTHCENTRAL FOUNDATION6. DR. MONICA GROSS - UNITED WAY OF ANCHORAGE7. NATASHA PINEDA - AHD, MUNICIPALITY OF ANCHORAGE8. SHANNON SAVAGE - ANCHORAGE NEIGHBORHOOD HEALTH CENTER9. TAMMY GREEN - ANCHORAGE NEIGHBORHOOD HEALTH CENTER10. TARI O'CONNER - DHSS, STATE OF ALASKA11. NATHAN JOHNSON - PROVIDENCE HEALTH AND SERVICES ALASKA12. LINDSIE MILLS - PROVIDENCE HEALTH AND SERVICES ALASKA13. CINDY GOUGH - PROVIDENCE HEALTH AND SERVICES ALASKA14. ELLA GOSS - PROVIDENCE HEALTH AND SERVICES ALASKA
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 5: THIS REPORT WAS COMPLETED FOR PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) AS PART OF A LARGER COMMUNITY HEALTH ASSESSMENT EFFORT. THE COMMUNITY HEALTH REPORT REFERENCED IN THIS CHNA IS THE WORK OF THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP. IN ADDITION, COMMUNITY CONVERSATIONS WAS A COALITION PROJECT THAT BROUGHT TOGETHER A DIVERSE GROUP OF COMMUNITY MEMBERS TO PROVIDE FEEDBACK AND INPUT REGARDING THE STRENGTHS AND OPPORTUNITIES IN WALLA WALLA.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERS FORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMITTEE MEMBERS WERE:-CINDY BALDWIN, CLINIC OPERATIONS DIRECTOR, KODIAK AREA NATIVE ASSOCIATION-BARBARA BIGELOW, CEO PKIMC, PROVIDENCE KODIAK ISLAND MEDICAL CENTER-PAT BRANSON, EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK; MAYOR, CITY OF KODIAK-ELSA DEHART, RN, DIRECTOR, KODIAK PUBLIC HEALTH CENTER, STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES-MARY GUILAS HAWVER, PRESIDENT, FILIPINO AMERICAN ASSOCIATION; DIRECTOR, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER-CAROL JUERGENS, M.D., CO-OWNER KODIAK ISLAND MEDICAL ASSOCIATES-MERISSA KOLLER, COMMUNITY WELLNESS PROGRAM COORDINATOR, HEALTHY TOMORROWS KODIAK-JUDY CHRISTINE (JC) RATHJE, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER-DAN ROHRER, ASSEMBLYMAN, KODIAK ISLAND BOROUGH; BUSINESS OWNER, SUBWAY-RHONDA WALLACE, CHIEF OF POLICE, CITY OF KODIAK
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-CAROL SOUZA - COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER-CRAIG AMBROSIANI, EXECUTIVE DIRECTOR - SEWARD COMMUNITY HEALTH CENTER -DANA PAPERMAN, EXECUTIVE DIRECTOR - SEWARD SENIOR CENTER-DAVE PAPERMAN, LEAD DEPARTMENT OF RESIDENCE LIFE - ALASKA'S INSTITUTE OF TECHNOLOGY -DOUG CAPRA, CHAIR - PROVIDENCE REGION COMMUNITY MINISTRY BOARD AND SEWARD HEALTH ADVISORY COUNCIL MEMBER-JERRY FLYNN, PHYSICIAN - LACUNA FAMILY MEDICINE AND PROVIDENCE SEWARD MEDICAL AND CARE CENTER-JIM DOEPKEN, PASTOR - UNITED METHODIST CHURCHES OF SEWARD AND MOOSE PASS-JOE FONG, ADMINISTRATOR (PROVIDENCE SEWARD MEDICAL & CARE CENTER)-JOHN (CRAIG) WILLIAMSON, LICENSED ALASKA PSYCHOLOGIST AND MEMBER OF THE PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL. -KARIN STURDY, DIRECTOR CITY OF SEWARD PARKS AND RECREATION DEPARTMENT AND SEWARD PARKING DEPARTMENT -KATIE CORNWELL, EXECUTIVE DIRECTOR - SEWARD PREVENTION COALITION-KRIS ERCHINGER, FINANCE DIRECTOR - CITY OF SEWARD-LESLIE FELTS, PUBLIC HEALTH NURSE STATE OF ALASKA, DIVISION OF PUBLIC HEALTH-LINDA LYNCH COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER, SEWARD VOLUNTEER AMBULANCE CORPS-LOIS DAUBNEY, RN, BSN COMMUNITY MEMBER AND RETIRED STATE OF ALASKA PUBLIC HEALTH NURSE-MAYA MORIARTY, BUSINESS MANAGER SEWARD FAMILY DENTISTRY-MICHAEL MORIARTY, DENTIST SEWARD FAMILY DENTISTRY-MELODY WALLACE, REGIONAL OFFICE MANAGER - CHUGACHMIUT NORTH STAR HEALTH CENTER-TARA RIEMER, PRESIDENT AND CEO ALASKA SEA LIFE CENTER-TOMMY GLANTON, BEHAVIORAL HEALTH DIRECTOR - SEAVIEW COMMUNITY SERVICES-TREVAN WALKER, PRINCIPAL - SEWARD HIGH SCHOOL
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE VALDEZ MEDICAL CENTER (PVMC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-JEREMY O'NEIL ADMINISTRATOR/ PVMC - PVMC HAC - SWAN CORE TEAM MEMBER-JOHN CULLEN, M.D. PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC - PVMC HAC MEMBER-DOUG DESORCIE FORMER PRESIDENT/ DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE - PVMC-HAC MEMBER-PAULINE DOUCET ASSISTANT ADMINISTRATOR-DIRECTOR OF CLINICAL SERVICES/PVMC-HEIDI FOX DIRECTOR/PVMC COUNSELLING CENTER-LINDSIE KING FINANCE MANAGER/ PVMC-RUTHIE KNIGHT TEACHER/ VALDEZ CITY SCHOOLS MAYOR,CITY OF VALDEZ - PVMC HAC MEMBER-NANCY LETHCOE PVMC HAC MEMBER AND VALDEZ FOOD BANK VOLUNTEER-EDMORE MANGENA MISSION INTEGRATION AND SPIRITUAL CARE LEADER, PVMC-LON NEEDLES CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-JIM NYGAARD SUPERINTENDENT/VALDEZ CITY SCHOOLS - PVMC HAC MEMBER-DAN O'CONNOR DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE CAMPUS - PVMC HAC MEMBER-DARREN REESE CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-CINDY RYMER PUBLIC WORKS/CITY OF VALDEZ - PVMC HAC MEMBER-SAMUEL SHIRK, M.D. PHYSICIAN-CHIEF OF STAFF/PVMC- PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC -PVMC HAC MEMBER-PAM SHIRRELL RETIRED PUBLIC HEALTH NURSE/STATE OF ALASKA - PVMC HAC MEMBER-TODD WEGNER ASSISTANT CITY MANAGER/ CITY OF VALDEZ PVMC HAC MEMBER
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 6b: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 6b: BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP: (BMRCHP) IS AN ACTION ORIENTED, CROSS-SECTOR COALITION CONSISTING OF PUBLIC HEALTH, EDUCATION, CLINICAL, PUBLIC SAFETY, SOCIAL SERVICES, LONG-TERM CARE, HOUSING, MANAGED CARE, LAW ENFORCEMENT, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, PHILANTHROPY, LONG-TERM CARE, EARLY LEARNING AND OTHER COMMUNITY BASED ORGANIZATIONS. THESE PARTNERS COORDINATE TO ASSESS THE NEEDS OF THE BLUE MOUNTAIN REGION AND DEVELOP A UNIFIED RESPONSE TO MEET THESE NEEDS.MEMBER ORGANIZATIONS LISTED ON PAGE 31 OF CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 11: PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2018 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD.GREAT ATTENTION HAS BEEN PAID TO ESTABLISHING MEANINGFUL MEASURES BY WHICH WE INTEND TO EVALUATE THE IMPACT OF OUR ACTIVITIES AND THE ACTIVITIES OF OUR PARTNERS. IN SOME CASES, OUR EFFORTS HAVE BEEN CONFOUNDED BY THE LACK OF OR LIMITED AVAILABILITY OF DATA. THE EFFORT TO MEASURE OUR IMPACT WILL BE AN ONGOING CHALLENGE AND JOURNEY AS WE SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITY.PRIORITIZED COMMUNITY HEALTH NEEDS:1. POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) PROVIDED ROUGHLY $2.5 MILLION COMMUNITY BENEFIT FUNDING AND RESOURCES TO ADDRESS HOMELESSNESS AND FOOD INSECURITY IN 2018 SPANNING FOOD SERVICE, HOMELESS MEDICAL RESPITE, RAPID REHOUSING, COORDINATED ENTRY, HOMELESS MANAGEMENT INFORMATION SYSTEM AS WELL AS MYRIAD OTHER HOMELESS SUPPORT SERVICES. PHSA HAS COMMITTED TO CONTINUE THIS LEVEL OF INVESTMENT AND INVOLVEMENT IN ADDRESSING THE CAUSES AND IMPACTS OF POVERTY IN THE COMMUNITY.2. MENTAL HEALTH: PHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY.3. HEALTHY BEHAVIORS: PHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURY PREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE.4. SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY PSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELP ADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES. CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD.5. ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY. CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST-TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE. PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 11: 1. YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS:STRATEGIES:- COLLECT QUALITY, REAL-TIME DATA WITHIN WALLA WALLA COUNTY.- FULL SET OF POLICIES AND PROCEDURES TO CAPTURE YOUTH AND YOUNG ADULTS EXPERIENCING HOMELESSNESS.-OUTREACH AND STREET ENGAGEMENT TO ENSURE YOUTH EXPERIENCING UNSHELTERED HOMELESSNESS WILL BE IDENTIFIED AND ENGAGED.-SAFE AND SECURE HOUSING FOR ALL YOUTH AND YOUNG ADULTS.2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE):STRATEGIES:-COLLECT QUALITY, REAL-TIME DATA WHERE A COMPREHENSIVE SET OF BEHAVIORAL HEALTH INDICATORS WILL BE TRACKED ANNUALLY-PREPARE A GAP ANALYSIS WHICH WILL INCLUDE A LIST OF SERVICES AVAILABLE TO ALL AGE GROUPS ACROSS THE SERVICE AREA, AND LACK OF SERVICES-REDUCTION IN ACCESS TO LETHAL MEANS (PRESCRIPTION DRUG BOX, GUN LOCKS, OTHERS)-MENTAL HEALTH FIRST AID TRAINING-IMPLEMENT POPULATION HEALTH DEPARTMENT WHICH WILL PROVIDE INTEGRATED BEHAVIORAL HEALTH INTO PMG PRIMARY CARE3. IMPROVE IMMUNIZATION RATES WITHIN THE COMMUNITY:-CONDUCT INNOVATIVE COMMUNITY COORDINATED PUBLIC EDUCATION BY CREATING A PUBLIC HEALTH INFORMATION AND MESSAGING PROGRAM ON BENEFIT OF VACCINATION WITH INNOVATIVE NEW APPROACH TO FAMILIES IN TARGETED AREAS WITH LOWEST VACCINATION RATES-CONDUCT FLU VACCINATION CLINICS TO UNDERSERVED-EXPLORE NEED FOR CHILD IMMUNIZATION CLINICS WITH COMMUNITY PARTNERS TO PROVIDE INCREASED ACCESS AT CONVENIENT TIMES AND LOCATIONS
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 11: IN THE FALL OF 2016, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER (PKIMC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES.1. BEHAVIORAL HEALTH (INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH)POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE. -PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) WILL PROVIDE SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICES -PKICC WILL ADDRESS THE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT NEEDS OF KODIAK YOUTH THROUGH THE YOUTH OUTPATIENT SUBSTANCE ABUSE PROGRAM, MENTAL HEALTH CLINICIANS IN THE SCHOOLS PROGRAM, ALCOHOL SAFETY ACTION PROGRAM (ASAP), KODIAK SCHOOLS SUBSTANCE ABUSE TASK FORCE AND ONGOING COLLABORATIONS WITH THE TEEN COURT AND OTHER COMMUNITY PARTNERS.-PKICC WILL ADDRESS THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY ILL THROUGH THE COMMUNITY SUPPORT PROGRAM AND THROUGH CONTINUING EFFORTS TO FURTHER INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING - CURRENTLY BEING DONE IN COLLABORATION WITH THE KODIAK COMMUNITY HEALTH CENTER.-PKICC WILL ADDRESS THE SUBSTANCE ABUSE TREATMENT NEEDS OF THE COMMUNITY THROUGH ITS OUTPATIENT CHEMICAL DEPENDENCY TREATMENT PROGRAM SAFE HARBOR, THROUGH ITS CASE-MANAGEMENT PROGRAM ASAP AND THROUGH A RESIDENTIAL TREATMENT COLLABORATION WITH SALVATION ARMY.-PKICC WILL CONTINUE TO BE PROACTIVE IN ITS OUTREACH SERVICES IN COLLABORATION WITH MANY COMMUNITY PARTNERS SUCH AS THE BROTHER FRANCIS SHELTER, KODIAK WOMEN'S RESOURCE AND CRISIS CENTER AND MANY OTHER ORGANIZATIONS AND GOVERNMENT AGENCIES IN THE KODIAK COMMUNITY.-PKICC WILL CONTINUE TO BE A LEADER IN COMMUNITY EDUCATION, GRANT-SEEKING, ADVOCACY, COLLABORATION, PLANNING AND ACTION TO HELP IMPROVE THE HEALTH OF THE KODIAK COMMUNITY AND THE LIVES OF THOSE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE. 2. SOCIO ECONOMIC DETERMINANTS OF HEALTHCULTURE AND LANGUAGE BARRIERS, HOMELESSNESS/HOUSING ISSUES, LOW INCOME AND THE CHALLENGES OF HOLDING MULTIPLE JOBS TO AFFORD THE COST OF LIVING IN KODIAK WERE FREQUENTLY NOTED IN THE STAKEHOLDER INTERVIEWS AND THE COMMUNITY SURVEY AS SIGNIFICANT CHALLENGES TO THE WELL-BEING OF MANY IN THE KODIAK COMMUNITY. -PKIMC WILL CONTINUE TO PROVIDE FINANCIAL ASSISTANCE TO LOW-INCOME PATIENTS TO REMOVE COST AS A BARRIER FOR NEEDED CARE. FROM 2013-2015, PKIMC PROVIDED ABOUT $4.2 MILLION A YEAR IN CHARITY CARE3. PRIMARY CARE UTILIZATION AND ACCESSTHE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS SIGNIFICANT ISSUES.-PKIMC WILL NOT BE DIRECTLY ADDRESSING THIS NEED BECAUSE PKIMC DOES NOT OFFER PRIMARY CARE SERVICES AND KODIAK CURRENTLY HAS SUFFICIENT PRIMARY CARE CAPACITY TO MEET COMMUNITY NEED. PKIMC WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN IMPROVING PRIMARY CARE UTILIZATION AS OPPORTUNITIES EMERGE.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 11: IN THE FALL OF 2018, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY VARIABLES, INCLUDING: SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE CONVENED AFTER INDIVIDUALLY RATING THE HEALTH ISSUES TO COME UP WITH THE TOP PRIORITIES AS A GROUP. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE PRIORITIES.1 & 2. POOR MENTAL HEALTH AND LACK OF ACCESS TO MENTAL HEALTH SERVICE AND ALCOHOL AND SUBSTANCE MISUSE:THIS SECTION OUTLINES PROVIDENCE'S PLAN TO ADDRESS POOR MENTAL HEALTH, ALCOHOL/SUBSTANCE MISUSE AND ACCESS TO SERVICES RELATED TO THOSE NEEDS. THESE ARE COMBINED UNDER ONE PLAN BECAUSE THE ACTIVITIES AND COLLABORATIONS PSMCC WILL ENGAGE IN TO ADDRESS THE NEEDS WILL BE SUBSTANTIALLY THE SAME FOR BOTH NEEDS.-SEWARD CLINICAL COLLABORATIVE - PSMCC WILL CONTINUE TO BE A CO-SPONSOR AND CO-CONVENER OF THE MONTHLY SEWARD CLINICAL COLLABORATIVE, WHICH IS A COMMUNITY PROVIDER COLLABORATIVE OF PHYSICAL AND MENTAL HEALTH PROVIDERS THAT SHARE INFORMATION AND SEEK SHARED SOLUTIONS TO COMMUNITY HEALTH RELATED NEEDS. -RECOVER ALASKA - PROVIDENCE WILL CONTINUE TO COLLABORATE WITH AND SUPPORT RECOVER ALASKA, A MULTI-SECTOR ACTION GROUP WORKING TO INCREASE AWARENESS AND SUBSTANCE MISUSE PREVENTION EFFORTS IN THE COMMUNITY, ADVOCATE FOR EFFECTIVE SUBSTANCE USE-RELATED POLICY AND INCREASE ACCESS TO SUBSTANCE USE DISORDER SERVICES. PROVIDENCE LEADERSHIP WILL CONTINUE TO PARTICIPATE ON THE RECOVER ALASKA BOARD. -SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) - PSMCC IS WORKING COLLABORATION WITH THE STATE OF ALASKA DEPARTMENT OF BEHAVIORAL HEALTH TO PROVIDE TRAINING TO PROVIDENCE STAFF AND PROVIDERS COMMUNITY-WIDE ON THE USE OF THE SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL. SBIRT IS AN EVIDENCE-BASED APPROACH TO IDENTIFYING PATIENTS WHO USE ALCOHOL AND OTHER DRUGS AT RISKY LEVELS WITH THE GOAL OF REDUCING AND PREVENTING RELATED HEALTH CONSEQUENCES, DISEASE, ACCIDENTS AND INJURIES. RISKY SUBSTANCE USE IS A HEALTH ISSUE AND OFTEN GOES UNDETECTED.-TELEHEALTH/TELEPSYCH - PROVIDENCE IS INCREASING REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY ADDING TELE- PSYCHIATRY TO PROVIDENCE ALASKA MEDICAL CENTER EMERGENCY ROOM IN SEWARD, PROVIDENCE VALDEZ MEDICAL CENTER, PROVIDENCE SEWARD MEDICAL CENTER, SEWARD MOUNTAIN HAVEN LONG TERM CARE FACILITY, PROVIDENCE TRANSITIONAL CARE CENTER, AND PROVIDENCE EXTENDED CARE CENTER. THESE SERVICES HELP TO IMPROVE CARE IN THE EMERGENCY ROOM AND HELP PATIENTS TO RECEIVE PSYCHIATRIC MEDICATIONS, TREAT PSYCHIATRIC DISORDERS AND HELP WITH ACUTE INTOXICATION AND WITHDRAWAL BY PROVIDING REMOTE DELIVERY OF SUBSTANCE ABUSE AND BEHAVIORAL HEALTH COUNSELING AS WELL AS REMOTE DELIVERY OF EMERGENCY DE-ESCALATION PSYCHIATRIC CONSULT. THESE SERVICES ARE SCHEDULED TO GO-LIVE AT PROVIDENCE SEWARD MEDICAL AND CARE CENTER AND SEWARD MOUNTAIN HAVEN APRIL OF 2019.3 & 4. PREVENTIVE CARE AND OBESITY AND CHRONIC CONDITIONS:PROVIDENCE SEWARD MEDICAL AND CARE CENTER IS AN ACUTE CARE HOSPITAL AND NO LONGER PROVIDES PREVENTIVE SERVICES SINCE IT TRANSITIONED ITS PRIMARY CARE CLINIC AND RELATED SERVICES TO THE NEW SEWARD COMMUNITY HEALTH CENTER, A SEPARATE NON-PROFIT THAT IS CO-LOCATED WITH PSMCC. BECAUSE OF THIS, THE PRIMARY MEANS AVAILABLE TO PSMCC TO ADDRESS THESE NEEDS IS THROUGH ITS EMERGENCY DEPARTMENT AND ITS COLLABORATION WITH COMMUNITY PRIMARY CARE PROVIDERS IN PROMOTING PREVENTION (SEE BELOW).EMERGENCY DEPARTMENT PRIMARY CARE PROMOTION:-PROVIDENCE WILL MONITOR AMBULATORY CARE SENSITIVE CONDITIONS* USE OF THE EMERGENCY DEPARTMENT AND COLLABORATE WITH SEWARD COMMUNITY HEALTH CENTER IN THE EFFORT TO GET PEOPLE THE CARE THEY NEED AT THE RIGHT TIME AND RIGHT SETTING TO AVOID UNNECESSARY ED UTILIZATION.-PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT WILL BE SCREENED TO DETERMINE IF THEY HAVE A PRIMARY CARE PROVIDER OR PRIMARY CARE HOME. IF THEY DO NOT CURRENTLY HAVE A PRIMARY CARE HOME, THEY WILL BE EDUCATED ON AVAILABLE PRIMARY CARE SERVICES IN THE COMMUNITY AND DIRECTLY CONNECTED WITH A PRIMARY CARE PROVIDER WHEN POSSIBLE. *AMBULATORY CARE SENSITIVE CONDITIONS ARE MEDICAL PROBLEMS THAT ARE POTENTIALLY PREVENTABLE OR CONDITIONS THAT COULD HAVE BEEN TREATED IN A LESS ACUTE, AND THUS LESS COSTLY MEDICAL SETTING. FOR EXAMPLE, HYPERTENSION (HIGH BLOOD PRESSURE) IS A CONDITION THAT CAN BE TREATED OUTSIDE OF A HOSPITAL.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 11: LEVERAGING COMMUNITY ASSETS THROUGH COLLABORATIVE EFFORTS IS THE MOST EFFECTIVE AND SUSTAINABLE WAY TO ADDRESS COMMUNITY PROBLEMS. RATHER THAN ESTABLISH ISOLATED INITIATIVES TO ADDRESS COMMUNITY NEED, PVMC CHOSE STRATEGIES THAT INVOLVED COLLABORATION WITH OTHER KEY COMMUNITY STAKEHOLDERS TO ADDRESS NEEDS IDENTIFIED IN THE VALDEZ NEEDS ASSESSMENT.1) LOCAL HEALTHCARE PROVIDER WORKFORCE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE VALDEZ MEDICAL CLINIC TO ARRIVE AT IDEAL PROVIDER LEVELS AND TO EXPLORE DEVELOPING A RURAL HEALTH INTENSIVE ROTATION FOR MED STUDENTS / RESIDENTS-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS PRIMARY CARE SPACE NEEDS-JOIN WITH OTHER RURAL AND SIMILARLY IMPACTED FACILITIES TO LOBBY THE STATE OF ALASKA FOR RELIEF AROUND THE HIGH COST OF ENTRY INTO MEDICAL AND OTHER HEALTHCARE PROFESSIONS2) MENTAL HEALTH / SUBSTANCE ABUSE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE COMMUNITY TO REDUCE ABUSE AND DOMESTIC VIOLENCE AMONG ADULTS AND CHILDREN THROUGH COMMUNITY EDUCATION AND OUTREACH. -PARTNER WITH LOCAL AGENCIES AND STATE OFFICIALS TO REDUCE THE INCIDENCE OF OPIOID ADDICTION IN VALDEZ-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS COUNSELING CENTER SPACE NEEDS-PARTNER WITH THE SOUND WELLNESS ALLIANCE NETWORK AND OTHER AGENCIES TO CAMPAIGN AGAINST SUBSTANCE ABUSE, VIOLENCE, DEPRESSION, ETC.3) ACCESS TO SPECIALTY CARE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-CONTINUE TO EXPLORE VIABLE TELEMEDICINE OPPORTUNITIES.-LEVERAGE NURSE SPECIALTIES WHEN POSSIBLE I.E. WOUND CARE, LACTATION, CHEMOTHERAPY, ETC.-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS SPECIALTY CLINIC SPACE NEEDS-CONTINUE TO SEEK OUT ENDURING RELATIONSHIPS WITH SPECIALTY PROVIDERS WHO ARE WILLING TO PROVIDE CARE ON-SITE IN VALDEZ. 4) HEALTHY LIFESTYLE / CHRONIC DISEASE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL-COORDINATE WITH COMMUNITY PARTNERS TO ENCOURAGE INVESTMENT IN AND MULTI-AGENCY EFFORTS AROUND HEALTH AND WELLBEING PROGRAMING IN VALDEZ-EXEMPLIFY CORPORATE WELLNESS THROUGH WELLNESS COMMITTEE SPONSORED ACTIVITIES THAT EXTEND TO OUTSIDE ORGANIZATIONS-CHAMPION THE HRSA POPULATION HEALTH PILOT PROJECT THAT SEEKS TO LEVERAGE A MULTI-COMMUNITY NETWORK AROUND CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH IMPROVEMENT.PVMC'S IMPLEMENTATION PLAN INCLUDES ELEMENTS THAT ADDRESS ALL OF THE TOP HEALTH PRIORITIES IDENTIFIED BY THE VALDEZ CHNA ADVISORY GROUP AND THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ALASKA MEDICAL CENTER (1)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE KODIAK IS. MEDICAL CNT (11)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE SEWARD MED. & CARE CNT (12)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE VALDEZ MEDICAL CENTER (13)	Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B, Line 9	PROVIDENCE ALASKA MEDICAL CENTER (1)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 27, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE SEWARD MED. & CARE CNT (12)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON FEBRUARY 26, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE VALDEZ MEDICAL CENTER (13)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 17, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: PROVIDENCE ST. PETER HOSPITAL, - Facility 7: PROVIDENCE CENTRALIA HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 3j:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 5:	A WORKGROUP WAS CONVENED TO REVIEW THE CONTENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY BENEFIT PLAN AND IDENTIFY PRIORITY HEALTH NEEDS. WORKGROUP MEMBERS REPRESENTED A VARIETY OF SECTORS IN OUR COMMUNITY, INCLUDING ORGANIZATIONS THAT SERVE THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS IN OUR COMMUNITY:-PETER BRENNAN-AMBER LEWIS-LIZ DAVIS-MICHELLE JAMES-DR. KEVIN HAUGHTON-CHRISTINE DICKINSON-EILEEN MCKENZIE-SULLIVAN-DENISE MARRONI-ANGIE WOLLE-JENNIFER HOUKOUTSIDE CONSULTANT: HC2 STRATEGIES, INC. PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS CONTRACTED HC2 STRATEGIES, INC. TO ASSIST IN CONDUCTING AND DOCUMENTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. HC2 STRATEGIES, INC. IS A HEALTH CARE CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE SYSTEMS, STRATEGY AND INNOVATION, COMMUNITY HEALTH NEEDS ASSESSMENTS, AND PROGRAM EVALUATION (WWW.HC2STRATEGIES.COM). HC2'S HEALTHCARE INTELLIGENCE DIRECTOR, JESSICA L.A. JACKSON, WORKED DIRECTLY WITH BOTH HOSPITALS TO DETERMINE APPROPRIATE INDICATORS, RESEARCH METHODS, AND PRIORITIZATION METHODS. KEY CONTRIBUTORS: LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICESPROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS INVITED KEY LEADERS WITHIN OUR LOCAL COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENTS TO INFORM OUR COMMUNITY HEALTH NEEDS ASSESSMENT. DANETTE YORK, DIRECTOR OF LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, AND MARY ANN O'GARRO, EPIDEMIOLOGIST WITH THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, WORKED DIRECTLY WITH PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS TO SHARE KEY INFORMATION REGARDING HEALTH INDICATORS, SPECIALIZED FOCUS REPORTS, AND OFFER GUIDANCE TO OUR OVERSIGHT TEAM.OTHER PARTNERS IN THE CHIP COMMITTEE AND COMMUNITY ASSESSMENT PARTICIPANTS INCLUDED VARIOUS COMMUNITY BASED ORGANIZATIONS THAT REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS:-BEHAVIORAL HEALTH RESOURCES-CASCADE MENTAL HEALTH-HOUSING RESOURCE CENTER OF LEWIS COUNTY-HOUSING AUTHORITY OF THURSTON COUNTY-SIDEWALK-SENIOR SERVICES FOR SOUTH SOUND-LEWIS COUNTY PUBLIC HEALTH & SOCIAL SERVICES-THURSTON COUNTY PUBLIC HEALTH-UNITED WAY OF LEWIS COUNTY-UNITED WAY OF THURSTON COUNTY-LEWIS & THURSTON COUNTY FOOD BANKS-THURSTON COUNTY DEVELOPMENT DISABILITIES PROGRAM-THURSTON-MASON BEHAVIORAL HEALTH ORGANIZATION-LEWIS COUNTY COMMUNITY HEALTH PARTNERSHIP-CHOICE REGIONAL HEALTH NETWORK-THURSTON THRIVES-VALLEY VIEW HEALTH CENTER-SEAMAR COMMUNITY HEALTH CENTER-OCEAN BEACH HOSPITAL-WILLAPA HARBOR HOSPITAL-SUMMIT PACIFIC HOSPITAL-MASON GENERAL HOSPITAL-STECK MEDICAL CLINIC-GRAYS HARBOR COMMUNITY HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 11:	FOLLOWING THE PRIOR CHNA, PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE NEEDS IDENTIFIED BELOW. THE TOP HEALTH ISSUES FOR THE 2014 CHNA/CHIP WERE: 1. ADVANCE CARE PLANNING2. CHILDHOOD OBESITY3. ACCESS TO MENTAL HEALTH SERVICES THE FOLLOWING IS AN OVERVIEW THAT EVALUATES OUR CHIP OUTCOMES AND IMPACT ON THE IDENTIFIED NEEDS.PRIORITIZED NEED #1: ADVANCE CARE PLANNINGPROVIDENCE SOUTHWEST WASHINGTON REGION BEGAN ITS ADVANCE CARE PLANNING INITIATIVE IN MID-2015 WITH FUNDING FROM PROVIDENCE ST. PETER FOUNDATION. THIS INITIATIVE HELPS INDIVIDUALS PLAN FOR FUTURE HEALTH CARE AND IDENTIFY A PERSON TO SPEAK FOR THEM IF THEY CANNOT. IT ALSO HELPS HEALTH SYSTEMS PROVIDE CARE THAT HONORS PERSONAL GOALS, VALUES, AND PREFERENCES. THE REGION IS ON TRACK TO REACH ALL OF THE INITIATIVE'S TARGETS ALIGNED WITH ITS GOALS. PRIORITIZED NEED #2: CHILDHOOD OBESITYPROVIDENCE SOUTHWEST WASHINGTON REGION PARTNERED WITH NORTH THURSTON AND CENTRALIA SCHOOL DISTRICTS AND SQORD, A MANUFACTURER OF WEARABLE ACTIVITY TRACKERS DESIGNED FOR YOUTH, TO DESIGN AND IMPLEMENT A PROGRAM THAT DIRECTLY RESPONDS TO THIS NEED.SQORD DEVICES WERE DISTRIBUTED TO 616 KIDS FOR THE 2015-16 SCHOOL YEAR, AND 674 DEVICES FOR THE 2016-17 SCHOOL YEAR. AS OF JUNE 2017, REPORTS SHOW THAT 51% OF NORTH THURSTON STUDENTS IN THE PROGRAM AND 61% OF CENTRALIA STUDENTS IN THE PROGRAM HAD AN AVERAGE OF 45 MINUTES OR MORE MODERATE TO VIGOROUS PHYSICAL ACTIVITY (MVPA) PER DAY. PROVIDENCE CONTINUES TO PARTNER WITH BOTH SCHOOL DISTRICTS AND SQORD TO MEASURE IMPACT AND DETERMINE NEXT STEPS.PRIORITIZED NEED #3: ACCESS TO MENTAL HEALTH SERVICESPROVIDENCE CONTINUES TO EVALUATE WAYS TO MEET THE ONGOING AND PROFOUND MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS OF THE COMMUNITIES WE SERVE. A DEDICATED RECOVERY CARE UNIT WAS ESTABLISHED AT PROVIDENCE CENTRALIA HOSPITAL FROM JUNE 2015 TO SEPTEMBER 2016, WHICH SERVED 674 PATIENTS DURING THAT TIME. THE DETOX UNIT SUPPORTED PATIENTS IN THEIR READINESS FOR CHANGE, ENGAGED THEM IN TREATMENT, AND CONNECTED THEM WITH RESOURCES IN A PEACEFUL ENVIRONMENT THAT ALLOWED THEM TO CONCENTRATE ON HEALING. BEGINNING OCTOBER 1, 2016, THE UNIT WAS TRANSITIONED TO AN 18-BED MEDICAL UNIT. MEDICAL DETOX SERVICES CONTINUE TO BE AVAILABLE AT THE HOSPITAL FOR THOSE WITH A MEDICAL NECESSITY. IN ADDITION, BENZODIAZEPINE AND OPIOIDS DETOXIFICATION STANDARD OF CARE IS PROVIDED AT A LEVEL OF INTENSIVE OUTPATIENT CARE AT THE PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER.PROVIDENCE WILL EXPLORE FURTHER OPPORTUNITIES TO MEET MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS AS A KEY PRIORITY IDENTIFIED IN OUR CURRENT CHNA.SEE THE FULL CHNA FOR MORE DETAILED INFORMATION.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 16j:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - Facility 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 3j:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS IN THE PRMCE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. PRMCE UTILIZED A THREE STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS. NEEDS IDENTIFIED IN THE SNOHOMISH HEALTH DISTRICT CHNA WERE EVALUATED IN THE FIRST PHASE OF PRIORITIZATION. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 5:	DEVELOPMENT OF THE CHNA REQUIRES INPUT AND GUIDANCE FROM A WIDE RANGE OF INDIVIDUALS AND ORGANIZATIONS INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. PROVIDENCE IS A MEMBER OF VARIOUS COMMUNITY-WIDE COMMITTEES AND GROUPS THAT ARE WORKING TO INCREASE THE HEALTH OF OUR COMMUNITIES. THESE COMMITTEES, AS WELL AS OTHER PARTICIPANTS SUCH AS THE SNOHOMISH HEALTH DISTRICT, ENABLE PROVIDENCE TO GATHER AND EVALUATE INFORMATION AND INPUT TO HELP INFORM THE COMMUNITY NEEDS ASSESSMENT. APPENDIX II IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS. SOME OF THE PROVIDENCE-LED ACTIVITY INCLUDE THE FOLLOWING:-PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS AND OTHER NON-PROFITS AIMED AT ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS THAT SUPPORT HEALTH AND WELL-BEING WITH A SPECIFIC FOCUS ON HEALTH PRIORITY AND PROGRESS, HEALTH EDUCATION AND HEALING, WORKFORCE HEALTH AND PRODUCTIVITY, AND COMMUNITY HEALTH TRANSFORMATION. -PIHC FOCUS GROUPS INCLUDED 130 INDIVIDUALS PARTICIPATING IN FOCUS GROUPS AND LISTENING SESSIONS HELD AT 12 SEPARATE LOCATIONS THROUGHOUT THE COUNTY. TO ENSURE THAT WE GAVE A VOICE TO A REPRESENTATIVE CROSS SECTION OF SNOHOMISH COUNTY, SOME PARTICIPANTS WERE SELECTED AT RANDOM, SOME BASED ON DEMOGRAPHICS. MANY PARTICIPANTS ATTENDED ANONYMOUSLY. PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT HOW THEY DEFINED HEALTH AND WELLNESS; WHAT OPTIMAL HEALTH AND WELLNESS LOOKED LIKE TO THEM; WHAT BARRIERS THEY FACE TO ACHIEVING GOOD HEALTH; AND WHAT MAKES FOR A HEALTHY COMMUNITY. -PIHC HEALTH AND WELL BEING MONITOR WAS DEVELOPED TO DEFINE AND MEASURE HEALTH THROUGH THE EYES OF SNOHOMISH COUNTY RESIDENTS. A SAMPLING OF OVER 1,000 RESIDENTS WERE CONTACTED THROUGH STREET INTERVIEWS, NEWSPAPER POLLING, TARGETED FOCUS GROUPS IN UNDERSERVED AREAS, AND COUNTY-WIDE TELEPHONE AND ON-LINE SURVEYS. PARTICIPANTS WERE ASKED TO MEASURE 24 ASPECTS OF THEIR HEALTH IN SIX KEY AREAS IDENTIFIED AS RELEVANT BY THE COMMUNITY: SECURITY AND BASIC NEEDS; EMOTIONAL AND SPIRITUAL HEALTH; WORK LEARNING AND GROWTH; PHYSICAL HEALTH; RELATIONSHIPS AND SOCIAL CONNECTIONS; AND NEIGHBORHOOD AND ENVIRONMENT. -PIHC COMMUNITY HEALTH SUMMIT BRINGS TOGETHER MORE THAN 450 MEMBERS OF THE COMMUNITY, INCLUDING SOCIAL SERVICE AND HEALTHCARE PROFESSIONALS, TO LEARN ABOUT BEST PRACTICES FROM LOCAL, STATE AND NATIONAL EXPERTS.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 11:	THERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY; HOWEVER, DUE TO LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PROVIDENCE CANNOT DIRECTLY ADDRESS ALL NEEDS IN A CHNA. BASED ON THE PRIORITIZATION ANALYSIS COMPLETED IN PHASE III, PRMCE CHOSE THE THREE INDICATORS DESCRIBED BELOW AS THE SIGNIFICANT FOCUS FOR THE 2017-2019 NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.ACCESS TO PRIMARY CAREINCREASE THE PROPORTION OF ADULT RESIDENTS IN SNOHOMISH COUNTY WHO HAVE ONE PERSON THEY THINK OF AS THEIR PERSONAL DOCTOR OR HEALTH CARE PROVIDER.-IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS-INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS PER 1,000 POPULATION-INCREASE AWARENESS ABOUT PRIMARY CARE SERVICES AVAILABLEOPIOID ABUSEREDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE ABUSE OF OPIOID MEDICATIONS AND ILLEGAL OPIOIDS.-INCREASE AWARENESS OF AND ACCESS TO TREATMENT OPTIONS-EDUCATE ABOUT OPIOID ABUSE-DEVELOP EVIDENCE-BASED COMMUNITY STANDARDS AND PROTOCOLS.HOMELESSNESSIMPROVE THE OVERALL HEALTH AND WELL-BEING OF OUR PATIENTS BY CONNECTING THEM TO STABLE HOUSING.-IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE HOMELESS POPULATION POST DISCHARGE-EXPAND PARTICIPATION IN COMMUNITY EFFORTS TO DIRECTLY ADDRESS HOMELESSNESSGIVEN THE SCOPE OF CARE PROVIDENCE PROVIDES TO OUR COMMUNITY, WE WILL ALSO HAVE AN INDIRECT IMPACT ON OTHER COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, PROVIDENCE HAS MANY OTHER COMMUNITY BENEFIT PROGRAMS THAT ARE DESIGNED TO IMPROVE THE HEALTH OF OUR COMMUNITY IN A VARIETY OF OTHER AREAS.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 16j:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B	Facility Reporting Group C
Facility Reporting Group C consists of:	- Facility 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
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 3j:	PART V, SECTION B, LINE 3ESPOKANE COUNTY'S LAST NEEDS ASSESSMENT WAS 2018 WHICH WAS A JOINT EFFORT WITH PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL. THE NEEDS WERE PRIORITIZED AS DECREASE FAMILY VIOLENCE AND TRAUMA, INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, AND INCREASE AFFORDABLE HOUSING, WITH AN EMPHASIS ON YOUTH SUICIDE PREVENTION, ELDER CARE, AND DECREASING CHILD ABUSE RATES. THE STEVENS COUNTY NEEDS ASSESSMENT WAS IN 2016 AND PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL JOINTLY ASSESSED THE NEEDS AND PRIORITIZED AS EARLY CHILDHOOD SUPPORT, BASIC FOODS/NUTRITION BEHAVIORAL HEALTH, AND ACCESS TO SERVICES.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 5:	PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL REQUESTED INPUT FROM THE COMMUNITY IN THE LAST NEEDS ASSESSMENT THROUGH FOCUS GROUPS TAKING PLACE IN THE MONTH OF PARIL 2018 UNTIL A FINAL COMMUNITY PRIORITIZATION VOTE IN MAY. PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL SOUGHT INPUT FORM THE COMMUNITY THROUGH FOCUS GROUPS IN THE MONTH OF APRIL 2016.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 11:	AFTER PRIORITIZING THE TOP ISSUES FROM THE NEEDS ASSESSMENTS, COMMUNITY SURVEYS AND GAPS, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHOSE TO FOCUS ON THE FOLLOWING AREAS IN THE HEALTH IMPROVEMENT PLAN: 1. EARLY CHILDHOOD SUPPORT - IMPROVE EARLY CHILDHOOD SUPPORT BY DECREASING THE PERCENTAGE OF CHILDREN LIVING IN POVERTY, BABIES BORN WITH LOW BIRTH WEIGHTS, MATERNAL SMOKING RATES AND THE INFANT MORTALITY RATE, WHILE INCREASING THE NUMBER OF PREGNANT MOTHERS WHO HAVE A PRENATAL VISIT IN THEIR FIRST TRIMESTER THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE OPTIONS FOR SUPPORT OF INFANT DEVELOPMENT- IDENTIFY PARTNERS WHO SUPPORT EARLY CHILDHOOD DEVELOPMENT- EXPLORE OPTIONS AND PARTNERS TO IDENTIFY AND REDUCE CHILD ABUSE AND NEGLECT- EXPLORE PROGRAM TO ADDRESS AND REDUCE MATERNAL SMOKING RATES- EXPLORE BEST PRACTICES TO INCREASE PRENATAL VISITS2. BASIC FOOD/NUTRITION - IMPROVE BASIC FOODS/NUTRITION BY INCREASING ADULT FRESH FRUIT AND VEGETABLE CONSUMPTION AND EXERCISE AND DECREASING DIABETES AND OBESITY IN ADULTS AND OVERWEIGHT YOUTH THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND UNDERSTAND THE EFFECTIVENESS OF THE HUNGER COALITION- ASSESS THE SUSTAINABILITY PLAN FOR HUNGER COALITION- EXPLORE OPTIONS FOR EDUCATION OF NUTRITION WITH EARLY CHILD DEVELOPMENT PARTNERS3. BEHAVIORAL HEALTH - IMPROVE BEHAVIORAL HEALTH BY DECREASING POOR MENTAL HEALTH REPORTED DAYS IN ADULTS AND FEELINGS OF SADNESS OR HOPELESSNESS IN TEENS, AND ALSO DECREASING ADULT BINGE DRINKING AND TEEN ALCOHOL USE TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH NORTHPORT SCHOOL DISTRICT AND EXPLORE PARTNERSHIPS WITH OTHER SCHOOL DISTRICTS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH RURAL RESOURCES- EXPLORE POTENTIAL PARTNERSHIPS TO ADDRESS THE NEEDS4. ACCESS TO CARE - IMPROVE ACCESS TO CARE BY INCREASING ADULTS WITH A PRIMARY CARE PROVIDER, DENTAL CHECK-UPS, AND PREVENTATIVE CANCER SCREENINGS, ESPECIALLY BREAST CANCER SCREENINGS, AND DECREASING THE UNINSURED ADULT POPULATION TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOAL.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE AND ASSESS OPTIONS FOR COUNTY AMBULANCE SERVICE- EXPLORE OPTIONS TO EXPAND AND SUSTAIN AMBULANCE SERVICE IN STEVENS COUNTY- EXPLORE SUPPORT FOR AND POTENTIAL TO EXPAND RURAL RESIDENCY PROGRAM- EXPLORE OPTIONS FOR ADVOCACY OF EXPANDED FIBER OPTIC AND INTERNET IN THE RURAL COMMUNITIESOUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 16j:	BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?198
Name and address		Type of Facility (describe)
1	1 - HOSPICE AND HOME CARE OF SNOHOMISH COUNT 2731 WETMORE SUITE 500 EVERETT,WA98201	IN-HOME SERVICES
2	2 - INFUSION AND PHARMACY SERVICES 10807 E MONTGOMERY SUITE 8 SPOKANE VALLEY,WA99206	IN-HOME SERVICES
3	3 - PROVIDENCE DOMINICARE 110 S 3RD STREET EAST PO BOX 1070 CHEWELAH,WA99109	IN-HOME SERVICES
4	4 - PROVIDENCE HOME SERVICES KING COUNTY 2811 S 102ND STREET SUITE 220 TUKWILA,WA98168	IN-HOME SERVICES
5	5 - PROVIDENCE HOSPICE OF SEATTLE 425 PONTIUS AVE N STE 300 SEATTLE,WA98109	IN-HOME SERVICES
6	6 - PROVIDENCE INFUSION AND PHARMACY SERVICE 3333 SOUTH 120TH PLACE SUITE 100 TUKWILA,WA98168	IN-HOME SERVICES
7	7 - PROVIDENCE VNA HOME HEALTH 1000 N ARGONNE SPOKANE VALLEY,WA99212	IN-HOME SERVICES
8	8 - SOUNDHOMECARE AND HOSPICE 3432 SOUTH BAY ROAD NE OLYMPIA,WA98506	IN-HOME SERVICES
9	9 - ST MARY HOME HEALTH 380 CHASE STREET WALLA WALLA,WA99362	IN-HOME SERVICES
10	10 - PROVIDENCE FAMILY MEDICINE CENTER 1201 EAST 36TH AVENUE ANCHORAGE,AK99508	PRIMARY CARE
11	11 - CHEHALIS FAMILY MEDICINE 931 S MARKET BLVD CHEHALIS,WA98532	PRIMARY CARE
12	12 - EAST OLYMPIA FAMILY MEDICINE 525 LILLY RD NE SUITE 250 OLYMPIA,WA98506	PRIMARY CARE
13	13 - FAMILY MEDICINE 2902 164TH ST SW LYNNWOOD,WA98087	PRIMARY CARE
14	14 - FAMILY MEDICINE 4112 HARBOUR POINTE BLVD SW SUITE 100 MUKILTEO,WA98275	PRIMARY CARE
15	15 - FAMILY MEDICINE - INDIAN TRAIL 5011 W LOWELL AVE SUITE 100 SPOKANE,WA99208	PRIMARY CARE
16	16 - FAMILY MEDICINE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK,WA98208	PRIMARY CARE
17	17 - FAMILY MEDICINE - MILL CREEK COMMONS 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK,WA98012	PRIMARY CARE
18	18 - FAMILY MEDICINE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	PRIMARY CARE
19	19 - FAMILY MEDICINE - NORTH 212 E CENTRAL AVE SUITE 440 SPOKANE,WA99208	PRIMARY CARE
20	20 - FAMILY MEDICINE - NORTHPOINTE 9911 N NEVADA STREET SUITE 200 SPOKANE,WA99218	PRIMARY CARE
21	21 - FAMILY MEDICINE - SPOKANE VALLEY 13102 E MISSION AVENUE SPOKANE VALLEY,WA99216	PRIMARY CARE
22	22 - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY,WA98516	PRIMARY CARE
23	23 - NORTHEAST WASHINGTON MEDICAL GROUP - COL 1200 EAST COLUMBIA AVE COLVILLE,WA99114	PRIMARY CARE
24	24 - NORTHEAST WASHINGTON MEDICAL GROUP - FAM 100 W SOUTH AVE CHEWELAH,WA99109	PRIMARY CARE
25	25 - NORTHEAST WASHINGTON MEDICAL GROUP - GAR 143 GARDEN HOMES DRIVE COLVILLE,WA99114	PRIMARY CARE
26	26 - NORTHEAST WASHINGTON MEDICAL GROUP - KET 840 S MEYERS STREET KETTLE FALLS,WA99141	PRIMARY CARE
27	27 - PROVIDENCE FAMILY MEDICINE 380 CHASE AVENUE WALLA WALLA,WA99362	PRIMARY CARE
28	28 - PROVIDENCE FAMILY MEDICINE RESIDENCY CLI 624 E FRONT AVE SPOKANE,WA99202	PRIMARY CARE
29	29 - PROVIDENCE MEDICAL GROUP-BATTLE GROUND F 101 NW 12TH AVE SUITE 107 BATTLE GROUND,WA98604	PRIMARY CARE
30	30 - PROVIDENCE MEDICAL GROUP-CAMAS 3101 SE 192ND AVE VANCOUVER,WA98683	PRIMARY CARE
31	31 - PROVIDENCE MEDICAL GROUP-MILL PLAIN 315 SE STONEMILL DRIVE SUITE 102 VANCOUVER,WA98684	PRIMARY CARE
32	32 - ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SW STE A ROCHESTER,WA98579	PRIMARY CARE
33	33 - ST PETER FAMILY MEDICINE 525 LILLY RD NE OLYMPIA,WA98506	PRIMARY CARE
34	34 - VALLEY FAMILY PHYSICIANS 16528 E DESMET COURT SUITE B3100 SPOKANE VALLEY,WA99216	PRIMARY CARE
35	35 - WEST OLYMPIA FAMILY MEDICINE 1620 COOPER POINT ROAD SW OLYMPIA,WA98502	PRIMARY CARE
36	36 - PROVIDENCE REHABILITATION SERVICES 4411 BUSINESS PARK BLVD BUILDING M-20 ANCHORAGE,AK99503	REHAB & PHYSICAL THERAPY
37	37 - CENTRALIA PHYSICAL MEDICINE 1800 COOKS HILL ROAD SUITE E CENTRALIA,WA98531	REHAB & PHYSICAL THERAPY
38	38 - CENTRALIA PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA,WA98531	REHAB & PHYSICAL THERAPY
39	39 - OLYMPIA PHYSICAL MEDICINE 410 PROVIDENCE LANE NE BUILDING 2 OLYMPIA,WA98506	REHAB & PHYSICAL THERAPY
40	40 - PHYSICAL AND AQUATIC THERAPY 1809 COOKS HILL RD CENTRALIA,WA98531	REHAB & PHYSICAL THERAPY
41	41 - PROVIDENCE CHEHALIS PHYSICAL THERAPY 91 SW CHEHALIS AVE SUITE 104 CHEHALIS,WA98532	REHAB & PHYSICAL THERAPY
42	42 - PROVIDENCE PHYSICAL MEDICINE AND REHABIL 301 W POPLAR STREET WALLA WALLA,WA99362	REHAB & PHYSICAL THERAPY
43	43 - TUMWATER VALLEY PHYSICAL THERAPY 4833 TUMWATER VALLEY DR STE 150 TUMWATER,WA98501	REHAB & PHYSICAL THERAPY
44	44 - PROVIDENCE EXTENDED CARE 920 COMPASSION CIR ANCHORAGE,AK99504	SENIOR CARE
45	45 - PROVIDENCE HORIZON HOUSE 4140 FOLKER STREET ANCHORAGE,AK99508	SENIOR CARE
46	46 - PROVIDENCE MEDICAL GROUP SENIOR CARE 3300 PROVIDENCE DRIVE B TOWER SUITE 314 ANCHORAGE,AK99508	SENIOR CARE
47	47 - PROVIDENCE TRANSITIONAL CARE CENTER 910 COMPASSION CIRCLE ANCHORAGE,AK99504	SENIOR CARE
48	48 - PROVIDENCE SEWARD MOUNTAIN HAVEN 2203 OAK STREET SEWARD,AK99664	SENIOR CARE
49	49 - ELDERPLACE FULL LIFE 7829 S 180TH STREET KENT,WA98032	SENIOR CARE
50	50 - EMILIE COURT 34 E 8TH AVENUE SPOKANE,WA99202	SENIOR CARE
51	51 - HERITAGE HOUSE AT THE MARKET 1533 WESTERN AVENUE SEATTLE,WA98101	SENIOR CARE
52	52 - PROVIDENCE ADULT DAY HEALTH 6018 N ASTOR STREET SPOKANE,WA99208	SENIOR CARE
53	53 - PROVIDENCE ELDERPLACE 4515 MARTIN LUTHER KING JR WAY S SUITE 1 SEATTLE,WA98108	SENIOR CARE
54	54 - PROVIDENCE ELDERPLACE WEST 4831 35TH AVE SW SEATTLE,WA98126	SENIOR CARE
55	55 - PROVIDENCE MARIANWOOD 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH,WA98029	SENIOR CARE
56	56 - PROVIDENCE MOTHER JOSEPH CARE CENTER 3333 ENSIGN ROAD NE OLYMPIA,WA98506	SENIOR CARE
57	57 - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE,WA98126	SENIOR CARE
58	58 - PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVENUE SPOKANE,WA99202	SENIOR CARE
59	59 - VASHON COMMUNITY CARE 15333 VASHON HIGHWAY SW VASHON ISLAND,WA98070	SENIOR CARE
60	60 - PALLIATIVE CARE CLINIC 3851 PIPER STREET TOWER U STE LL002 ANCHORAGE,AK99508	SPECIALTY CLINIC
61	61 - PROVIDENCE ALASKA NEUROSCIENCE CENTER 3851 PIPER STREET ANCHORAGE,AK99508	SPECIALTY CLINIC
62	62 - PROVIDENCE MEDICAL GROUP BEHAVIORAL HEAL 3760 PIPER STREET SUITE 1108 ANCHORAGE,AK99508	SPECIALTY CLINIC
63	63 - PROVIDENCE MEDICAL GROUP MATERNAL-FETAL 3260 PROVIDENCE DRIVE SUITE C-522 ANCHORAGE,AK99508	SPECIALTY CLINIC
64	64 - PROVIDENCE MEDICAL GROUP PEDIATRIC GASTR 3340 PROVIDENCE DRIVE SUITE A-567 ANCHORAGE,AK99508	SPECIALTY CLINIC
65	65 - PROVIDENCE MEDICAL GROUP PEDIATRIC PULMO 3200 PROVIDENCE DRIVE SUITE D-338 ANCHORAGE,AK99508	SPECIALTY CLINIC
66	66 - PROVIDENCE MEDICAL GROUP PEDIATRIC SUBSP 3340 PROVIDENCE DRIVE SUITE A-351 ANCHORAGE,AK99508	SPECIALTY CLINIC
67	67 - PROVIDENCE MEDICAL GROUP PEDIATRIC SURGE 3340 PROVIDENCE DRIVE SUITE A-565 ANCHORAGE,AK99508	SPECIALTY CLINIC
68	68 - PROVIDENCE MEDICAL GROUP U-MED 3260 PROVIDENCE DRIVE C TOWER SUITE 436 ANCHORAGE,AK99508	SPECIALTY CLINIC
69	69 - PROVIDENCE PEDIATRIC ONCOLOGY & INFUSION 3851 PIPER ST SUITE U1-213 ANCHORAGE,AK99508	SPECIALTY CLINIC
70	70 - PROVIDENCE EAGLE RIVER MEDICAL OFFICE BU 17101 SNOWMOBILE LANE EAGLE RIVER,AK99577	SPECIALTY CLINIC
71	71 - PROVIDENCE MEDICAL GROUP MAT-SU BEHAVIOR 2250 S WOODWORTH LOOP SUITE 202 PALMER,AK99645	SPECIALTY CLINIC
72	72 - PROVIDENCE MEDICAL OFFICE BUILDING MAT-S 2250 SOUTH WOODWORTH LOOP PALMER,AK99645	SPECIALTY CLINIC
73	73 - ANTICOAGULATION - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK,WA98208	SPECIALTY CLINIC
74	74 - ANTICOAGULATION - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
75	75 - AUDIOLOGY - NORTON BUILDING 3216 NORTON AVE SUITE 102 EVERETT,WA98201	SPECIALTY CLINIC
76	76 - CANCER CARE - PROVIDENCE REGIONAL CANCER 1717 13TH ST EVERETT,WA98201	SPECIALTY CLINIC
77	77 - CARDIAC AND THORACIC SURGERY - COLBY CAM 1330 ROCKEFELLER SUITE 400 EVERETT,WA98201	SPECIALTY CLINIC
78	78 - CARDIOLOGY - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 310 EVERETT,WA98201	SPECIALTY CLINIC
79	79 - CARDIOLOGY - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK,WA98208	SPECIALTY CLINIC
80	80 - CARDIOLOGY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
81	81 - CARDIOLOGY ASSOCIATES - ABERDEEN 1921 SUMNER AVE ABERDEEN,WA98520	SPECIALTY CLINIC
82	82 - CARDIOLOGY ASSOCIATES - CENTRALIA 1800 COOKS HILL ROAD SUITE K CENTRALIA,WA98531	SPECIALTY CLINIC
83	83 - CARDIOLOGY ASSOCIATES - SHELTON 939 MOUNTAIN VIEW DR SHELTON,WA98584	SPECIALTY CLINIC
84	84 - CARDIOLOGY ASSOCIATES - YELM 201 TAHOMA BLVD SE SUITE 204 YELM,WA98597	SPECIALTY CLINIC
85	85 - CENTRALIA GENERAL SURGERY 1720 COOKS HILL ROAD CENTRALIA,WA98531	SPECIALTY CLINIC
86	86 - CENTRALIA INTERNAL MEDICINE 1010 SOUTH SCHEUBER ROAD CENTRALIA,WA98531	SPECIALTY CLINIC
87	87 - CENTRALIA UROLOGY 1800 COOKS HILL ROAD SUITE F CENTRALIA,WA98531	SPECIALTY CLINIC
88	88 - CENTRALIA WOMEN'S CENTER 1000 S SCHEUBER ROAD CENTRALIA,WA98531	SPECIALTY CLINIC
89	89 - CLINIC AT PANORAMA 1450 NORTHWEST LANE SE SUITE A LACEY,WA98503	SPECIALTY CLINIC
90	90 - CRANIAL SPINE AND JOINT 1717 13TH ST SUITE 401 EVERETT,WA98201	SPECIALTY CLINIC
91	91 - EAR NOSE AND THROAT - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
92	92 - EAR NOSE AND THROAT - MILL CREEK CAMPU 12800 BOTHELL-EVERETT HIGHWAY SUITE 110 MILL CREEK,WA98208	SPECIALTY CLINIC
93	93 - EAR NOSE AND THROAT - NORTON BUILDING 3216 NORTON AVE SUITE 102 EVERETT,WA98201	SPECIALTY CLINIC
94	94 - ENDOCRINOLOGY - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 210 EVERETT,WA98201	SPECIALTY CLINIC
95	95 - ENDOCRINOLOGY - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK,WA98208	SPECIALTY CLINIC
96	96 - ENDOCRINOLOGY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
97	97 - EPILEPSY CENTER - SACRED HEART DOCTORS B 105 W 8TH AVE SUITE 318C SPOKANE,WA99204	SPECIALTY CLINIC
98	98 - EVERETT HEALTHCARE CLINIC 930 NORTH BROADWAY EVERETT,WA98201	SPECIALTY CLINIC
99	99 - FAMILY MEDICINE & MATERNITY CARE SOUTH 2020 E 29TH AVE SPOKANE,WA99203	SPECIALTY CLINIC
100	100 - GENERAL SURGERY - NORTON BUILDING 3216 NORTON AVE SUITE 202 EVERETT,WA98201	SPECIALTY CLINIC
101	101 - GENETICS CLINIC 105 W 8TH AVE SUITE 454E SPOKANE,WA99204	SPECIALTY CLINIC
102	102 - GYNECOLOGIC ONCOLOGY 1717 13TH ST SUITE 300 EVERETT,WA98201	SPECIALTY CLINIC
103	103 - HAWKS PRAIRIE INTERNAL MEDICINE 2555 MARVIN RD NE LACEY,WA98516	SPECIALTY CLINIC
104	104 - INFECTIOUS DISEASE - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 520 EVERETT,WA98201	SPECIALTY CLINIC
105	105 - INTERNAL MEDICINE 820 S MCCLELLAN STREET SUITES 200 500 SPOKANE,WA99204	SPECIALTY CLINIC
106	106 - INTERNAL MEDICINE - COLBY CAMPUS MOB 1330 ROCKEFELLER SUITE 210 EVERETT,WA98201	SPECIALTY CLINIC
107	107 - INTERNAL MEDICINE - FIFTH AVENUE 910 W 5TH AVE SUITE 701 SPOKANE,WA99204	SPECIALTY CLINIC
108	108 - INTERNAL MEDICINE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 180 MILL CREEK,WA98208	SPECIALTY CLINIC
109	109 - INTERNAL MEDICINE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
110	110 - MARYSVILLE CLINIC 11603 STATE AVE SUITE G MARYSVILLE,WA98271	SPECIALTY CLINIC
111	111 - MIDWIFERY - MILL CREEK COMMONS 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK,WA98012	SPECIALTY CLINIC
112	112 - MIDWIFERY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
113	113 - MIDWIFERY - PAVILION FOR WOMEN & CHILDRE 900 PACIFIC AVE SUITE 501 EVERETT,WA98201	SPECIALTY CLINIC
114	114 - MINIMALLY INVASIVE HEART SURGERY 122 W 7TH AVENUE SPOKANE,WA99204	SPECIALTY CLINIC
115	115 - MULTIPLE SCLEROSIS CENTER 212 E CENTRAL AVE SUITE 440 SPOKANE,WA99208	SPECIALTY CLINIC
116	116 - NEPHROLOGY - HYPERTENSION KIDNEY CARE & 105 W 8TH AVE SUITE 7060 SPOKANE,WA99204	SPECIALTY CLINIC
117	117 - NEUROLOGY NEUROSURGERY & SPINE 105 W 8TH AVE SUITE 318C SPOKANE,WA99204	SPECIALTY CLINIC
118	118 - NORTHWEST HEART & LUNG SURGICAL ASSOCIAT 122 W 7TH AVE SUITE 110 SPOKANE,WA99204	SPECIALTY CLINIC
119	119 - OBSTETRICS AND GYNECOLOGY - MILL CREEK C 16708 BOTHELL-EVERETT HIGHWAY SUITE 201 MILL CREEK,WA98012	SPECIALTY CLINIC
120	120 - OBSTETRICS AND GYNECOLOGY - MONROE CLINI 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
121	121 - OBSTETRICS AND GYNECOLOGY - PAVILLION FO 900 PACIFIC AVE SUITE 501 EVERETT,WA98201	SPECIALTY CLINIC
122	122 - OCCUPATIONAL MEDICINE - DOWNTOWN 421 S DIVISION ST SUITE 2 SPOKANE,WA99202	SPECIALTY CLINIC
123	123 - OCCUPATIONAL MEDICINE - NORTH 551 E HAWTHORNE ROAD SPOKANE,WA99218	SPECIALTY CLINIC
124	124 - OCCUPATIONAL MEDICINE - SPOKANE VALLEY 16528 E DESMET COURT SUITE A1600 SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
125	125 - OLYMPIA CARDIAC SURGERY 525 LILLY RD NE SUITE 200 OLYMPIA,WA98506	SPECIALTY CLINIC
126	126 - OLYMPIA ENDOCRINOLOGY 2555 MARVIN RD NE LACEY,WA98516	SPECIALTY CLINIC
127	127 - OLYMPIA INFECTIOUS DISEASE CLINIC 3525 ENSIGN RD NE SUITE R OLYMPIA,WA98506	SPECIALTY CLINIC
128	128 - OLYMPIA UROLOGY 149 LILLY ROAD NE OLYMPIA,WA98506	SPECIALTY CLINIC
129	129 - ORTHOPEDICS 820 S MCCLELLAN ST SUITE 300 SPOKANE,WA99204	SPECIALTY CLINIC
130	130 - ORTHOPEDICS - NORTH 212 E CENTRAL AVE SUITE 245 SPOKANE,WA99208	SPECIALTY CLINIC
131	131 - PEDIATRIC ASSOCIATES - NORTHPOINTE 9911 N NEVADA ST SUITE 200 SPOKANE,WA99218	SPECIALTY CLINIC
132	132 - PEDIATRIC GASTROENTEROLOGY - SACRED HEAR 105 W 8TH AVE SUITE 150E SPOKANE,WA99204	SPECIALTY CLINIC
133	133 - PEDIATRIC PULMONOLOGY & CYSTIC FIBROSIS 105 W 8TH AVE SUITE 660E SPOKANE,WA99204	SPECIALTY CLINIC
134	134 - PEDIATRIC UROLOGY 315 W 9TH AVE SUITE 200 SPOKANE,WA99204	SPECIALTY CLINIC
135	135 - PEDIATRICS 2902 164TH ST SW LYNNWOOD,WA98087	SPECIALTY CLINIC
136	136 - PEDIATRICS 4112 HARBOUR POINTE BLVD SW SUITE 100 MUKILTEO,WA98275	SPECIALTY CLINIC
137	137 - PEDIATRICS - INDIAN TRAIL 5011 W LOWELL AVE SUITE 100 SPOKANE,WA99208	SPECIALTY CLINIC
138	138 - PEDIATRICS - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 190 MILL CREEK,WA98208	SPECIALTY CLINIC
139	139 - PEDIATRICS - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
140	140 - PEDIATRICS - NORTH 212 E CENTRAL AVE SUITE 440 SPOKANE,WA99208	SPECIALTY CLINIC
141	141 - PHYSIATRY - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
142	142 - PLASTIC AND RECONSTRUCTIVE SURGERY - MIL 12800 BOTHELL-EVERETT HIGHWAY SUITE 260 MILL CREEK,WA98208	SPECIALTY CLINIC
143	143 - PROVIDENCE CARDIOLOGY ASSOCIATES 500 LILLY RD NE OLYMPIA,WA98506	SPECIALTY CLINIC
144	144 - PROVIDENCE EAR NOSE & THROAT 301 W POPLAR STREET SUITE 210 WALLA WALLA,WA99362	SPECIALTY CLINIC
145	145 - PROVIDENCE GASTROENTEROLOGY 212 E CENTRAL AVE SUITE 440 SPOKANE,WA99208	SPECIALTY CLINIC
146	146 - PROVIDENCE GASTROENTEROLOGY 301 W POPLAR STREET SUITE 210 WALLA WALLA,WA99362	SPECIALTY CLINIC
147	147 - PROVIDENCE GENERAL SURGERY 380 CHASE AVE WALLA WALLA,WA99362	SPECIALTY CLINIC
148	148 - PROVIDENCE HIV CLINIC 624 E FRONT AVE SPOKANE,WA99202	SPECIALTY CLINIC
149	149 - PROVIDENCE IN HOME PRIMARY CARE 1830 BICKFORD AVENUE SNOHOMISH,WA98290	SPECIALTY CLINIC
150	150 - PROVIDENCE INTERNAL MEDICINE 16528 E DESMET COURT SUITE B2100 SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
151	151 - PROVIDENCE INTERNAL MEDICINE 380 CHASE STREET WALLA WALLA,WA99362	SPECIALTY CLINIC
152	152 - PROVIDENCE INTERNAL MEDICINE RESIDENCY C 624 E FRONT AVE SPOKANE,WA99202	SPECIALTY CLINIC
153	153 - PROVIDENCE LIVER AND PANCREAS 105 W 8TH AVE SUITE 7050 SPOKANE,WA99204	SPECIALTY CLINIC
154	154 - PROVIDENCE MEDICAL PARK 16528 E DESMET COURT SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
155	155 - PROVIDENCE NEPHROLOGY 301 W POPLAR STREET SUITE 100 WALLA WALLA,WA99362	SPECIALTY CLINIC
156	156 - PROVIDENCE NEUROLOGY 105 W 8TH AVE SUITE 318C SPOKANE,WA99204	SPECIALTY CLINIC
157	157 - PROVIDENCE OCCUPATIONAL HEALTH 380 CHASE STREET WALLA WALLA,WA99362	SPECIALTY CLINIC
158	158 - PROVIDENCE ORTHOPEDIC SURGERY 380 CHASE STREET WALLA WALLA,WA99362	SPECIALTY CLINIC
159	159 - PROVIDENCE ORTHOPEDICS - SPOKANE VALLEY 16528 E DESMET COURT SUITE A2200 SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
160	160 - PROVIDENCE REGIONAL CANCER CENTER 105 W 8TH AVE SUITE 550E SPOKANE,WA99204	SPECIALTY CLINIC
161	161 - PROVIDENCE REGIONAL CANCER SYSTEM 4525 THIRD AVENUE SE STE 200 LACEY,WA98503	SPECIALTY CLINIC
162	162 - PROVIDENCE REGIONAL CANCER SYSTEM - ABER 954 ANDERSON DRIVE STE 102 ABERDEEN,WA98520	SPECIALTY CLINIC
163	163 - PROVIDENCE REGIONAL CANCER SYSTEM - CENT 2015 COOKS HILL RD CENTRALIA,WA98531	SPECIALTY CLINIC
164	164 - PROVIDENCE REGIONAL CANCER SYSTEM - SHEL 2026 OLYMPIC HIGHWAY N SUITE 203 SHELTON,WA98584	SPECIALTY CLINIC
165	165 - PROVIDENCE REGIONAL CANCER SYSTEM - YELM 201 TAHOMA BLVD SE STE 204 YELM,WA98597	SPECIALTY CLINIC
166	166 - PROVIDENCE SPOKANE CARDIOLOGY 122 W 7TH AVE SUITE 450 SPOKANE,WA99204	SPECIALTY CLINIC
167	167 - PROVIDENCE SPOKANE HEART INSTITUTE 122 W 7TH AVENUE SPOKANE,WA99204	SPECIALTY CLINIC
168	168 - PROVIDENCE ST PETER CHEMICAL DEPENDENCY 4800 COLLEGE STREET SE LACEY,WA98503	SPECIALTY CLINIC
169	169 - PROVIDENCE ST MARY NEUROSCIENCE INSTITU 301 W POPLAR STREET WALLA WALLA,WA99362	SPECIALTY CLINIC
170	170 - PROVIDENCE ST PETER OUTPATIENT ORTHOPED 410 PROVIDENCE LANE NE 2ND FLOOR OLYMPIA,WA98506	SPECIALTY CLINIC
171	171 - PROVIDENCE UROLOGY 301 W POPLAR STREET SUITE 50 WALLA WALLA,WA99362	SPECIALTY CLINIC
172	172 - PULMONARY AND SLEEP DISORDER CLINIC 212 E CENTRAL AVE SUITE 315 SPOKANE,WA99208	SPECIALTY CLINIC
173	173 - PULMONARY ONCOLOGY - SACRED HEART DOCTOR 105 W 8TH AVE SUITE 550E SPOKANE,WA99204	SPECIALTY CLINIC
174	174 - SEXUAL ASSAULT CLINIC 420 GOLF CLUB ROAD SUITE 203 LACEY,WA98503	SPECIALTY CLINIC
175	175 - SLEEP CENTER FOR SOUTHWEST WASHINGTON 500 LILLY RD NE SUITE 110 OLYMPIA,WA98605	SPECIALTY CLINIC
176	176 - SLEEP HEALTH - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 160 MILL CREEK,WA98208	SPECIALTY CLINIC
177	177 - SLEEP HEALTH - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
178	178 - SLEEP LAB - PAVILION FOR WOMEN & CHILDRE 900 PACIFIC AVE 2ND FLOOR EVERETT,WA98201	SPECIALTY CLINIC
179	179 - SNOHOMISH CLINIC 1830 BICKFORD AVENUE SUITE 211 SNOHOMISH,WA98290	SPECIALTY CLINIC
180	180 - SOUTH SOUND INTERNAL MEDICINE 3425 ENSIGN ROAD NE SUITE 220 OLYMPIA,WA98506	SPECIALTY CLINIC
181	181 - SOUTH SOUND PULMONARY AND SLEEP MEDICINE 500 LILLY RD NE SUITE 201 OLYMPIA,WA98506	SPECIALTY CLINIC
182	182 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU 2555 MARVIN RD NE LACEY LACEY,WA98516	SPECIALTY CLINIC
183	183 - SOUTHWEST WASHINGTON BOLDT DIABETES & NU 1010 S SCHEUBER RD CENTRALIA,WA98531	SPECIALTY CLINIC
184	184 - SOUTHWEST WASHINGTON NEUROSURGERY 615 LILLY ROAD SUITE 220 OLYMPIA,WA98506	SPECIALTY CLINIC
185	185 - ST PETER OUTPATIENT PEDIATRIC THERAPIES 410 PROVIDENCE LANE NE 2ND FLOOR OLYMPIA,WA98506	SPECIALTY CLINIC
186	186 - TRAVEL MEDICINE CLINIC 525 LILLY ROAD NE OLYMPIA,WA98506	SPECIALTY CLINIC
187	187 - VALLEY YOUNG PEOPLE'S CLINIC 1414 NORTH VERCLER ROAD 1 SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
188	188 - VASCULAR INSTITUTE - PROVIDENCE SPOKANE 122 W 7TH AVENUE SUITE 420 SPOKANE,WA99204	SPECIALTY CLINIC
189	189 - VASCULAR SURGERY - COLBY CAMPUS MOB 1330 ROCKEFELLER AVE SUITE 520 EVERETT,WA98201	SPECIALTY CLINIC
190	190 - VEIN CENTER 1923 S GRAND BLVD SPOKANE,WA99203	SPECIALTY CLINIC
191	191 - VEIN CENTER - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 270 MILL CREEK,WA98208	SPECIALTY CLINIC
192	192 - WALK-IN CARE - MILL CREEK CAMPUS 12800 BOTHELL-EVERETT HIGHWAY SUITE 110 MILL CREEK,WA98208	SPECIALTY CLINIC
193	193 - WALK-IN CARE - MONROE CLINIC 19200 NORTH KELSEY STREET MONROE,WA98272	SPECIALTY CLINIC
194	194 - PROVIDENCE URGENT CARE 380 CHASE AVE WALLA WALLA,WA99362	URGENT CARE
195	195 - URGENT CARE - 5TH & DIVISION 421 S DIVISION STREET SPOKANE,WA99202	URGENT CARE
196	196 - URGENT CARE - HAWTHORNE 551 E HAWTHORNE ROAD SPOKANE,WA99218	URGENT CARE
197	197 - URGENT CARE - SPOKANE VALLEY 16528 E DESMET COURT SUITE A1200 SPOKANE VALLEY,WA99216	URGENT CARE
198	198 - WEST OLYMPIA IMMEDIATE CARE 1620 COOPER POINT ROAD SW OLYMPIA,WA98502	URGENT CARE

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
Part I, Line 7g:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
Part I, Ln 7 Col(f):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $41,210,319.
Part II	COMMUNITY BUILDING ACTIVITIES:PROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE. PROVIDENCE ALSO MAKES COMMUNITY INVESTMENTS AND OFFERS FUNDING SUPPORT TO ORGANIZATIONS KNOWN TO HAVE ONGOING, POSITIVE COMMUNITY OUTCOMES. A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES - LIVEWELL CENTER CONNECTS PEOPLE WITH A CLEARINGHOUSE TO ENABLE USERS TO MORE EASILY FIND AND ACCESS HEALTH AND WELL BEING INFORMATION AND TOOLS, AND CONNECTS THEM WITH THE MANY COMMUNITY ASSETS THROUGHOUT THE COUNTY.CHRONIC UTILIZER ALTERNATIVE RESPONSE TEAM - PROVIDENCE JOINED THIS TEAM, WHICH INCLUDES THE EVERETT POLICE DEPARTMENT, EVERETT FIRE DEPARTMENT, SNOHOMISH COUNTY DEPARTMENT OF HUMAN SERVICES, SNOHOMISH COUNTY JAIL, THE CITY OF EVERETT AND OTHERS. THE PROGRAM IS DESIGNED TO IDENTIFY CHRONICALLY HOMELESS PEOPLE AND CONNECT THEM WITH SERVICES.EVERETT GOSPEL MISSION - PROVIDENCE ENGAGED IN A VARIETY OF COMMUNITY ACTIVITIES TO ADDRESS HOMELESSNESS, INCLUDING COLLABORATION WITH THE EVERETT GOSPEL MISSION IN A PROGRAM THAT PROVIDES EMERGENT, TEMPORARY AND SOME EXTENDED-TERM HOUSING FOR HOMELESS INDIVIDUALS WHO HAVE A MEDICAL NEED FOR REST. HOMELESS PATIENTS THAT ARE DISCHARGED FROM PROVIDENCE THAT NEED MEDICAL REST ARE CONNECTED WITH THE EVERETT GOSPEL MISSION FOR ASSIGNMENT TO ONE OF EIGHT MEDICAL REST BEDS. A PROVIDENCE GRANT COVERS A PORTION OF THE COST OF THESE BEDS.UNITED WAY OF SNOHOMISH COUNTY POVERTY SIMULATION - STAFF AT PROVIDENCE ATTENDED THE EVENT TO LEARN ABOUT AND UNDERSTAND THE SITUATIONS SOME OF THE MOST VULNERABLE IN OUR COMMUNITY EXPERIENCE EVERY DAY. UNITED WAY PROJECT HOMELESS CONNECT - STAFF PARTICIPATE IN THIS COMMUNITY EVENT TO PROVIDE MEDICAL SCREENING, DENTAL CARE AND OTHER SERVICES FOR HOMELESS INDIVIDUALS.PROJECT ACCESS NORTHWEST - PREMIUM ASSISTANCE PROGRAM TO PROVIDE SUPPORT TO THOSE THAT MAY NEED ASSISTANCE WITH PAYING INSURANCE PREMIUMS AS WELL AS ASSISTING LOW INCOME, UNINSURED PATIENTS WITH COORDINATION AND FOLLOW UP FOR PRIMARY CARE SERVICES.WORKPLACE HEALTH - PROVIDENCE PARTNERED WITH THE ECONOMIC ALLIANCE OF SNOHOMISH COUNTY TO LAUNCH A WORKPLACE HEALTH AND PRODUCTIVITY INITIATIVE AND AS THE FIRST STEP PRODUCED AN ECONOMIC REPORT SHOWING THE TOTAL BURDEN OF HEALTH ON EMPLOYERS.HEALTH AND WELL-BEING MONITOR - THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL NEEDS ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS.PROVIDENCE EDGE OF AMAZING - ANNUAL COMMUNITY HEALTH SUMMIT THAT BRINGS TOGETHER PEOPLE FROM ORGANIZATIONS THAT ARE COMMITTED TO IMPROVING COMMUNITY HEALTH AND EQUITY. PARTICIPANTS OF THE SUMMIT SHARE PROJECTS AND GOALS TO HELP CREATE COLLABORATIVE PARTNERSHIPS THAT WILL INCREASE IMPACT AND EFFICIENCIES OF COMMUNITY BUILDING ACTIVITIES.ECONOMIC ALLIANCE OF SNOHOMISH COUNTY - SERVES AS A CATALYST FOR ECONOMIC VITALITY THAT RESULTS IN STRONGER COMMUNITIES, INCREASED JOB CREATION, EXPANDED EDUCATIONAL OPPORTUNITIES, AND IMPROVED INFRASTRUCTURE. TRAINING AND EDUCATION - FUNDING TO ORGANIZATIONS SUCH AS EVERETT COMMUNITY COLLEGE, GREATER TRINITY ACADEMY, AND LEADERSHIP SNOHOMISH COUNTY TO PROVIDE EARLY EDUCATION, POST SECONDARY EDUCATION, TRAINING, AND DEVELOPMENT TO MEMBERS OF THE COMMUNITY.HOUSING, HOMELESSNESS AND EMERGENCY SHELTERS - FUNDING TO ORGANIZATIONS SUCH AS THE COCOON HOUSE, HOUSING HOPE, PEORIA HOME, AND DOMESTIC VIOLENCE SERVICES TO PROVIDE EMERGENCY SHELTER AND OTHER COMPREHENSIVE SERVICES TO VULNERABLE POPULATIONS.PRESCRIPTION DRUG ASSISTANCE FOUNDATION - ASSIST LOW TO MODERATE INCOME PEOPLE GAIN ACCESS TO PRESCRIBED MEDICATIONS THAT THEY OTHERWISE CANNOT AFFORD.GUN STORAGE - FUNDING AND VOLUNTEERS TO SUPPORT SEATTLE CHILDREN'S HOSPITAL GUN STORAGE EVENT TO PREVENT FIREARM TRAGEDIES.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-TRI COUNTY ECONOMIC DEVELOPMENT DISTRICTWE ARE ALSO MEMBERS OF MANY BOARDS IN THE COMMUNITY INCLUDING:-COLVILLE CHAMBER OF COMMERCEPROVIDENCE SACRED HEART, CHILDREN'S HOSPITAL, AND HOLY FAMILY ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN BRAIN TUMOR ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-CANCER PATIENT CARE-CATHOLIC CHARITIES-HOPE HOUSE-INLAND NW BLOOD CENTER-MARCH OF DIMES-SPECIAL OLYMPICS-SPOKANE REGIONAL LAW AND JUSTICE COUNCIL-WOMEN HELPING WOMEN-YWCAPROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. IN 2017, 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 IN 2016 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 500 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.
Part II, Community Building Activities:	PROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. PROVIDENCE MEDICAL GROUP PHYSICIANS OFFER FREE SPORTS PHYSICALS TO WALLA WALLA STUDENTS GRADES 6-11 IN COORDINATION WITH WALLA WALLA PUBLIC SCHOOLS, PROVIDENCE ST. MARY REHABILITATION AND PROVIDENCE ST. MARY FOUNDATION.A PROVIDENCE MEDICAL GROUP PRACTICE MANAGER CONTRIBUTES TIME TO THE SOS HEALTH SERVICES BOARD, WHICH SERVES ALL PEOPLE IN THE WALLA WALLA VALLEY, PARTICULARLY THOSE WITHOUT INSURANCE COVERAGE, AND REGARDLESS OF IMMIGRATION STATUS. THE PRACTICE MANAGER ALSO PROVIDES MENTORSHIP TO THE CLINIC'S COORDINATOR. A PROVIDENCE ST. MARY PHYSICIAN ALSO VOLUNTEERS AT THE SOS CLINIC.IN 2018, 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 IN 2016 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 500 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.
Part III, Line 3:	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
Part III, Line 4:	THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Part III, Line 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
Part III, Line 9b:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTICY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
Part VI, Line 2:	NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS A CHNA FOR ANCHORAGE. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE ANCHORAGE COMMUNITY. PAMC CONDUCTS THE CHNA IN COLLABORATION WITH COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. THE RESULTS OF THE ASSESSMENT ARE USED BY PAMC AND AGENCIES ACROSS ANCHORAGE AND ALASKA IN THEIR EFFORTS TO ADDRESS COMMUNITY NEED.IN SPRING OF 2018, PAMC INITIATED THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION.THE ADVISORY GROUP SELECTED THE KEY INDICATORS THAT WOULD COMPRISE THE DATA SET FOR THE 2018 ANCHORAGE CNHA. IN THE PROCESS OF SELECTING THE FINAL INDICATORS, THE ADVISORY GROUP GAVE CONSIDERATION TO A NUMBER OF GUIDING PRINCIPLES FOR DATA CHARACTERISTICS, WHICH INCLUDED:-INTEGRITY OF DATA SOURCE-MULTI-YEAR AVAILABILITY OF DATA TO BETTER UNDERSTAND PAST AND FUTURE TRENDS-BROAD COMMUNITY REPRESENTATION, ESPECIALLY TO ENSURE INCLUSION OF POOR, VULNERABLE AND UNDERSERVED POPULATIONS-CONTINUITY WITH PRIOR ASSESSMENT AND RESULTING PRIORITIES-ALIGNMENT WITH HEALTHY ALASKANS 2020 INITIATIVE TO THE EXTENT POSSIBLETHE DATA WAS COLLECTED FROM LOCAL, STATE AND FEDERAL DATA SOURCES INCLUDING:-ALASKA BUREAU OF VITAL STATISTICS-ALASKA DHSS OBESITY PREVENTION AND CONTROL PROGRAM-ANCHORAGE HOMELESS POINT IN TIME SURVEY-ANCHORAGE SCHOOL DISTRICT-BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS)-COMMUNITY COMMONS-PROVIDENCE AK MED CTR EMERGENCY DEPARTMENT UTILIZATION DATA-UNITED STATES CENSUS BUREAU-U.S. DEPARTMENT OF LABOR-YOUTH RISK BEHAVIORAL SURVEY (YRBS)IN ADDITION TO SECONDARY DATA, COMMUNITY AND STAKEHOLDER INPUT WAS VIEWED AS IMPORTANT TO HELP ENSURE THAT THE BROAD INTERESTS OF THE COMMUNITY WERE REPRESENTED IN THE PROCESS, ESPECIALLY THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMUNITY AND STAKEHOLDER INPUT OPPORTUNITIES WERE MADE AVAILABLE AS FOLLOWS:-WRITTEN COMMENTS FROM THE GENERAL PUBLIC-CHNA ADVISORY GROUP PARTNER MEETINGS-PH&S ALASKA COMMUNITY MINISTRY BOARD MEETINGSPROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICWE 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 COMMUNITY 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, PRMCE HAS A COMMUNITY AND FOUNDATION BOARD. THE CIVIC LEADERS THAT SERVE ON THESE 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.PRMCE UTILIZED A THREE STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS THAT PROVIDENCE WILL ADDRESS IN THIS CHNA CYCLE. IN THE FIRST PHASE, BASELINE DATA FROM THE PREVIOUS ASSESSMENT WAS UPDATED AND EVALUATED BASED ON THE METHODOLOGY ADOPTED FROM THE SNOHOMISH HEALTH DISTRICT; COMPARING LOCAL DATA TO STATE AND NATIONAL DATA AS WELL AS HEALTHY PEOPLE 2020 GOALS; IDENTIFYING NEGATIVE TRENDS IN LOCAL DATA; AND EVALUATING THE SIZE AND SERIOUSNESS OF THE PROBLEM. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, THE DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE. THROUGHOUT THE PROCESS WE UTILIZED A FRAMEWORK THAT EVALUATED HEALTH AND COMMUNITY NEED IN A HOLISTIC FRAMEWORK THAT INCLUDED SOCIAL DETERMINANTS OF HEALTH, LIFESTYLE CHOICES, AND CLINICAL CARE.PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC PARTICIPATED DURING 2017-2018 IN A COMMUNITY HEALTH PARTNERSHIP LEAD BY WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH (PUBLIC HEALTH) AND THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP). THE BMRCHP INCLUDES PARTICIPATION FROM A BROAD BASE OF SECTORS IMPORTANT TO OVERALL COMMUNITY HEALTH INCLUDING PUBLIC HEALTH, EDUCATION (INCLUDING PUBLIC SCHOOL DISTRICTS, LOCAL COLLEGES, AND PRE-SCHOOL EARLY LEARNING ADVOCATES), HEALTHCARE AGENCIES, PUBLIC SAFETY & LAW ENFORCEMENT, SOCIAL SERVICES AND MANAGED CARE, LONG-TERM HOUSING, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF THE PUBLIC. GEOGRAPHICAL REPRESENTATION INCLUDES MEMBERS FROM WALLA WALLA COUNTY, COLUMBIA COUNTY, AND THE MILTON-FREEWATER, OREGON COMMUNITIES WHICH ARE INCLUDED IN THE PRIMARY SERVICE AREA OF PSMMC. THE BMRCHP MEETS MONTHLY AND HAS UTILIZED FACILITATED GROUP PROCESSES TO IDENTIFY NEEDS AND PRIORITIZE HEALTH INDICATORS AMONG COMMUNITY STAKEHOLDERS AT SEVERAL WORK SESSIONS INCLUDING A SERIES OF OPEN MEETINGS IN 2018 WHERE THE PUBLIC WAS INVITED. THE GOAL OF THIS PARTNERSHIP IS TO CREATE A HEALTHIER COMMUNITY THROUGH CROSS-SECTOR COLLABORATION WITH PROVIDERS, PARTNERS, AND ORGANIZATIONS THROUGHOUT THE BLUE MOUNTAIN REGION TO ENSURE RESIDENTS IN THE BLUE MOUNTAIN REGION HAVE ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE AND RESOURCES TO SUSTAIN A HEALTHY LIFESTYLE.
Part VI, Line 3:	COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
Part VI, Line 4:	COMMUNITY INFORMATION:PROVIDENCE ALASKA MEDICAL CENTERTHE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE. TOTAL ANCHORAGE POPULATION IS 294,356 - 27.4% YOUTH (0-19 YEARS)- 37.1% ADULTS (20-44 YEARS)- 25.1% OLDER ADULTS (45-64 YEARS)- 10.5% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 64.5% WHITE/CAUCASIAN- 9.8% ASIAN - 9.2% WERE HISPANIC OR LATINO - 8.8% WERE ALASKA NATIVE OR AMERICAN INDIAN - 6.0% WERE AFRICAN AMERICAN OR BLACK - 2.6% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER - 8.2% WERE OF TWO OR MORE RACES. INCOME AND HOUSING- $82,271 MEDIAN HOUSEHOLD INCOME- 4.9% UNEMPLOYMENT- 8.1% TOTAL POPULATION BELOW POVERTY- 12.3% CHILDREN LESS THAN 18 YEARS OLD BELOW POVERTY- 5.5% HOUSEHOLDS WITH PUBLIC ASSISTANCE INCOME- 4.3% HOMELESS STUDENTS SERVED BY ANCHORAGE SCHOOL DISTRICTPROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALTHE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, THE SOUTHWEST WASHINGTON SERVICE AREA, CONSISTS OF FIVE COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 506,000. WITHIN THIS GEOGRAPHICAL AREA, THURSTON AND LEWIS COUNTIES ARE DESIGNATED AS THE PRIMARY SERVICE AREA FOR THE TWO HOSPITALS. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES. MANY SOUTHWEST WASHINGTON COMMUNITIES RETAIN A SMALL-TOWN FEEL BUT BOAST THE RESOURCES AND AMENITIES OF MUCH LARGER POPULATIONS. HOUSING COSTS ARE REASONABLE, PARTICULARLY IN COMPARISON TO OTHER CITIES ON THE WEST COAST. WASHINGTON SCORES FAVORABLY IN NATIONAL TAX-IMPACT SURVEYS. RESIDENTS ENJOY NO STATE INCOME TAX, A MODEST PROPERTY TAX AND A SALES TAX WITH GENEROUS EXEMPTIONS. IT IS HARD TO ENVISION A BETTER PLACE TO RAISE FAMILIES THAN SOUTHWEST WASHINGTON - MOST SCHOOLS HAVE AN EXCELLENT REPUTATION, THE PACE OF LIFE IS SLOWER, STREETS ARE SAFE, AND THE COMMUNITIES ARE CLOSE KNIT.TOTAL POPULATION FOR THE PSA IS 346,611. IN 2010, THE CENSUS COUNT IN THE AREA WAS 327,719. THE RATE OF CHANGE SINCE 2010 WAS 0.90 PERCENT ANNUALLY. AGE DEMOGRAPHICS SHOW ABOUT 79 PERCENT OF THE POPULATION IS AGE 18 YEARS OR OLDER AND THE MEDIAN AGE FOR THE PSA IS 40.1, COMPARED TO U.S. MEDIAN AGE OF 38.0. IN 2016 THE POPULATION COMPRISED:- 11.8 PERCENT CHILDREN (0-9 YEARS)- 6.2 PERCENT ADOLESCENTS (10-14 YEARS)- 6.1 PERCENT TEENS (15-19 YEARS)- 25.9 PERCENT YOUNG ADULT (20-39 YEARS)- 33.5 PERCENT OLDER ADULT (40-64 YEARS)- 16.7 PERCENT SENIORS (65 YEARS AND OLDER)ABOUT 90 PERCENT OF POPULATION IN THE PSA, ACROSS ALL AGE GROUPS, SPEAK ENGLISH ONLY. ACCORDING TO THE 2010-2014 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, ABOUT 2 PERCENT OF HOUSEHOLDS IN LEWIS (2.1 PERCENT) AND THURSTON COUNTY (2.3 PERCENT) ARE LIVING IN LIMITED ENGLISH-SPEAKING HOUSEHOLDS. A LIMITED ENGLISH-SPEAKING HOUSEHOLD" IS ONE IN WHICH NO MEMBER 14 YEARS OLD AND OVER: 1) SPEAKS ONLY ENGLISH AT HOME; OR 2) SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAKS ENGLISH "VERY WELL." COMPARATIVELY, 4 PERCENT OF HOUSEHOLDS ACROSS WASHINGTON STATE WOULD BE CONSIDERED A LIMITED ENGLISH-SPEAKING HOUSEHOLD". IN ADDITION, ABOUT 4 PERCENT OF HOUSEHOLDS IN LEWIS (4.2 PERCENT) AND THURSTON COUNTIES (4.4 PERCENT) ARE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY. THOSE WHO HAVE LIMITED ENGLISH PROFICIENCY ARE TYPICALLY DEFINED AS PERSONS AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL." COMPARATIVELY, 8 PERCENT OF THE POPULATION ACROSS WASHINGTON STATE WOULD BE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY." ETHNICITYAMONG RESIDENTS OF OUR PRIMARY SERVICE AREA, IN 2016, 81 PERCENT WERE WHITE, 5 PERCENT ASIAN, 2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 3 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 3 PERCENT WERE OF SOME OTHER RACE, 6 PERCENT WERE OF TWO OR MORE RACES, AND 9 PERCENT WERE HISPANIC OR LATINO (ANY RACE). INCOME LEVELS AND HOUSINGIN 2016, THE MEDIAN HOUSEHOLD INCOME FOR THE PSA WAS $59,321, AND THE AVERAGE HOUSEHOLD INCOME WAS $76,508. COMPARATIVELY, THE MEDIAN HOUSEHOLD INCOME FOR ALL U.S. HOUSEHOLDS WAS $54,149 AND THE AVERAGE HOUSEHOLD INCOME WAS $77,008. THE FOLLOWING TABLE GIVES ADDITIONAL ESTIMATES FOR THE PRIMARY AND SECONDARY SERVICE AREAS AND FOR WASHINGTON STATE. THE NUMBER OF HOUSEHOLDS IN THE PSA HAS GROWN FROM 130,393 IN 2010 TO 137,219 IN 2016, WITH A CHANGE OF 0.82 PERCENT ANNUALLY. THE AVERAGE HOUSEHOLD SIZE IS CURRENTLY 2.49, COMPARED TO 2.47 IN 2010. THE MAJORITY OF HOMES IN THE PSA ARE OWNER OCCUPIED (66 PERCENT), WITH A SMALLER PERCENTAGE OF RENTERS (34 PERCENT). THE MEDIAN HOME VALUE IN THE PSA IS $251,474. THE TABLE BELOW GIVES ADDITIONAL ESTIMATES FOR THE SSA AND WASHINGTON STATE. PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICAS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN AND SNOHOMISH COUNTIES. HOWEVER, THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY (MORE THAN 75 PERCENT) OF PRMCE'S PATIENT POPULATION RESIDES IS SNOHOMISH COUNTY. PRMCE SERVES ONE OUT OF EVERY FOUR RESIDENTS OF SNOHOMISH COUNTY AND FOR THIS REASON THE GEOGRAPHIC DEFINITION FOR THE CHNA IS SNOHOMISH COUNTY.SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE BETWEEN PUGET SOUND ON THE WEST AND THE CASCADE MOUNTAINS TO THE EAST, AND BETWEEN SKAGIT COUNTY TO THE NORTH AND KING COUNTY TO THE SOUTH. THE COUNTY LAND AREA IS COMPRISED OF 68 PERCENT FOREST LAND, 18 PERCENT RURAL, 9 PERCENT URBAN/CITY AND 5 PERCENT AGRICULTURAL.THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 802,148 (20187). THE COUNTY IS EXPECTED TO SEE A POPULATION INCREASE OF 7.6% BY 2023. AMONG SNOHOMISH COUNTY RESIDENTS, 1.3% ARE AMERICAN INDIAN/ALASKA NATIVE, 11.0% ASIAN, 3.5% BLACK/AFRICAN AMERICAN, 4.4% OTHER, 0.6% PACIFIC ISLANDER, 74% WHITE AND 5.3% ONE OR MORE RACES.THE MEDIAN AGE FOR MALES IS 39 AND 40.1 FOR FEMALES. TWENTY FIVE PERCENT OF THE POPULATION IS UNDER THE AGE OF 19, 16% OVER THE AGE OF 65 AND 59% BETWEEN THE AGE OF 19 AND 64.THE AVERAGE HOUSEHOLD INCOME WAS $98,577. TWELVE PERCENT OF HOUSEHOLDS HAD AN INCOME LESS THAN $25,000. THE UNEMPLOYMENT RATE WAS 3.8% IN 2018, TRENDING DOWN FROM A HIGH OF 10.7% IN 2010.THE SHARE OF SNOHOMISH COUNTY RESIDENTS WHO WERE UNINSURED WAS 5%, 14% MEDICAID AND 10% MEDICARE.
Part VI, Line 5:	PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - WASHINGTON IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
Part VI, Line 6:	ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
Part VI, Line 7, Reports Filed With States	WA,OR,CA,MT,AK
Part VI, Line 2 (Continued)	PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.IN DECEMBER 2015 REPRESENTATIVES FROM PROVIDENCE HEALTH CARE MET WITH STAFF FROM THE NORTHEAST TRI COUNTY HEALTH DISTRICT, EMPIRE HEALTH FOUNDATION AND EASTERN WASHINGTON UNIVERSITY TO BEGIN PLANNING FOR THE 2016 NEEDS ASSESSMENT. A PLAN WAS ESTABLISHED TO ENGAGE THE COMMUNITY IN A THOUGHT-PROVOKING PROCESS DURING A ONE-MONTH PERIOD. THE GROUP REVIEWED DATA TRACKED AVAILABLE FROM THE NORTHEAST WASHINGTON TRENDS WEBSITE, COUNTY HEALTH RANKINGS, AND PROVIDENCE EMERGENCY DEPARTMENT CARE. THIS DATA DESCRIBES MORE THAN 45 HEALTH MEASURES ON ACCESS, INFANT/MATERNAL HEALTH, MENTAL AND BEHAVIORAL HEALTH, SMOKING, HEALTHY BEHAVIORS, OUTCOMES, AND DENTAL. PARTICIPANTS THEN PARTICIPATED IN AT LEAST ONE OF THE FOUR FOCUS GROUP DISCUSSIONS AND EXPLORED DATA THAT MOST REFLECTED THE MISSION OR VISION OF THEIR ORGANIZATION AND CONCERN IN THE COMMUNITY.FOUR FOCUS GROUPS WERE HELD IN VARIOUS LOCATIONS THROUGHOUT STEVENS AND POND OREILLE COUNTIES. A FACILITATOR PRESENTED DATA AND ASKED QUESTIONS TO ENCOURAGE THE GROUPS TO COME TO A CONSENSUS ON THREE TOP PRIORITY HEALTH ISSUES BASED ON THE DATA AND THEIR EXPERIENCE AS AN ORGANIZATION AND WORKING WITH CLIENTS IN THEIR COMMUNITIES. FOCUS GROUPS WERE USED DUE TO THE RURAL NATURE OF THE REGION AND THE LIMITED QUANTITATIVE DATA AVAILABLE. IT IS ESSENTIAL TO GET THE VOICE OF THOSE IN THE COMMUNITY TO GIVE MORE DEPTH TO THE DATA.THE FOLLOWING DATA IS WHAT WAS PRESENTED TO THE FOCUS GROUP PARTICIPANTS:- THE COUNTY HEALTH RANKINGS IS SOURCED FROM THE UNIVERSITY OF WISCONSIN THROUGH A PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION TO RANK ALL COUNTIES ACROSS THE NATION ON SPECIFIC INDICATORS.- THE EXAMINATION OF KEY MEASURES OF HEALTH IN FERRY, STEVENS, AND PEND OREILLE COUNTIES PULLED SPECIFIC INDICATORS MEASURED IN VARIOUS FORMS, INCLUDING THE HEALTHY YOUTH SURVEY, BRFSS, CENSUS DATA AND OTHERS. THIS IS AMALGAMATED BY THE EASTERN WASHINGTON UNIVERSITY, INSTITUTE FOR PUBLIC POLICY AND ECONOMIC ANALYSIS. THESE INDICATORS WERE USED IN THE PREVIOUS NEEDS ASSESSMENT, AND WE CONTINUE TO MONITOR THEM FOR ANY TREND MOVEMENT.- THE STEVENS COUNTY HOMELESS AND LOW-INCOME EMERGENCY ROOM USAGE DATA WAS PULLED FROM PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ELECTRONIC MEDICAL RECORDS.PROVIDENCE KODIAK ISLAND MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE KODIAK ISLAND BOROUGH. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2016, WIPFLI LLP WAS ENGAGED BY PROVIDENCE TO COLLECT AND AGGREGATE PRIMARY AND SECONDARY DATA IN THE FORM OF A CHNA REPORT.A COMMUNITY SURVEY WAS MADE AVAILABLE ONLINE AND ADMINISTERED IN HARD COPY THROUGHOUT THE COMMUNITY BY THE ADVISORY COMMITTEE, COMMUNITY VOLUNTEERS AND PSMCC STAFF. THE SURVEY WAS BASED ON THE PRIOR KODIAK ASSESSMENT SURVEY TO ENABLE TRACKING AND DEMONSTRATION OF HEALTH TRENDS, BUT WAS ALSO AUGMENTED BASED ON INPUT FROM THE KODIAK CHNA ADVISORY GROUP TO CAPTURE INFORMATION ABOUT UNIQUE AND/OR TIMELY HEALTH-RELATED ISSUES WITHIN THE KODIAK COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS IN ADDITION TO STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL CENTER FOR HEALTH STATISTICS- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES PROGRAMKEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN THE KODIAK COMMUNITY. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PROVIDENCE SEWARD MEDICAL & CARE CENTEREVERY THREE YEARS, PROVIDENCE SEWARD MEDICAL AND CARE CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER SEWARD COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2015, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PROVIDENCE TO FACILITATE THE CHNA PROCESS ON BEHALF OF THE HOSPITAL.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PSMCC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES - ALASKA REGION AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXISTS WITHIN THE SEWARD COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS, STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE)PROGRAMKEY INFORMATIONAL INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PSMCC. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. QUANTITATIVE INFORMATION FOR DEMOGRAPHIC AND HEALTH STATUS WAS AVAILABLE AT THE SERVICE AREA LEVEL FOR KENAI PENINSULA. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE KENAI PENINSULA BOROUGH AND THE COMMUNITY OF SEWARD, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY.
Part VI, Line 2 (Continued)	PROVIDENCE VALDEZ MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE VALDEZ MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER VALDEZ COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2017, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PVMC AND PROVIDENCE HEALTH SERVICES ALASKA TO FACILITATE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS ON BEHALF OF THE HOSPITAL. THE CHNA PROCESS UTILIZED TO CONDUCT THE ASSESSMENT HAS BEEN ADOPTED FROM SEVERAL OF THE LEADING SOURCES ON THE SUBJECT. THESE SOURCES INCLUDE:- ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT,- FLEX MONITORING TEAM, AND- RURAL HEALTH WORKS.THE SERVICE AREA FOR PVMC WAS CREATED WITH INPUT FROM THE PVMC AND PROVIDENCE LEADERSHIP TEAM. THE CHNA FOCUSED ON THE NEEDS OF THE GREATER VALDEZ COMMUNITY. WHILE EVERY EFFORT WAS TAKEN TO GATHER DETAILED DATA FOR THE VALDEZ COMMUNITY, IT WAS NECESSARY IN CERTAIN AREAS TO EXPAND THE DEFINITION OF THE SERVICE AREA TO THE VALDEZ- CORDOVA CENSUS AREA. THIS WAS DONE TO COLLECT CENSUS AND COUNTY HEALTH RANKINGS DATA THAT IS ONLY AVAILABLE FOR THE CENSUS AREA.KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PVMC. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. INTERVIEWEES WERE CONTACTED AND ASKED TO PARTICIPATE IN THE KEY INFORMATIONAL INTERVIEWS.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PVMC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES ALASKA AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXIST WITHIN THE VALDEZ COMMUNITY. ROUGHLY ONE IN FOUR ADULT VALDEZ RESIDENTS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY.SECONDARY DATA WAS COLLECTED FROM TWO MAJOR SOURCES:- ESRI (BASED ON US CENSUS DATA)- COUNTY HEALTH RANKINGSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS, STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) PROGRAMTHIS REPORT PRESENTS A SUMMARY THAT HIGHLIGHTS THE DATA FINDINGS, PRESENTS KEY PRIORITIES IDENTIFIED THROUGH THE CHNA, AND PVMC BOARD-APPROVED IMPLEMENTATION PLAN.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. SECONDARY DATA (BRFSS, NVSS, SAHIE) IS ONLY AVAILABLE AT THE VALDEZ-CORDOVA CENSUS AREA LEVEL. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE VALDEZ-CORDOVA CENSUS AREA AND THE COMMUNITY OF VALDEZ, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY IN THE SECONDARY DATA SOURCES.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALAS HEALTH CARE CONTINUES TO EVOLVE, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH COMMUNITY ORGANIZATIONS, WE CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT TO LEARN ABOUT THE GREATEST NEEDS AND ASSETS FROM THE PERSPECTIVE OF SOME OF THE MOST MARGINALIZED GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. THIS ASSESSMENT HELPS US DEVELOP COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS AND GUIDES OUR COMMUNITY BENEFIT INVESTMENTS, NOT ONLY FOR OUR OWN PROGRAMS BUT ALSO FOR MANY PARTNERS. DOZENS OF PARTICIPANTS PROVIDED FEEDBACK. SIGNIFICANT CONTRIBUTORS INCLUDE PRIORITY SPOKANE, A CIVIC LEADERSHIP GROUP MADE UP OF LOCAL GOVERNMENT, BUSINESSES, NONPROFIT ORGANIZATIONS AND LOCAL FUNDERS; THE SPOKANE REGIONAL HEALTH DISTRICT; AND THE SPOKANE HOMELESS COALITION.
Part VI, Line 4 (Continued)	PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALPROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL ARE LOCATED IN SPOKANE COUNTY, THE FOURTH-LARGEST COUNTY IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BORDERING IDAHO.TOTAL POPULATION IS ABOUT 485,000, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.9 PERCENT IN 2014.AGE DEMOGRAPHICS ARE FAIRLY EVENLY DISTRIBUTED, WITH THE OLDEST AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2013 THE POPULATION COMPRISED:-22.9 PERCENT YOUTH (0-17 YEARS)-24.6 PERCENT YOUNG ADULTS (18-39 YEARS)-38.4 PERCENT OLDER ADULTS (40-64 YEARS)-14.1 PERCENT SENIORS (65 YEARS AND OLDER)AMONG SPOKANE COUNTY RESIDENTS IN 2013, 90 PERCENT WERE WHITE, 2.2 PERCENT AFRICAN AMERICAN, 1 PERCENT AMERICAN INDIAN, 2.8 PERCENT ASIAN/PACIFIC ISLANDER, AND 4.5 PERCENT WERE OF TWO OR MORE RACES.IN 2013, THE MEDIAN HOUSEHOLD INCOME FOR SPOKANE COUNTY WAS $47,576, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 7.8 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN SPOKANE COUNTY WAS 15.9 PERCENT IN 2012. IN THE SAME TIME FRAME, 19 PERCENT OFSPOKANE COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FPL. THIS REPRESENTS AN INCREASE OF 1.6 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE BUT LOWER THAN THE NATIONAL AVERAGE.THE ZIP CODES WITH THE LOWEST COMMUNITY NEEDS INDEX ARE 99201, 99202, AND 99207. THESE ALL HAVE A TOTAL CNI OF FOUR. WITHIN THESE ZIP CODES THERE IS A HIGH OF 38.68 PERCENT OF YOUTH IN POVERTY AND 60.55 PERCENT OF SINGLE PARENTS IN POVERTY. IN THIS POPULATION AREA, 18.9 PERCENT ARE UNEMPLOYED, 42.99 PERCENT ARE UNINSURED AND 74.52 PERCENT ARE RENTING. THE 2014 SPOKANE REGIONAL POINT-IN-TIME COUNT FOUND 1,149 HOMELESS PERSONS, INCLUDING 146 FAMILIES WITH CHILDREN. THE 2012-13 SCHOOL YEAR COUNTED 3,148 SCHOOL-AGED CHILDREN AS HOMELESS IN SPOKANE COUNTY.THE SHARE OF SPOKANE COUNTY RESIDENTS WHO ARE AGES 64 AND YOUNGER AND UNINSURED WAS 16.5 PERCENT IN 2012. THE TOP THREE CAUSES OF DEATH IN SPOKANE COUNTY WERE HEART DISEASE AT 23 PERCENT, CANCER AT 20.1 PERCENT, AND STROKE AT 4.4 PERCENT. HEART DISEASE AND STROKES ARE ON A DECREASING TREND WHILE CANCER IS INCREASING. AVOIDABLE HOSPITAL ADMISSIONS IN SPOKANE COUNTY HAVE DECREASED TO 8.8 PERCENT IN 2012.PROVIDENCE VALDEZ MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE VALDEZ MEDICAL CENTER IS DEFINED AS THE CITY OF VALDEZ. VALDEZ IS LOCATED ON PRINCE WILLIAM SOUND AND SURROUNDED BY THE CHUGACH MOUNTAINS. THE CITY IS CONNECTED TO THE INTERIOR OF ALASKA BY THE RICHARDSON HIGHWAY AND IS ROUGHLY 300 MILES BY ROAD FROM ANCHORAGE. THE AREA SEES SIGNIFICANT ANNUAL PRECIPITATION WITH AN AVERAGE SNOWFALL OF NEARLY 300 INCHES PER YEAR. VALDEZ IS A FISHING PORT FOR BOTH COMMERCIAL AND SPORT FISHING. IT IS ALSO THE TERMINUS OF THE TRANS-ALASKA PIPELINE WHERE ALASKA NORTH SLOPE OIL IS LOADED ONTO SHIPS FOR TRANSPORT TO EXTERNAL MARKETS.POPULATION AND AGE DEMOGRAPHICSTHE 2015 U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ESTIMATES THE VALDEZ POPULATION IS 3,979.- 26% PERCENT YOUTH (0-18 YEARS)- 68% PERCENT YOUNG ADULTS (18-64 YEARS)- 5% PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITYTHE FOLLOWING DATA IS BASED ON THE 2010 CENSUS.- 81.5 PERCENT WERE WHITE- 1.9 PERCENT WERE ASIAN- 8.2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 4.7 PERCENT WERE HISPANIC OR LATINO- 0.6 PERCENT WERE AFRICAN AMERICAN OR BLACK- 0.8 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOMETHE FOLLOWING DATA IS BASED ON THE 2011-2015 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES:- $98,204 = MEDIAN HOUSEHOLD INCOME- 4.5 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 9.4 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING- MEDIAN GROSS RENT IS $1136- 67.2 PERCENT OF HOUSING UNITS/HOMES ARE OWNER-OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)
Part VI, Line 4 (Continued)	PROVIDENCE ST. MARY MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR PROVIDENCE ST. MARY MEDICAL CENTER INCLUDES WALLA WALLA COUNTY AND FIVE ZIP CODES IN NORTHEAST OREGON WHICH INCLUDE THE NEARBY CITY OF MILTONFREEWATER AS WELL AS COLUMBIA COUNTY. TOTAL POPULATION OF THE PROVIDENCE ST. MARY MEDICAL CENTER SERVICE AREA IS 61,800.RACE DISTRIBUTION:- WHITE: 72.2%- HISPANIC/LATINO: 21.2%- BLACK/AFRICAN AMERICAN: 2.2%- ASIAN/PACIFIC ISLANDER: 1.93%- AMERICAN INDIAN/ALASKA NATIVE: 1.3%THE 2017 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $54,157 COMPARED TO STATE RATE OF $70,979 AND 2013 RATE OF $47,758. HOWEVER, FOR HISPANICS IN 2017 IT WAS $45,900. HOUSEHOLDS (HOME OWNERS) SPENDING 30% OR MORE OF INCOME ON HOUSING HAS SIGNIFICANTLY DECREASED FROM 40% IN 2012 TO 17% IN 2016 COMPARED TO A STATE AVERAGE OF 24%. OVERALL THE GENERAL ECONOMIC INDICATORS ARE IMPROVING.PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE LOCATED IN STEVENS COUNTY, WHICH HAS THE THIRD-HIGHEST POVERTY RATE IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BETWEEN FERRY AND PEND OREILLE COUNTIES, MAKING UP THE TRI COUNTY REGION.TOTAL POPULATION IS 44,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.3 PERCENT IN 2015. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED:- 21.5 PERCENT YOUTH (0-17 YEARS)- 16.9 PERCENT YOUNG ADULTS (18-39 YEARS)- 41.1 PERCENT OLDER ADULTS (40-64 YEARS)- 20.5 PERCENT SENIORS (65 YEARS AND OLDER)AMONG STEVENS COUNTY RESIDENTS IN 2013, 90.8 PERCENT WERE WHITE, 4.4 PERCENT AFRICAN AMERICAN, 0.6 PERCENT NATIVE AMERICAN, 0.4 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.8 PERCENT WERE OF TWO OR MORE RACES.IN 2014, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $43,876, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 9.3 PERCENT. THE WASHINGTON STATE MEDIAN HOUSEHOLD INCOME WAS $58,686 WITH AN UNEMPLOYMENT RATE OF 5.7 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN STEVENS COUNTY WAS 19.3 PERCENT IN 2014. IN 2013, 26.9 PERCENT OF STEVENS COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FEDERAL POVERTY LEVEL. THIS REPRESENTS AN INCREASE OF 3.1 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE.IN STEVENS COUNTY DURING 2014, RESIDENTS AGES 64 AND YOUNGER WHO WERE UNINSURED COMPRISED 11.6 PERCENT OF THE POPULATION. THE STATE AVERAGE WAS 8.3 PERCENT. THE TOP FOUR CAUSES OF DEATH IN STEVENS COUNTY THAT YEAR WERE: CANCER AT 22.2 PERCENT; HEART DISEASE AT 21.4 PERCENT; STROKE AT 6.8 PERCENT; AND ALZHEIMER'S DISEASE AT 4.8 PERCENT. TRENDING IS UP FOR INCIDENCES OF CANCER AND STROKE, BUT IS DOWN FOR HEART DISEASE AND ALZHEIMER'S. OUT OF ALL HOSPITAL ADMISSIONS IN STEVENS COUNTY, AVOIDABLE ADMISSIONS WERE CALCULATED AT 13 PERCENT WHILE THE WASHINGTON STATE AVERAGE WAS 9.1 PERCENT.IN STEVENS COUNTY, 24 PERCENT OF STUDENTS AND 30 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. THIS TREND IS WORSENING AND IS ALSO WORSE THAN THE WASHINGTON STATE AVERAGE OF 27 PERCENT FOR ADULTS.PROVIDENCE KODIAK ISLAND MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS DEFINED AS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES. PKIMC IS THE ONLY HOSPITAL FACILITY ON THE ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISES 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES - SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM.POPULATION AND AGE DEMOGRAPHICSTHE 2015 CENSUS ESTIMATE OF THE POPULATION FOR THE KODIAK ISLAND BOROUGH IS 13,889, WITH 45 PERCENT OF THOSE RESIDENTS LIVING IN THE CITY OF KODIAK. THE BOROUGH AGE DISTRIBUTION IS:- 28.6 PERCENT YOUTH (0-18 YEARS)- 64.7 PERCENT YOUNG ADULTS (18-64 YEARS)- 6.7 PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITY- 57.2 PERCENT WERE WHITE- 20.6 PERCENT WERE ASIAN- 12.9 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 9.2 PERCENT WERE HISPANIC OR LATINO- 1.5 PERCENT WERE AFRICAN AMERICAN OR BLACK- PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOME- $70,529 = MEDIAN HOUSEHOLD INCOME- $29,993 = PER CAPITA INCOME- 26 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $40,000 (UP 7% FROM 2013)- 11 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $20,000 (UP 8% FROM 2013)-11 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 8.3 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING $972 = MEDIAN GROSS RENT- 5,329 HOUSING UNITS- 59.7 PERCENT OF HOUSING UNITS/HOMES ARE OWNER OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)PROVIDENCE SEWARD MEDICAL & CARE CENTERSEWARD IS LOCATED ON RESURRECTION BAY, A FJORD OF THE GULF OF ALASKA ON THE KENAI PENINSULA. SEWARD IS SITUATED ON ALASKA'S SOUTHERN COAST AND AT THE SOUTHERN TERMINUS OF THE SEWARD HIGHWAY, WHICH IS THE ONLY ROAD IN OR OUT OF SEWARD. THE GREATER SEWARD AREA INCLUDES NOT ONLY THE CITY OF SEWARD (POPULATION ~ 2,700), BUT THE COMMUNITIES OF BEAR CREEK (POPULATION ~ 1,950) AND MOOSE PASS (POPULATION ~ 220). BEAR CREEK IS LOCATED JUST NORTH OF AND ADJACENT TO THE CITY OF SEWARD. MOOSE PASS IS LOCATED 28 MILES NORTH OF SEWARD AND IS A VERY SMALL COMMUNITY THAT IS LARGELY RELIANT UPON THE SERVICES AVAILABLE IN SEWARD.POPULATION AND AGE DEMOGRAPHICS:TOTAL POPULATION OF THE PSMCC SERVICE AREA IS 4,932 - 18.6% YOUTH (0-19 YEARS)- 38.5% YOUNG ADULTS (20-44 YEARS)- 30.9% OLDER ADULTS (45-64 YEARS)- 12.0% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 75.9% WHITE/CAUCASIAN- 5.3% ASIAN - 3.1% WERE HISPANIC OR LATINO - 13.6% WERE ALASKA NATIVE OR AMERICAN INDIAN- 1.1 % WERE AFRICAN AMERICAN OR BLACK - 0.4% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER - 3.7% WERE OF TWO OR MORE RACES.INCOME AND HOUSING- $70,000 = MEDIAN HOUSEHOLD INCOME- 6.2% UNEMPLOYMENT- 8.7% BELOW POVERTY- 62.5% OF HOMES ARE OWNER-OCCUPIED- 2.5% ARE HOMELESS

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number
51-0216586

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) PHC FOUNDATION - EASTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	32-0014330	501(C)(3)	1,449,812	OPERATIONAL SUPPORT
(2) PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	92-0093565	501(C)(3)	1,341,457	COMMUNITY SUPPORT
(3) SPOKANE TEACHING HEALTH CENTER PO BOX 244 SPOKANE,WA99210	46-4139065	501(C)(3)	1,173,727	SUPPORT FOR OPERATIONS
(4) PROVIDENCE GENERAL FOUNDATION 916 PACIFIC AVENUE BOX 1067 EVERETT,WA98206	91-1041617	501(C)(3)	790,939	MONTHLY FOUNDATION SUPPORT
(5) PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-1097056	501(C)(3)	687,061	OPERATIONAL SUPPORT
(6) PROVIDENCE MT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-1188119	501(C)(3)	567,024	SUBSIDIZE FOUNDATION EXPENSES
(7) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-2077378	501(C)(3)	545,043	SUBSIDIZE FOUNDATION EXPENSES
(8) CATHOLIC CHARITIES PO BOX 2253 SPOKANE,WA99210	91-0569880	501(C)(3)	512,000	COMMUNITY SUPPORT
(9) YOUNG MEN'S CHRISTIAN ASSOCIATION 2720 ROCKEFELLER AVE EVERETT,WA98206	91-0565561	501(C)(3)	350,000	SUPPORT AND SPONSORSHIP
(10) PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	45-2841492	501(C)(3)	316,898	FOUNDATION OPERATIONS SUPPORT
(11) PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	27-2552749	501(C)(3)	260,474	SUBSIDIZE FOUNDATION EXPENSES
(12) WHOLE PERSON CARE INITIATIVE 1215 K STREET 2000 SACAMENTO,CA95814	82-1005805	501(C)(3)	250,000	COMMUNITY SUPPORT
(13) PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	93-1554288	501(C)(3)	203,119	SUBSIDIZE FOUNDATION EXPENSES
(14) GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC,WA98188	27-3133200	501(C)(3)	200,000	PROV HOSPITAL COMMUNITY CONTRIBUTION
(15) UNITED STATES OF CARE CAMPAIGN PO BOX 32025 WASHINGTON,DC20007	82-2860302	501(C)(3)	200,000	COMMUNITY SUPPORT
(16) SPOKANE TREATMENT AND RECOVERY SERVICES PO BOX 2845 SPOKANE,WA99220	91-1108762	501(C)(3)	175,000	COMMUNITY DETOX ENHANCEMENT PROGRAM
(17) INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-1307555	501(C)(3)	164,454	COMMUNITY HEALTH EDUCATION OUTREACH
(18) CATHOLIC SOCIAL SERVICES INC 225 CORDOVA ST BLDG B ANCHORAGE,AK99501	92-0037322	501(C)(3)	154,100	COMMUNITY SUPPORT
(19) EXCELSIOR YOUTH CENTER 3754 W INDIAN TRAIL RD SPOKANE,WA99208	91-1189908	501(C)(3)	150,000	OPERATIONAL SUPPORT
(20) UNIVERSITY OF WASHINGTON FOUNDATION MACKENZIE HALL BOX 3532000 SEATTLE,WA98195	94-3079432	501(C)(3)	155,000	COMMUNITY SUPPORT - SPONSORSHIP
(21) VOLUNTEERS OF AMERICA 525 W 2ND SPOKANE,WA99201	58-2043747	501(C)(3)	140,550	WOMENS HOMELESS RESPITE
(22) COALITION TO PROTECT AMERICA'S HEALTHCARE 4600 EAST-WEST HIGHWAY SUITE 900 BETHESDA,MD20814	52-2253225	501(C)(4)	125,000	CONTRIBUTIONS
(23) PROVIDENCE HEALTH CARE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-1433382	501(C)(3)	122,776	OPERATIONAL SUPPORT
(24) PARTNERS WITH FAMILIES AND CHILDREN 1321 W BROADWAY SPOKANE,WA99201	68-0576560	501(C)(3)	115,000	DONATION - COMMUNITY SUPPORT
(25) CHRISTIAN HEALTH ASSOCIATES 1825 ACADEMY DRIVE ANCHORAGE,AK99507	92-0152088	501(C)(3)	111,000	COMMUNITY SUPPORT
(26) FRONTIER BEHAVIOR HEALTH 107 S DIVISION SPOKANE,WA99202	91-0853801	501(C)(3)	107,322	DONATION - COMMUNITY SUPPORT
(27) ALASKA SPORTS HALL OF FAME INC 14815 ECHO CANYON RD ANCHORAGE,AK99516	81-0649085	501(C)(3)	100,000	COMMUNITY SUPPORT
(28) EVERETT COMMUNITY COLLEGE 2000 TOWER ST EVERETT,WA98201	91-0759103	GOVERNMENT	100,000	SUPPORT NURSE PROGRAM
(29) INLAND NORTHWEST COMMUNITY FOUNDATION PO BOX 173 SPOKANE,WA99210	91-0941053	501(C)(3)	80,500	HOMELESS STUDENTS PROGRAM
(30) PIONEER HUMAN SERVICES 7440 W MARGINAL WAY S SEATTLE,WA98108	91-0791552	501(C)(3)	76,917	COMMUNITY BENEFIT - SERVICE ENRICHED HOUSING
(31) COMMUNITY ACTION COUNCIL OF LEWIS MASON AND THUSTON COUNTIES 420 GOLF CLUB RD SE SUITE 203 LACEY,WA98503	91-0818368	501(C)(3)	75,380	PROGRAM SUPPORT
(32) FREEMAN SCHOOL DISTRICT 15001 S JACKSON RD ROCKFORD,WA99030	91-1126519	GOVERNMENT	75,000	DONATION - COMMUNITY SUPPORT
(33) AMERICAN HEART ASSOCIATION INC PO BOX 50085 PHOENIX,AZ86304	13-5613797	501(C)(3)	115,100	LIFE IS WHY SPONSORSHIP - COMMUNITY SUPPORT
(34) PRESCRIPTION DRUG ASSISTANCE FOUNDATION PO BOX 9658 SPOKANE,WA99209	33-1134368	501(C)(3)	60,000	PRESCRIPTION ASSISTANCE PROGRAM
(35) BEAN'S CAF INC P O BOX 100940 ANCHORAGE,AK99510	92-0072522	501(C)(3)	53,125	COMMUNITY SUPPORT
(36) AFFORDABLE HOUSING NOW PROP 1 1787 TRIBUTE ROAD SUITE K SACRAMENTO,CA95815	82-4179512	501(C)(3)	50,000	CONTRIBUTIONS
(37) COMMONWEAL FOUNDATION 475 RIVERSIDE DR NEW YORK,NY10115	13-3174407	501(C)(3)	50,000	CONTRIBUTIONS
(38) CORPORATION OF GONZAGA UNIVERSITY 502 EAST BOONE AVE SPOKANE,WA99258	91-0236600	501(C)(3)	50,000	DONATION - COMMUNITY SUPPORT
(39) FOOD BANK OF ALASKA INC 2121 SPAR AVENUE ANCHORAGE,AK99501	92-0073175	501(C)(3)	50,000	COMMUNITY SUPPORT
(40) SECOND HARVEST INLAND NORTHWEST 1234 E FRONT AVE SPOKANE,WA99202	23-7173826	501(C)(3)	50,000	COMMUNITY BENEFIT HEALTHY FOOD PANTY PROGRAM
(41) THE STATE OF ALASKA 3601 C STREET STE 722 ANCHORAGE,AK99503	92-6001185	GOVERNMENT	50,000	COMMUNITY SUPPORT
(42) WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVENUE NE SHORELINE,WA98155	91-1698851	501(C)(3)	50,000	SPONSORSHIP
(43) YWCA SPOKANE 930 N MONROE ST SPOKANE,WA99210	91-0565025	501(C)(3)	42,500	COMMUNITY BENEFIT DIVERSIFICATION PROGRAM
(44) RURAL RESOURCES COMMUNITY ACTION 956 S MAIN STREET COLVILLE,WA99114	91-0793447	501(C)(3)	35,000	COMMUNITY BENEFIT FUNDS FOR SOLUTIONS PROGRAM
(45) PROVIDENCE NEW HUNGER COALITION PO BOX 46 LOON LAKE,WA99148	46-3051292	501(C)(3)	34,920	HUNGER COLLABORATIVE IN STEVENS COUNTY
(46) FAITH IN PRACTICE 7500 BEECHNUT STREET SUITE 208 HOUSTON,TX77074	76-0415986	501(C)(3)	32,500	ANNUAL GALA HOUSTON
(47) SEED GLOBAL HEALTH 20 ASHBURTON PLACE 6TH FL BOSTON,MA02108	45-3064098	501(C)(3)	30,000	SPONSORSHIP
(48) UNITED WAY OF SNOHOMISH COUNTY 3120 MCDOUGAL AVENUE SUITE 200 EVERETT,WA98201	91-0606507	501(C)(3)	30,000	ANNUAL SPONSORSHIP
(49) AMERICAN FOUNDATION FOR SUICIDE PREV 120 WALL STREET 29TH FLOOR NEW YORK,NY10005	13-3393329	501(C)(3)	29,000	CONTRIBUTION
(50) THE WATERFALL FOUNDATION PO BOX 70049 FAIRBANKS,AK99707	54-1980898	501(C)(3)	29,000	BREAST CANCER CHARITY EVENT
(51) SISTERS OF ST JOSEPH HEALTHCARE FOUNDATION 480 S BATAVIA ST ORANGE,CA92868	33-0532423	501(C)(3)	26,000	CONTRIBUTIONS
(52) WOMEN HELPING WOMEN FUND 1325 W 1ST AVE SPOKANE,WA99201	91-1561874	501(C)(3)	26,000	DONATION - COMMUNITY SUPPORT
(53) PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	51-0216589	501(C)(3)	25,250	SONSORSHIP
(54) ANCHORAGE SPORTSPLEX INC 6501 CHANGEPOINT DRIVE ANCHORAGE,AK99518	30-0274501	501(C)(3)	25,000	COMMUNITY SUPPORT
(55) CANCER CARE NORTHWEST 1204 N VERCLER RD SPOKANE VALLEY,WA99216	20-1453390	501(C)(3)	25,000	DONATION - COMMUNITY SUPPORT
(56) JUBILEE WOMEN'S CENTER 620 18TH AVENUE EAST SEATTLE,WA98112	91-1539920	501(C)(3)	25,000	SPONSORSHIP
(57) PACIFIC NORTHWEST BALLET 301 MERCER STREET SEATTLE,WA98109	91-0897129	501(C)(3)	25,000	DISCOVER DANCE DONATION
(58) UNITED WAY 920 N WASHINGTON ST STE 100 SPOKANE,WA99201	91-0606058	501(C)(3)	25,000	SUPPORT
(59) REBUILDING TOGETHER SEATTLE 500 AURORA AVE N 305 SEATTLE,WA98109	91-1606330	501(C)(3)	24,000	CONTRIBUTION
(60) FRIENDS OF KSPS 3911 S REGAL ST SPOKANE,WA99223	23-7203753	501(C)(3)	24,000	DONATION - COMMUNITY SUPPORT
(61) LUTHERAN COMMUNITY 210 W SPRAGUE AVE SPOKANE,WA99114	93-0386860	501(C)(3)	22,650	COMMUNITY BENEFIT CRIME VICTIMS FOLLOW-UP OUTREACH PROGRAM
(62) NETWORK FOR GOOD INC 5026 196TH ST SW LYNWOOD,WA98036	68-0480736	501(C)(3)	22,450	SUPPORT
(63) CITY OF COLVILLE RECREATION DEPT 356 E DOMINION AVE COLVILLE,WA99114	91-6001241	GOVERNMENT	20,800	DONATION
(64) PROV SENIOR CENTER SERV SPECIAL EVENTS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	51-0216586	501(C)(3)	20,500	SPONSORSHIP
(65) A CHILDS HOPE 723 W INDIANA SPOKANE,WA99205	81-4953438	501(C)(3)	20,000	DONATION - COMMUNITY SUPPORT
(66) CHRISTIAN AID CENTER 202 WEST BIRCH STREET WALLA WALLA,WA99362	91-0918048	RELIGIOUS	20,000	OPERATIONAL SUPPORT
(67) LET EVERY WOMAN KNOW ALASKA 3851 PIPER STREET STE U264 ANCHORAGE,AK99508	46-1861913	501(C)(3)	20,000	COMMUNITY SUPPORT
(68) NORTHPORT SCHOOL DISTRICT PO BOX 1280 NORTHPORT,WA99157	91-1086089	GOVERNMENT	20,000	PUTTING KIDS FIRST PROGRAM
(69) SEATTLE CENTER FOUNDATION 305 HARRISON ST SEATTLE,WA98109	91-1003385	501(C)(3)	20,000	OPERATIONAL SUPPORT
(70) UNIVERSITY DISTRICT DEVELOPMENT ASSOC 120 N PINE ST SPOKANE,WA99202	91-1973749	501(C)(3)	20,000	DONATION - COMMUNITY SUPPORT
(71) WALLA WALLA FIRE DEPARTMENT 170 N WILBUR AVE WALLA WALLA,WA99362		GOVERNMENT	20,000	OPERATIONAL SUPPORT
(72) ST BENEDICT CHURCH 8110 JEWEL LAKE RD ANCHORAGE,AK99502	92-0122543	CHURCH	17,000	COMMUNITY SUPPORT
(73) AMERICAN CANCER SOCIETY INC 3851 PIPER STREET STE U240 ANCHORAGE,AK99508	13-1788491	501(C)(3)	15,800	COMMUNITY SUPPORT
(74) MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	15,100	COMMUNITY SUPPORT
(75) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DRIVE ANCHORAGE,AK99508	92-0162721	501(C)(3)	15,000	COMMUNITY SUPPORT
(76) INSTITUTE OF SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-2003593	501(C)(3)	15,000	SPONSORSHIP
(77) NORTHEAST WASHINGTON EDUCATION COUNCIL 4202 S REGAL ST SPOKANE,WA99223	91-2148164	501(C)(3)	15,000	DONATION - COMMUNITY SUPPORT
(78) SPOKANE NEIGHBORHOOD ACTION PARTNERS 3102 W FT GEORGE DRIVE SPOKANE,WA99224	91-1311127	501(C)(3)	15,000	COMMUNITY BENEFIT URGENT CARE TRANSPORT PROGRAM
(79) WOMEN & CHILDREN'S FREE RESTAURANT 1408 N WASHINGTON ST SPOKANE,WA99201	91-1399742	501(C)(3)	15,000	NUTRITION ESSENTIALS PROGRAM
(80) STEVENS COUNTY SHERIFF 215 S OAK STREET COLVILLE,WA99114	91-6001372	GOVERNMENT	13,500	COMMUNITY BENEFIT FOR EMS TRAINING & STAFFING
(81) WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH PO BOX 1753 WALLA WALLA,WA99362	91-6001381	GOVERNMENT	13,000	CHILDREN'S NEEDS PROGRAM
(82) MARCH OF DIMES 904 3RD AVENUE SUITE 230 SEATTLE,WA98101	13-1846366	501(C)(3)	16,500	MARCH FOR BABIES - SUPPORT AND SPONSORSHIP
(83) ROAD RUNNERS CLUB OF AMERICA P O BOX 243362 ANCHORAGE,AK99524	92-0085126	501(C)(3)	10,275	COMMUNITY SUPPORT
(84) CAUSECAST FOUNDATION 164 W PROVEDENCIA BURBANCK,CA91502	26-3212021	501(C)(3)	10,098	SPONSORSHIP
(85) ALASKA NURSES ASSOCIATION 3701 EAST TUDOR ROAD NO 208 ANCHORAGE,AK99507	92-0027393	501(C)(6)	10,000	COMMUNITY SUPPORT
(86) AMERICAN NATIONAL RED CROSS 2025 E STREET NW WASHINGTON,DC20006	53-0196605	501(C)(3)	10,000	SUPPORT AND SPONSORSHIP
(87) ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC 4951 BUSINESS PARK BLVD ANCHORAGE,AK99503	92-0047965	501(C)(3)	10,000	COMMUNITY SUPPORT
(88) BNAI BIRTH 1120 20TH STREET NW SUITE 300N WASHINGTON,DC20036	53-0179971	501(C)(3)	10,000	CONTRIBUTION
(89) CONSTRUCTION FOR CHANGE 805 KIRKLAND AVE STE 200 KIRKLAND,WA98033	26-2654958	501(C)(3)	10,000	CONTRIBUTION
(90) FAILSAFE FOR LIFE 15615 N MEADOWGLEN CT SPOKANE,WA99208	81-3525568	501(C)(6)	10,000	DONATION - COMMUNITY SUPPORT
(91) KETTLE FALLS SCHOOL DISTRICT PO VOX 458 KETTLE FALLS,WA99141	91-0099890	GOVERNMENT	10,000	GRANT
(92) LUTHERAN SOCIAL SERVICES OF ALASKA 1303 W 33RD ANCHORAGE,AK99503	94-3055592	501(C)(3)	10,000	COMMUNITY SUPPORT
(93) NAMI SPOKANE 10 N POST ST STE 638 SPOKANE,WA99202	91-1153510	501(C)(3)	10,000	COMMUNITY BENEFIT-BUILDING, STUDY AND PLANNING PROGRAM
(94) NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVE NEW YORK,NY10017	31-5661935	501(C)(3)	10,000	OPERATIONAL SUPPORT
(95) NAZARETH GUILD 20 WEST 9TH AVE SPOKANE,WA99204	45-3962529	CHURCH	10,000	SPONSORSHIP
(96) PROJECT ACCESS NORTHWEST 1111 HARVARD AVENUE SEATTLE,WA98122	20-4377921	501(C)(3)	10,000	ANNUAL SPONSORSHIP
(97) SAFE CROSSING FOUNDATION 1402 3RD AVENUE SUITE 1430 SEATTLE,WA98101	75-2992774	501(C)(3)	10,000	SPONSORSHIP OF LUNCH 2018
(98) SOUTHWEST YOUTH AND FAMILY SERVICES 4555 DELRIDGE WAY SW SEATTLE,WA98106	91-1117862	501(C)(3)	10,000	CONTRIBUTION
(99) THE FRIENDSHIP CIRCLE OF WA 2737 77TH AVE SE MERCER ISLAND,WA98040	91-2173196	501(C)(3)	10,000	OPERATIONAL SUPPORT
(100) THE WASHINGTON STEM CELL FOUNDATION 1414 31ST AVE S SUITE 302 SEATTLE,WA98144	27-2133169	501(C)(3)	10,000	CONTRIBUTION
(101) WASHINGTON POISON CENTER 155 NE ST SUITE 100 SEATTLE,WA98125	94-3214597	501(C)(3)	10,000	COMMUNITY SUPPORT
(102) WASHINGTON STATE UNIVERSITY FOUNDATION PO BOX 641927 PULLMAN,WA99164	91-1075542	501(C)(3)	9,500	SPONSORSHIP
(103) GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	20-1910170	501(C)(3)	9,000	MINISTRY SUPPORT
(104) PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	31-1744654	501(C)(3)	9,000	MINISTRY SUPPORT
(105) PROVIDENCE JOSEPH HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	27-3678314	501(C)(3)	9,000	MINISTRY SUPPORT
(106) PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	31-1629656	501(C)(3)	9,000	MINISTRY SUPPORT
(107) PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	91-2171539	501(C)(3)	9,000	MINISTRY SUPPORT
(108) AMERICAN CANCER SOCIETY 3120 MCDOUGAL AVENUE SUITE 100 EVERETT,WA98201	84-1316555	501(C)(3)	8,500	ACS NIGHT OF HOPE GALA AND SPONSORSHIP
(109) MEDICAL TEAMS INTERNATIONAL PO BOX 10 PORTLAND,OR97207	93-0878944	501(C)(3)	8,464	SPONSORSHIP
(110) LIFE SUPPORT PO BOX 264 SOUTH CLE ELUM,WA98943	20-0413954	501(C)(3)	7,500	SPONSORSHIP
(111) COVENANT HOUSE OF ALASKA P O BOX 104640 ANCHORAGE,AK99510	13-3419755	501(C)(3)	6,083	COMMUNITY SUPPORT
(112) ANCHORAGE PARK FOUNDATION 3201 C ST STE 110 ANCHORAGE,AK99503	41-2205907	501(C)(3)	6,000	COMMUNITY SUPPORT
(113) ANCHORAGE ECONOMIC DEVELOPMENT CORP 510 L STREET STE 603 ANCHORAGE,AK99501	92-0123006	501(C)(6)	5,650	OPERATIONAL SUPPORT
(114) UNITED WAY OF THURSTON COUNTY 1211 FOURTH AVE EAST OLYMPIA,WA98506	91-0713462	501(C)(3)	5,500	SPONSORSHIP
(115) HANDS ON CHILDREN MUSEUM 106 11TH AVE SW OLYMPIA,WA98501	91-1405065	501(C)(3)	5,350	DENTAL HEALTH SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

109

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) TUITION ASSISTANCE	184	554,078
(2) MEDICAL ASSISTANCE	20	20,501
(3) EDUCATION AND SUPPORT	500	8,984
(4) DEBT PAYMENT ASSISTANCE	1	538
(5) TRANSPORTATION	11	2,396
(6) PRESCRIPTION DRUGS/MEDICAL DEVICES	30		1,309	COST	CAMP STIX, OTHER
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Part I, Line 2:

IN THE APPLICATION FOR SUPPORT, PROVIDENCE HEALTH & SERVICES - WASHINGTON (PH&S - WA) REQUESTS 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, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS SINCE THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX EXEMPT PURPOSE OF THE ORGANIZATION.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CINDY STRAUSS SECRETARY	(i) (ii)	0 ------------- 769,625	0 ------------- 724,144	0 ------------- 391,021	0 ------------- 664,452	0 ------------- 26,096	0 ------------- 2,575,338	0 ------------- 356,681
2DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT	(i) (ii)	195,960 ------------- 0	14,071 ------------- 0	618 ------------- 0	29,366 ------------- 0	8,505 ------------- 0	248,520 ------------- 0	0 ------------- 0
3JIM WATSON ESQ ASSISTANT SECRETARY	(i) (ii)	0 ------------- 449,476	0 ------------- 64,532	0 ------------- 62,180	0 ------------- 24,750	0 ------------- 40,393	0 ------------- 641,331	0 ------------- 0
4JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER	(i) (ii)	0 ------------- 676,469	0 ------------- 396,611	0 ------------- 37,755	0 ------------- 503,453	0 ------------- 23,971	0 ------------- 1,638,259	0 ------------- 0
5JOHN WHIPPLE ASSISTANT SECRETARY	(i) (ii)	420,678 ------------- 0	357,576 ------------- 0	251,293 ------------- 0	321,644 ------------- 0	24,045 ------------- 0	1,375,236 ------------- 0	218,336 ------------- 0
6MIKE BUTLER PRESIDENT	(i) (ii)	0 ------------- 1,320,076	0 ------------- 2,525,154	0 ------------- 738,136	0 ------------- 942,095	0 ------------- 26,366	0 ------------- 5,551,827	0 ------------- 692,718
7VENKAT BHAMIDIPATI EVP/TREASURER	(i) (ii)	0 ------------- 903,927	0 ------------- 282,772	0 ------------- 40,310	0 ------------- 649,292	0 ------------- 24,549	0 ------------- 1,900,850	0 ------------- 0
8AARON MARTIN SVP/STRATEGY & INNOVATION	(i) (ii)	0 ------------- 619,482	0 ------------- 299,538	0 ------------- 277,054	0 ------------- 429,276	0 ------------- 6,008	0 ------------- 1,631,358	0 ------------- 256,355
9AMY COMPTON-PHILLIPS EVP/CHIEF CLINICAL OFFICER	(i) (ii)	0 ------------- 775,101	0 ------------- 744,687	0 ------------- 134,285	0 ------------- 638,301	0 ------------- 28,953	0 ------------- 2,321,327	0 ------------- 90,925
10BRUCE LAMOUREUX CE/AK REGION	(i) (ii)	532,983 ------------- 0	383,498 ------------- 0	124,819 ------------- 0	220,986 ------------- 0	24,068 ------------- 0	1,286,354 ------------- 0	98,795 ------------- 0
11DAVID BROWN VP/STRATEGY & BIZ DVLPMT	(i) (ii)	378,024 ------------- 0	330,500 ------------- 0	741,577 ------------- 0	253,902 ------------- 0	26,467 ------------- 0	1,730,470 ------------- 0	739,590 ------------- 0
12DEBBIE BURTON SVP/CHIEF NRSG. OFFICER	(i) (ii)	355,841 ------------- 0	311,439 ------------- 0	85,069 ------------- 0	190,913 ------------- 0	29,004 ------------- 0	972,266 ------------- 0	60,891 ------------- 0
13DEBRA CANALES EVP/CAO	(i) (ii)	0 ------------- 857,075	0 ------------- 881,587	0 ------------- 993,441	0 ------------- 706,123	0 ------------- 17,988	0 ------------- 3,456,214	0 ------------- 949,253
14ELAINE COUTURE CE/PHC/EASTERN WA. REGION	(i) (ii)	748,880 ------------- 0	401,570 ------------- 0	141,016 ------------- 0	442,610 ------------- 0	24,086 ------------- 0	1,758,162 ------------- 0	114,992 ------------- 0
15GREG TILL VP/CHIEF TALENT OFFICER	(i) (ii)	413,001 ------------- 0	366,609 ------------- 0	184,364 ------------- 0	266,034 ------------- 0	29,474 ------------- 0	1,259,482 ------------- 0	149,031 ------------- 0
16JANICE NEWELL SVP/CHIEF INFORMATION OFFICER	(i) (ii)	605,657 ------------- 0	593,967 ------------- 0	313,289 ------------- 0	140,906 ------------- 0	13,217 ------------- 0	1,667,036 ------------- 0	280,351 ------------- 0
17JOEL GILBERTSON SVP/COMMUNITY PARTNERSHIPS	(i) (ii)	482,510 ------------- 0	421,153 ------------- 0	702,833 ------------- 0	334,483 ------------- 0	27,500 ------------- 0	1,968,479 ------------- 0	666,795 ------------- 0
18LISA VANCE SVP/CLINICAL PROGRAM SRVCS	(i) (ii)	501,241 ------------- 119,721	494,069 ------------- 118,008	115,265 ------------- 27,531	264,048 ------------- 63,068	19,588 ------------- 4,679	1,394,211 ------------- 333,007	81,477 ------------- 19,461
19MARY CRANSTOUN VP/TOTAL REWARDS	(i) (ii)	403,975 ------------- 0	354,347 ------------- 0	116,489 ------------- 0	262,286 ------------- 0	28,387 ------------- 0	1,165,484 ------------- 0	79,913 ------------- 0
20MEDRICE COLUCCIO CE/SOUTHWEST WA. REGION	(i) (ii)	465,204 ------------- 0	272,189 ------------- 0	102,878 ------------- 0	241,137 ------------- 0	11,039 ------------- 0	1,092,447 ------------- 0	77,003 ------------- 0
21MIKE WATERS VP, CAO/PHYSICIAN SERVICES	(i) (ii)	449,557 ------------- 0	227,731 ------------- 0	186,258 ------------- 0	284,611 ------------- 0	10,917 ------------- 0	1,159,074 ------------- 0	150,340 ------------- 0
22OREST HOLUBEC SVP/CHIEF COMM/EXT AFF OFF	(i) (ii)	0 ------------- 414,903	0 ------------- 376,200	0 ------------- 320,139	0 ------------- 248,009	0 ------------- 26,681	0 ------------- 1,385,932	0 ------------- 284,306
23PRESTON SIMMONS CE/NORTHWEST WA. REGION	(i) (ii)	459,799 ------------- 0	199,719 ------------- 0	804,942 ------------- 0	331,199 ------------- 0	28,442 ------------- 0	1,824,101 ------------- 0	667,061 ------------- 0
24RHONDA MEDOWS MD EVP/POPULATION HEALTH	(i) (ii)	0 ------------- 892,539	0 ------------- 881,144	0 ------------- 250,787	0 ------------- 585,104	0 ------------- 20,765	0 ------------- 2,630,339	0 ------------- 207,264
25SHARON TONCRAY SVP/CHIEF LABOR EE COUNSEL	(i) (ii)	415,487 ------------- 0	390,622 ------------- 0	617,243 ------------- 0	148,032 ------------- 0	30,407 ------------- 0	1,601,791 ------------- 0	578,583 ------------- 0
26TOM MCDONAGH VP/CHIEF INVESTMENT OFFICER	(i) (ii)	479,100 ------------- 0	424,836 ------------- 0	199,748 ------------- 0	94,395 ------------- 0	28,455 ------------- 0	1,226,534 ------------- 0	160,512 ------------- 0
27ATUL THAKKER PHYSICIAN	(i) (ii)	1,152,718 ------------- 0	0 ------------- 0	1,004,109 ------------- 0	139,256 ------------- 0	21,124 ------------- 0	2,317,207 ------------- 0	854,486 ------------- 0
28BRANDEN REYNOLDS PHYSICIAN	(i) (ii)	879,716 ------------- 0	75,000 ------------- 0	695,388 ------------- 0	98,022 ------------- 0	20,384 ------------- 0	1,768,510 ------------- 0	674,266 ------------- 0
29DAVID YAM NEUROSURGEON	(i) (ii)	1,448,061 ------------- 0	515,372 ------------- 0	533,939 ------------- 0	134,204 ------------- 0	20,342 ------------- 0	2,651,918 ------------- 0	532,913 ------------- 0
30JASON DREYER NEUROSURGEON	(i) (ii)	668,011 ------------- 0	1,750,030 ------------- 0	448,163 ------------- 0	166,839 ------------- 0	25,842 ------------- 0	3,058,885 ------------- 0	441,023 ------------- 0
31NEIL WORRALL PHYSICIAN	(i) (ii)	873,670 ------------- 0	75,000 ------------- 0	632,975 ------------- 0	99,697 ------------- 0	26,608 ------------- 0	1,707,950 ------------- 0	611,853 ------------- 0
32ROD F HOCHMAN MD FORMER PRESIDENT/CEO	(i) (ii)	0 ------------- 2,026,331	0 ------------- 3,370,808	0 ------------- 1,172,016	0 ------------- 4,239,838	0 ------------- 26,428	0 ------------- 10,835,421	0 ------------- 1,130,152
33TAMMY TEODOSIO FORMER ASSISTANT SECRETARY	(i) (ii)	113,095 ------------- 0	8,184 ------------- 0	1,413 ------------- 0	12,754 ------------- 0	11,510 ------------- 0	146,956 ------------- 0	0 ------------- 0
34TODD HOFHEINS FORMER EVP/CFO/TREAS.	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 820,571	0 ------------- 4,960	0 ------------- 30,986	0 ------------- 856,517	0 ------------- 0
35HARVEY SMITH FORMER SVP/CHIEF CUSTOMER SVC. OFF	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 583,049	0 ------------- 0	0 ------------- 16,156	0 ------------- 599,205	0 ------------- 0
36JACK MUDD FORMER SVP/MISSION LEADERSHIP	(i) (ii)	181,444 ------------- 0	246,198 ------------- 0	49,414 ------------- 0	110,334 ------------- 0	14,134 ------------- 0	601,524 ------------- 0	25,651 ------------- 0
37TERRY SMITH FORMER SVP/MANAGEMENT SVCS	(i) (ii)	0 ------------- 199,733	0 ------------- 21,000	0 ------------- 11,361	0 ------------- 11,820	0 ------------- 9,367	0 ------------- 253,281	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	PROVIDENCE HEALTH & SERVICES EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: TRAVEL OR CHARTER TRAVEL OR TRAVEL OF COMPANIONS AIR TRAVEL IS REIMBURSABLE 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 FULL FARE TICKETS AND CHARTER MUST BE APPROVED BY A SENIOR LEVEL SUPERVISOR. 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 ADMINISTRATIVE OFFICER (EVP, CAO) OF PROVIDENCE ST. JOSEPH HEALTH. 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. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION 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. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE HEALTH & SERVICES FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO OTHER 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 THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE 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 EVP, CAO PSJH 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. THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990.
Part I, Line 3	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE ST. JOSEPH HEALTH.
Part I, Lines 4a-b	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: HARVEY SMITH - $587,018 TODD HOFHEINS - $824,990 ENTITIES WITHIN THE PSJH SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT THE CURRENT YEAR PAYOUTS FROM THESE PLANS.
FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE 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). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	23,179,043	MED. SVCS		No
(2) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	7,620,674	CONSULTING		No
(3) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	3,466,050	CONSULTING		No
(4) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	2,845,601	CONSULTING		No
(5) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	2,169,440	CONSULTING		No
(6) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	1,932,352	CONSULTING		No
(7) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	1,202,484	CONSULTING		No
(8) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	159,417	MED. SVCS		No
(9) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	134,100	MED. SVCS		No
(10) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	101,979	MED. SVCS		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	1	633,619	COST
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Column (b):	THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule M (Form 990) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Return Reference	Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
Form 990, Part III, Line 4a, Cont.	PRIMARY CARE A CLINICAL SIMULATION LAB ON THE PROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL CAMPUS ENABLES MEDICAL STAFF AND STUDENTS TO EXPERIENCE LIFELIKE MEDICAL SITUATIONS THROUGH THE USE OF ROBOTIC MANNEQUINS. PROVIDENCE HEALTH CARE'S TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM WAS PRESENTED WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) ACHIEVEMENT CITATION. THE ACHIEVEMENT CITATION IS ONE OF CHA'S HIGHEST HONORS RESERVED FOR OUTSTANDING PROGRAMS THAT TRANSFORM LIVES. THE TRANSITIONAL RESPITE CARE FOR THE HOMELESS PROGRAM PROVIDES A POST-DISCHARGE ENVIRONMENT FOR PEOPLE WHO ARE HOMELESS TO RECUPERATE, AND WOULD OTHERWISE RETURN TO LIFE OF THE STREETS BEFORE THEY ARE FULLY HEALED. IT RECEIVED THIS PREMIER AWARD FOR ORIGINAL, BOLD, INNOVATIVE PROGRAMMING THAT DELIVERS MEASURABLE RESULTS FOR COMMUNITIES IT SERVES IN SPOKANE. THE PROGRAM IS REDUCING THE DEMAND ON EMERGENCY SERVICES, SAVING RESOURCES THAT ARE BEING REDISTRIBUTED FOR IMPORTANT SERVICES, AND HELPING IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. AS HEALTH CARE CONTINUES TO EVOLVE TO MEET THE NEEDS OF CONSUMERS, PROVIDENCE IS USING TECHNOLOGY TO INVITE MORE PEOPLE THROUGH THE FRONT DOORS OF OUR CLINICS - THIS CAN BE A VIRTUAL INVITATION IN THE FORM OF AN ONLINE VISIT VIA CELLPHONE OR LAPTOP, OR IN PERSON AT A RETAIL EXPRESS CARE SITE IN WALGREENS. AT THE SAME TIME, WE RECOGNIZE THAT THE REAL BENEFIT OF PRIMARY CARE IS THE LONG TERM RELATIONSHIP THAT PATIENTS DEVELOP WITH THEIR PHYSICIAN AND CARE TEAM. IT'S THIS RELATIONSHIP THAT ALLOWS US TO ADDRESS THE ONGOING HEALTH AND WELLNESS OF OUR PATIENTS AND COMMUNITIES. THE MORE WE CAN USE DIGITAL TECHNOLOGY TO CONNECT PATIENTS TO THEIR CARE TEAM, THE BETTER WE WILL BE AT TAKING CARE OF ENTIRE POPULATIONS OVER TIME. OUR MEDICAL GROUP LEADERS HAVE PARTNERED WITH THE DIGITAL INNOVATION GROUP TO TEST NEW, PATIENT-CENTRIC TECHNOLOGY AND TOOLS THAT TRANSFORM THE WAY CARE IS DELIVERED AND CEMENT THE RELATIONSHIP BETWEEN CARE TEAMS AND PATIENTS AFTER THEY HAVE CHOSEN TO WALK THROUGH THE DOORS OF A PROVIDENCE CLINIC. THE ON DEMAND HEALTH PLATFORM, OPEN NOTES AND THE CIRCLE APP FOR NEW MOMS ARE THREE NEW TOOLS WE ARE EXPLORING TO CONNECT WITH PATIENTS AND BUILD ENDURING RELATIONSHIPS. CURRENTLY ONLY PATIENTS WHO HAVE A MYCHART ACCOUNT ARE ABLE TO SCHEDULE APPOINTMENTS ONLINE. SOON, WITH A NEW SCHEDULING TOOL CALLED THE ON DEMAND HEALTH PLATFORM, ANYONE WILL BE ABLE TO SCHEDULE AN APPOINTMENT ONLINE. THE TOOL PROVIDES CONSUMERS WITH MORE OPTIONS FOR ACCESSING CARE WHEN AND WHERE THEY NEED IT. CIRCLE IS ANOTHER NEW TOOL THAT IS IMPROVING THE CONNECTION BETWEEN PATIENTS AND PROVIDERS. CIRCLE IS A FREE SMARTPHONE APP BY PROVIDENCE AND SWEDISH FOR EXPECTANT AND NEW MOMS IN PORTLAND, EVERETT, AND SEATTLE; EXPANDING TO OTHER SERVICE AREAS IN 2018. PATIENTS CAN GET PERSONALIZED PREGNANCY AND NEWBORN INFORMATION, CHECK OFF WEEKLY TO-DOS, CONNECT WITH MYCHART, AND FIND AFTER-HOURS CARE AND BREAST FEEDING SUPPORT THROUGH SECURE VIDEO CHAT WITH EXPRESS CARE VIRTUAL. NEW MOMS LOVE THE APP BECAUSE IT PUTS THE INFORMATION THEY WANT AT THEIR FINGERTIPS - FROM BOTH A MEDICAL AND A NON-MEDICAL PERSPECTIVE. PROVIDERS LOVE THE APP BECAUSE IT HELPS THEM STAY IN TOUCH WITH THEIR PATIENTS OUTSIDE OF TRADITIONAL OFFICE VISITS. ANOTHER PATIENT-CENTRIC TOOL THAT ENCOURAGES PATIENTS TO BE MORE ENGAGED IN THEIR CARE IS OPEN NOTES. IT GIVES PATIENTS THE ABILITY TO VIEW THEIR ENTIRE MEDICAL RECORD - FROM PROBLEM LISTS TO PROGRESS NOTES - ONLINE. THE EXPANDED ACCESS ALLOWS PATIENTS TO BE FULLER PARTNERS IN THEIR HEALTH CARE AND ENABLES THEM TO HAVE BETTER, MORE INFORMED CONVERSATIONS WITH THEIR PROVIDER. OUR EMPLOYED PROVIDERS ARE LEADING THE WAY FORWARD AS WE MEET OUR CONSUMERS' DEMAND FOR CONVENIENT ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE FROM A PROVIDER THEY KNOW AND TRUST. TRADITIONALLY, OUR INDUSTRY HAS MAINLY RELIED ON TWO WAYS FOR PATIENTS TO ACCESS OUR SERVICES WHEN THEY ARE NEEDED. ONE, PRIMARY/URGENT CARE IN DOCTOR OFFICES, OR TWO, EMERGENCY ROOMS IN HOSPITALS. ACROSS OUR ORGANIZATION, OUR PROVIDERS ARE MAKING REMARKABLE CHANGES FOR THE ON-DEMAND EXPERIENCE IN HEALTH CARE, SO THAT MAKING A DIAGNOSIS AND PROVIDING TREATMENT IS AS QUICK, SIMPLE AND CONVENIENT AS ORDERING A PIZZA OR CATCHING A RIDE ACROSS TOWN. IN FACT, WE BELIEVE OUR HEALTH SYSTEM IS THE ONLY ONE IN THE NATION CURRENTLY OFFERING AN ENTIRE SUITE OF ON-DEMAND SERVICES, WHICH INCLUDE: 1. WALK-IN CLINICS AT FREESTANDING LOCATIONS AND WALGREENS STORES 2. OFFERING INSTANT ONLINE VISITS 3. BRINGING BACK THE HOUSE CALL THE MAIN REASON WE ARE ABLE TO OFFER THESE THREE ALTERNATIVES IS BECAUSE OUR OWN PROVIDERS ARE BOLD ENOUGH TO PRACTICE MEDICINE IN A DIFFERENT WAY WITHIN THE NEW ERA. EXPRESS CARE CLINICS AS AN ALTERNATIVE TO BEING SEEN IN A DOCTOR'S OFFICE, OUR PATIENTS NOW HAVE THE OPTION OF BEING SEEN 7 DAYS PER WEEK, 12 HOURS A DAY ON THE SAME DAY, BY EITHER WALKING IN OR SCHEDULING ON LINE. OUR EXPRESS CARE WALK-IN CLINICS ARE STAFFED BY HIGHLY QUALIFIED NURSE PRACTITIONERS INSIDE WALGREENS STORES OR AT STANDALONE EXPRESS CARE CLINIC SITES. THIS OFFERS THE BEST OF BOTH WORLDS: CONVENIENCE AND CARE YOU CAN TRUST. EXPRESS CARE AT HOME TODAY, OUR PROVIDERS ARE DRIVING TO HOMES, OFFICES OR HOTEL ROOMS TO TREAT COMMON CONDITIONS SUCH AS HEADACHES, SPRAINS AND ALLERGIES. CONSUMERS CAN ALSO GET A ROUTINE PHYSICAL BY PAYING $199 A VISIT, OR THE COST OF THEIR COPAY OR COINSURANCE. THIS COST IS UPFRONT AND TRANSPARENT. EXPRESS CARE VIRTUAL THIS ALLOWS OUR PROVIDERS TO CONNECT WITH CONSUMERS IN THE PALM OF THEIR HANDS VIA A SMARTPHONE, TABLET OR COMPUTER AND IS AVAILABLE SEVEN DAYS A WEEK, 8 A.M. TO MIDNIGHT. THESE SECURE, ONLINE VISITS COST $39 AND ARE OFTEN COVERED BY INSURANCE. A THERAPY DOG, SIMILAR TO A GUIDE OR SERVICE DOG IS TRAINED TO ASSIST TRAUMA VICTIMS THROUGH THE INVESTIGATION AND PROSECUTION OF CRIMES. HE HELPS CHILDREN COPE BY PROVIDING A REASSURING PRESENCE DURING INTERVIEWS, MEDICAL EXAMS AND THERAPY SESSIONS AT THE PROVIDENCE ST. PETER SEXUAL ASSAULT CLINIC AND CHILD MALTREATMENT CENTER IN LACEY, WASH. THE CENTER IS THE ONLY ONE OF ITS KIND IN THE FIVE-COUNTY AREA. WHAT MAKES IT SO UNIQUE IS THAT COMMUNITY AGENCIES AND SERVICES ARE ALL CO-LOCATED AT THE CLINIC, INCLUDING LEGAL RESOURCES THROUGH MONARCH CHILDREN'S JUSTICE AND ADVOCACY CENTER. THIS COLLABORATION PROVIDES YOUNG VICTIMS AND FAMILIES ONE LOCATION TO RECEIVE CARE AND SERVICES, PREVENTING REPEATED TRAUMA FROM HAVING TO SHARE THEIR STORY MULTIPLE TIMES. EACH YEAR, THE CENTER SERVES MORE THAN 350 PATIENTS AND THEIR FAMILIES, THANKS TO A $1 MILLION COMMUNITY INVESTMENT BY PROVIDENCE. SADLY, STATISTICS SHOW THAT ONE IN FIVE CHILDREN WILL BE SEXUALLY ABUSED BY THE AGE OF 18, AND MOST ARE VICTIMS OF SOMEONE THEY KNOW AND TRUST. TO PROTECT VULNERABLE CHILDREN, THE CENTER PROVIDES FREE EDUCATION WORKSHOPS WITH SUPPORT FROM THE PROVIDENCE ST. PETER FOUNDATION. SINCE 2008, MORE THAN 800 COMMUNITY MEMBERS HAVE BEEN TRAINED TO RECOGNIZE AND RESPOND TO SIGNS OF ABUSE. PROVIDENCE'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED POVERTY AND RELATED ISSUES SUCH AS ADEQUATE HOUSING AS AN AREA OF GREAT NEED. WITHOUT A WARM BED TO RECUPERATE, VULNERABLE PATIENTS RETURNING TO LIFE ON THE STREETS WOULD FACE A HIGH RISK FOR RE-HOSPITALIZATION. ABOUT 450 NIGHTS OF SHELTER HAVE BEEN PROVIDED THROUGH THIS PROGRAM SINCE IT BEGAN IN 2015 THANKS TO PROVIDENCE'S $500,000 COMMUNITY INVESTMENT. THE PROGRAM IS STARTING SMALL WITH TWO TO FOUR BEDS SO IT CAN BE DEVELOPED PROPERLY AND LINK PARTICIPANTS TO SOCIAL AND BEHAVIORAL HEALTH SERVICES THAT CHANGE LIVES FOR THE BETTER. IN PARTNERSHIP WITH DAYBREAK YOUTH SERVICES, ACCESS TO INPATIENT AND OUTPATIENT CARE IS PROVIDED FOR FREE TO CHILDREN AND FAMILIES IN THEIR TIME OF NEED. ONCE THE YOUTH'S CONDITION WAS STABILIZED AT THE HOSPITAL, THEY WENT DIRECTLY TO THE DAYBREAK FACILITY WHERE SHE RECEIVED TREATMENT FOR ADDICTION AND THERAPY TO OVERCOME THE EMOTIONAL PAIN OF THEIR PAST. PROVIDENCE HAS PROVIDED MORE THAN 200 RAPID RESPONSE REFERRALS TO TREATMENT AND 90 PERCENT OF THE YOUNG PATIENTS HAVE COMPLETED OR ARE STILL ENGAGED IN TREATMENT. THE PROGRAM FULFILLS IMPORTANT NEEDS IN THE SPOKANE COUNTY, WASH. COMMUNITY FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. PROVIDENCE'S ANNUAL COMMUNITY INVESTMENT OF $50,000 MAKES POSSIBLE THE CRITICAL COORDINATION OF CARE AND SERVICES ESSENTIAL TO THE SUCCESS AND SOBRIETY FOR TEENS IN RECOVERY.
Form 990, Part VI, Section A, line 6	PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON.
Form 990, Part VI, Section A, line 7a	PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
Form 990, Part VI, Section B, line 11b	THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
Form 990, Part VI, Section B, line 12c	BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY.
Form 990, Part VI, Section B, line 15	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. 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 ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
Form 990, Part IX, line 11g	AGENCY/CONTRACT LABOR: Program service expenses 38,240,025. Management and general expenses 18,850,597. Fundraising expenses 17,294. Total expenses 57,107,916. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 124,060,870. Management and general expenses 125,799. Fundraising expenses 0. Total expenses 124,186,669. REPAIRS & MAINTENANCE: Program service expenses 36,425,837. Management and general expenses 151,132,346. Fundraising expenses 1,618,668. Total expenses 189,176,851. BILLING & COLLECTIONS: Program service expenses 42,900. Management and general expenses 7,202,992. Fundraising expenses 0. Total expenses 7,245,892. RECORDS MANAGEMENT: Program service expenses 1,637,364. Management and general expenses 1,843,352. Fundraising expenses 0. Total expenses 3,480,716. TRANSCRIPTION & TRANSLATION SERVICES: Program service expenses 1,768,045. Management and general expenses 950,551. Fundraising expenses 0. Total expenses 2,718,596. DIETARY: Program service expenses 1,479,067. Management and general expenses 334,017. Fundraising expenses 0. Total expenses 1,813,084. OTHER PATIENT SERVICES: Program service expenses 117,382,733. Management and general expenses 3,599,822. Fundraising expenses 0. Total expenses 120,982,555. OTHER ADMINISTRATIVE SERVICES: Program service expenses 24,441,855. Management and general expenses 97,225,917. Fundraising expenses 0. Total expenses 121,667,772. GENERAL CONSULTING FEES: Program service expenses 3,412,113. Management and general expenses 78,913,694. Fundraising expenses 160,575. Total expenses 82,486,382. WORKER COMP TRUST EXPENSES (TAXES, INS, CLAIMS): Program service expenses 0. Management and general expenses 8,487,471. Fundraising expenses 0. Total expenses 8,487,471. OTHER MEDICAL SERVICES: Program service expenses 21,090,848. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,090,848.
Form 990, Part XI, line 9:	RECIPIENT ORGANIZATION ADJUSTMENT -10,830,395. INTERAFFILIATE TRANSACTIONS 2,095,535,815. REVENUE RECLASSIFICATIONS -154,602,017. EXPENSE RECLASSIFICATIONS 10,482,603. PENSION ADJUSTMENT -6,031,343. DISTRIBUTIONS TO FOUNDATION -3,211,136. DISTRIBUTIONS FOR OPERATIONS 86,210. ASSETS RELEASED FROM RESTRICTIONS -286,361. AP WRITE OFF 36,558. ROUNDING 38. OTHER 27,117.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) LEGACY LLC PO BOX 196606 ANCHORAGE,AK99519 32-0252199	REAL ESTATE	AK	3,704,106	39,942,384	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(2) HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW 9016 RENTON,WA98057 27-1698016	A/R & COLLECTIONS	WA	3,334,491	2,669,330	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(3) AUXILLIUM LLC 1801 LIND AVE SW 9016 RENTON,WA98057 31-1750915	NURSE STAFFING	WA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(4) PROVIDENCE JOSEPH HOUSE GP LLC 1801 LIND AVE SW 9016 RENTON,WA98057 27-3678218	SUPPORTIVE HOUSING	WA	47,489	8,465,475	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(5) ST ELIAS SPECIALTY HOSPITAL 4800 CORDOVA ST ANCHORAGE,AK99503	SPECIALTY HOSPITAL	AK	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 61-1573313	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes
(2)COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1259908	HEALTHCARE	CA	501(c)(3)	12,III	SJHS	Yes
(3)COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-3516417	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes
(4)COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2765566	HEALTHCARE	TX	501(c)(3)	3	SJHS	Yes
(5)COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2897026	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes
(6)COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-2913146	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes
(7)COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2743883	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes
(8)E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1082119	UNEMPLOYMENT	WA	501(c)(3)	12,I	PHS WA	Yes
(9)EVERETT TRANSITIONAL CARE SERVICES PO Box 5128 EVERETT,WA982065128 94-3264605	TRANS. CARE	WA	501(c)(3)	10	N/A		No
(10)FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-4322584	SUPPORT	CA	501(c)(3)	7	PHS SOCAL	Yes
(11)GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-1910170	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(12)GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC,WA98188 27-3133200	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes
(13)HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 45-3583707	HEALTHCARE	CA	501(c)(3)	12,I	HMHP	Yes
(14)HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 IRVINE,CA92612 45-2982422	SUPPORT	CA	501(c)(3)	7	HHF	Yes
(15)HOAG CLINIC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 33-0676831	HEALTHCARE	CA	501(c)(3)	10	HMHP	Yes
(16)HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH,CA92663 95-3222343	FUNDRAISING	CA	501(c)(3)	7	HMHP	Yes
(17)HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 95-1643327	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes
(18)HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2133781	HEALTHCARE	TX	501(c)(3)	10	CHS	Yes
(19)INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1307555	HEALTHCARE	WA	501(c)(3)	3	PHS WA	Yes
(20)INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4260130	HEALTHCARE	WA	501(c)(3)	7	PHS SJHS	Yes
(21)INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2003593	HEALTHCARE	WA	501(c)(3)	7	WHC	Yes
(22)JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-4291515	HEALTHCARE	CA	501(c)(3)	4	PSJHC	Yes
(23)KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-6033089	SUPPORT	WA	501(c)(3)	12,III	KRMC	Yes
(24)KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 23-7005501	SUPPORT	WA	501(c)(3)	12,I	KRMC	Yes
(25)KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0655392	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes
(26)LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0844408	IMAGING SVCS	CA	501(c)(3)	10	PHS SOCAL	Yes
(27)LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes
(28)LUNDBERG ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1562797	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes
(29)MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2054035	RESEARCH	WA	501(c)(3)	7	SHS	Yes
(30)METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes
(31)METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes
(32)METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes
(33)MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643360	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes
(34)NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE,WA98116 20-0799737	SUPPORT	WA	501(c)(3)	12,I	SHS	Yes
(35)PACMED CLINICS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 56-2290878	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes
(36)PH&S FOUNDATIONSFVSA & SCVSA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3544877	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes
(37)PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 92-0093565	HEALTHCARE	AK	501(c)(3)	12,I	PHS WA	Yes
(38)PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1940286	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(39)PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1789266	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(40)PROVIDENCE CHILDREN'S HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0800140	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes
(41)PROVIDENCE COMMUNITY HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0692907	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(42)PROVIDENCE DETHMAN HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-3385506	SUPPORT	WA	501(c)(3)	7	N/A		No
(43)PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1744654	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(44)PROVIDENCE HEALTH & SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1549796	HEALTHCARE	WA	501(c)(3)	12,II	PSJH		No
(45)PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0231793	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes
(46)PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0216587	HEALTHCARE	OR	501(c)(3)	3	PHS	Yes
(47)PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1303277	HEALTHCARE	WA	501(c)(3)	3	PMWHC	Yes
(48)PROVIDENCE HEALTH ASSURANCE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 55-0828701	MEDICAID	OR	501(c)(4)	N/A	PHP	Yes
(49)PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 32-0014330	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes
(50)PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1433382	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes
(51)PROVIDENCE HEALTH PLAN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0863097	HEALTHCARE	OR	501(c)(4)	N/A	PPP	Yes
(52)PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0216589	HEALTHCARE	CA	501(c)(3)	3	PHS	Yes
(53)PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0921990	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(54)PROVIDENCE HOSPICE AND HOME CARE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-2552749	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes
(55)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2077378	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes
(56)PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0224944	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes
(57)PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1554288	HEALTHCARE	WA	501(c)(3)	12,I	PHS W WA	Yes
(58)PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0283773	HEALTHCARE	CA	501(c)(3)	12,I	PHS SOCAL	Yes
(59)PROVIDENCE MILWAUKIE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3079515	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(60)PROVIDENCE MINISTRIES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	RELIGIOUS ORG	WA	501(c)(3)	1	N/A		No
(61)PROVIDENCE MOUNT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1188119	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes
(62)PROVIDENCE NEWBERG HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0889144	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(63)PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1629656	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(64)PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1861964	HEALTHCARE	WA	501(c)(4)	N/A	PHS OR	Yes
(65)PROVIDENCE PORTLAND MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1231494	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(66)PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1584166	SUPPORT	WA	501(c)(3)	10	PHS WA	Yes
(67)PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1684082	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes
(68)PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4542216	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes
(69)PROVIDENCE SEASIDE HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0927320	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(70)PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2171539	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(71)PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3244854	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(72)PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-1244422	HEALTHCARE	WA	501(c)(3)	12,III	N/A		No
(73)PROVIDENCE ST JOSEPH HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3078543	HEALTHCARE	WA	501(c)(3)	12,I	PHS WA	Yes
(74)PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0463482	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes
(75)PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 45-2841492	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes
(76)PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1097056	SUPPORT	WA	501(c)(3)	7	PHS W WA	Yes
(77)PROVIDENCE ST VINCENT MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0575982	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes
(78)PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3264139	HEALTHCARE	CA	501(c)(3)	10	PHS SOCAL	Yes
(79)PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0261016	HEALTHCARE	CA	501(c)(3)	7	PTCH	Yes
(80)PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1003750	HEALTHCARE	OR	501(c)(3)	12, I	PHS OR	Yes
(81)QUEEN OF THE VALLEY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(82)REDWOOD MEMORIAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-2779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes
(83)REDWOOD MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(84)SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-6100079	SUPPORT	CA	501(c)(3)	7	PSJHC	Yes
(85)SANTA ROSA MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(86)SEATTLE SCIENCE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 61-1502822	PHYSN COLLAB	WA	501(c)(3)	7	WHC	Yes
(87)SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 26-2612415	SHELL CORP	MT	501(c)(3)	1	PHS WA		No
(88)SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE,CA92868 95-1643383	RELIGIOUS ORG	CA	501(c)(3)	1	N/A		No
(89)SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 68-0395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes
(90)ST JOSEPH HEALTH MINISTRY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-1666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO		No
(91)ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4791043	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(92)ST JOSEPH HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3589356	HEALTHCARE	CA	501(c)(3)	12,I	PSJH		No
(93)ST JOSEPH HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0143024	HEALTHCARE	CA	501(c)(3)	7	SJHS	Yes
(94)ST JOSEPH HERITAGE HEALTHCARE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(95)ST JOSEPH HOME CARE NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 68-0331084	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes
(96)ST JOSEPH HOSPITAL OF EUREKA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes
(97)ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes
(98)ST JUDE HOSPITAL INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes
(99)ST LUKE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3176618	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(100)ST MARY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes
(101)ST MARY OF THE PLAINS HOSPITAL FDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-1653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes
(102)ST PATRICK HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 23-7056976	HEALTHCARE	MT	501(c)(3)	7	PHS WA	Yes
(103)ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0233495	EDUCATION	MT	501(c)(3)	10	PHS WA	Yes
(104)SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-2305304	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes
(105)SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0433740	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes
(106)SWEDISH MEDICAL CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0983214	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes
(107)SWEDISH MJM HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-3139262	HOLDING CO	WA	501(c)(3)	12,I	SHS	Yes
(108)THE GAMELIN ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1180824	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes
(109)THE GAMELIN CALIFORNIA ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1293869	SUPPORT	CA	501(c)(3)	10	PHS SOCAL	Yes
(110)THE GAMELIN OREGON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1214491	SUPPORT	OR	501(c)(3)	10	PHS OR	Yes
(111)UNIVERSITY OF PROVIDENCE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0231777	EDUCATION	MT	501(c)(3)	2	PHS	Yes
(112)WESTERN HEALTHCONNECT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 45-4171900	SHELL CORPORATION	WA	501(c)(3)	12,II	PHS W WA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA,CA90404 73-1735618	AMBULATORY SURG	CA	N/A
(2) BROADWAY IMAGING LLC 500 W BROADWAY MISSOULA,MT59802 52-2405971	MEDICAL IMAGING	MT	N/A
(3) CENTER FOR SPECIALTY SURGERY LLC 11782 SW BARNES RD PORTLAND,OR97225 26-3638838	AMBULATORY SURG	OR	N/A
(4) CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY ST BLDG II 495 PORTLAND,OR97213 26-0381897	RADIATION ONCOL	OR	N/A
(5) COASTAL ASC HOLDINGS LLC ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 81-0986844	HEALTHCARE	CA	N/A
(6) COVENANT LONG-TERM CARE LP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-5033419	HEALTHCARE	TX	N/A
(7) CTR FOR MED IMAGING-BRIDGEPORT LLC 4400 NE HALSEY 495 PORTLAND,OR97213 26-0796953	IMAGING DIAG.	OR	N/A
(8) CTR FOR MED IMAGING-TANASBOURNE LLC 4400 NE HALSEY 495 PORTLAND,OR97213 20-0477972	IMAGING DIAG.	OR	N/A
(9) FULLERTON SURGICAL CENTER LP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-0927394	AMBULATORY SURG	CA	N/A
(10) GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK,CA91505 95-4570858	REAL ESTATE - MOB	CA	N/A
(11) HCSA PROPERTIES LLC 1600 M STREET NW AUBURN,WA98001 46-0620892	REAL ESTATE RENT	WA	SHS PHS WA	UNRELATED	-76,567	2,318,698		No	-47,624		No	56.000 %
(12) HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE,CA92868 27-1000061	INVESTMENTS	CA	N/A
(13) HOAG ORTHOPEDIC INSTITUTE ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 61-1588294	HEALTHCARE	CA	N/A
(14) HOAG OUTPATIENT CENTERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 45-3587572	HEALTHCARE	CA	N/A
(15) INLAND IMAGING LLC 801 S STEVENS ST SPOKANE,WA99204 91-1855796	MEDICAL IMAGING	WA	N/A
(16) LSC REAL PROPERTY LLC 2301 QUAKER AVENUE LUBBOCK,TX79410 47-4646059	REAL ESTATE	TX	N/A
(17) METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK,TX79410 75-2343261	HEALTHCARE	TX	N/A
(18) NEWPORT BAY SURGERY CENTER LLC 3333 W PACIFIC COAST HWY STE 100 NEW PORT BEACH,CA92663 56-2518360	HEALTHCARE	CA	N/A
(19) NEWPORT BEACH ENDOSCOPY CENTER LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 77-0368744	HEALTHCARE	CA	N/A
(20) NEWPORT IMAGING CENTER 360 SAN MIGUEL NEWPORT BEACH,CA92660 33-0191776	HEALTHCARE	CA	N/A
(21) NEWPORT SURGICAL PARTNERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 39-2060266	HEALTHCARE	CA	N/A
(22) NORTH BAY ENDOSCOPY CENTER 1383 N MCDOWELL BLVD STE 110 PETALUMA,CA94954 61-1559876	HEALTHCARE	CA	N/A
(23) OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD,OR97504 45-0471748	MEDICAL IMAGING	OR	N/A
(24) OREGON OUTPATIENT SURGERY CENTER 7300 SW CHILDS RD TIGARD,OR97224 22-3883387	AMBULATORY SURG	OR	N/A
(25) PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC 1221 MADISON STREET SEATTLE,WA98104 20-3132044	MEDICAL IMAGING	WA	N/A
(26) PHS INVESTMENT TRANSITION PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2279711	INVESTMENTS	WA	N/A
(27) PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-3393740	INVESTMENTS	WA	N/A
(28) PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-1532735	INVESTMENTS	WA	N/A
(29) PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-2960145	INVESTMENTS	WA	N/A
(30) PHS INVESTMENT TRUST BANK LOANS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2357735	INVESTMENTS	WA	N/A
(31) PHS INVESTMENT TRUST COMMODITIES PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2269004	INVESTMENTS	WA	N/A
(32) PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2293255	INVESTMENTS	WA	N/A
(33) PHS INVESTMENT TRUST LDI PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2392060	INVESTMENTS	WA	N/A
(34) PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2385238	INVESTMENTS	WA	N/A
(35) PHS INVESTMENT TRUST MLP PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2367538	INVESTMENTS	WA	N/A
(36) PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2353569	INVESTMENTS	WA	N/A
(37) PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2283974	INVESTMENTS	WA	N/A
(38) PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2314743	INVESTMENTS	WA	N/A
(39) PHS INVESTMENT TRUST RISK PARITY PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2336377	INVESTMENTS	WA	N/A
(40) PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-2701056	INVESTMENTS	WA	N/A
(41) PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2327491	INVESTMENTS	WA	N/A
(42) PHS INVESTMENT TRUST TIPS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2402609	INVESTMENTS	WA	N/A
(43) PORTLAND MEDICAL IMAGING LLC 4400 NE HALSEY 495 PORTLAND,OR97213 20-1054971	IMAGING DIAGNOSTICS	OR	N/A
(44) PROV RADIATION ONCOLOGY DEVELOP ASSN 4400 NE HALSEY 495 PORTLAND,OR97213 26-0682491	REAL ESTATE - MOB	OR	N/A
(45) PROVIDENCE CHILDREN'S NEONATAL SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-0918549	NEONATAL CARE	WA	PHS WA	RELATED	1,018	5,504,136		No			No	50.000 %
(46) PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 92-0118807	MEDICAL IMAGING	AK	PHS WA	RELATED	22,484,743	11,484,033		No		Yes		99.000 %
(47) PROVIDENCE PARTNERS FOR HEALTH LLC 501 S BUENA VISTA ST BURBANK,CA91505 45-4041798	CLIN QUALITY/INT	CA	N/A
(48) PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-3190634	INVESTMENTS	WA	N/A
(49) PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA,MT59802 84-1401625	AMBULATORY SURG	MT	N/A
(50) PROVIDENCESILVERTON REHAB LLC 4400 NE HALSEY 425 PORTLAND,OR97213 48-1287267	REHAB SERVICES	OR	N/A
(51) PROVIDENCEUSP SANTA CLARITA GP LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-2829660	AMBULATORY SURG	CA	N/A
(52) PROVIDENCEUSP SURGERY CENTERS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-0905938	AMBULATORY SURG	CA	N/A
(53) SHA LLC 12940 NORTH HIGHWAY 183 AUSTIN,TX78750 75-2569094	HEALTHCARE	TX	N/A
(54) SJO ASC HOLDINGS LLC 1140 W LA VETA AVE ORANGE,CA92868 82-1655501	HEALTHCARE	CA	N/A
(55) ST JOSEPH PHYSICIAN VENTURES I LLC 1100 WEST STEWART DRIVE ORANGE,CA92868 45-4521884	REAL ESTATE	CA	N/A
(56) ST JOSEPHSATELLITE DIALYSIS CENTERS LLC 300 SANTANA ROW STE 300 SAN JOSE,CA95128 81-4657391	HEALTHCARE	CA	N/A
(57) ST JUDE SURGICAL CENTERS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-3352570	AMBULATORY SURG	CA	N/A
(58) SURGERY CENTER AT TANASBOURNE LLC 11221 ROE Ave STE 300 LEAWOOD,KS66211 20-8187971	AMBULATORY SURG	KS	N/A
(59) TARZANA PEDIATRIC VENTURES LLC 18321 CLARK ST TARZANA,CA91356 82-1308306	HEALTHCARE	CA	N/A
(60) THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE,WA99204 84-1606484	HOTEL SERVICES	WA	PHS WA	N/A	212,780	1,192,793		No		Yes		56.530 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE,WA98122 20-1954319	OWNERS' ASSOC.	WA	N/A	C				No
(2) AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD HM08 PEMBROKE BD	CAPTIVE INSURANCE	BD	N/A	C				No
(3) AYIN HEALTH SOLUTIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 83-3037172	HEALTHCARE	DE	N/A	C				No
(4) BOURGET HEALTH SERVICES INC PO BOX 2687 SPOKANE,WA99223 91-1354431	CLIN/MED LAB	WA	N/A	C				No
(5) CARON HEALTH CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0486082	MED PHYS SVCS	MT	N/A	C				No
(6) HOAG CLINIC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 33-0676831	HEALTHCARE	CA	N/A	C				No
(7) DATU HEALTH INC AND SUBSIDIARIES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-3070062	IT SVCS	DE	N/A	C				No
(8) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA 1301 20TH STREET STE 280 SANTA MONICA,CA90404 95-2880495	HEALTHCARE	CA	N/A	S				No
(9) GRACE CLINIC OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-3856995	HEALTHCARE	CA	N/A	C				No
(10) GRACE CLINIC SERVICES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-3857067	HEALTHCARE	TX	N/A	C				No
(11) HOAG MANAGEMENT SERVICES INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 33-0731587	HEALTHCARE	CA	N/A	C				No
(12) LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2578995	INACTIVE	TX	N/A	C				No
(13) LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2118585	HEALTHCARE	TX	N/A	C				No
(14) LUMEDIC ACQUISITION CO INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 83-3881097	HEALTHCARE	WA	N/A	C				No
(15) MISSION VIEJO MEDICAL VENTURES 27800 MEDICAL CENTER RD 354 MISSION VIEJO,CA92691 33-0212905	HEALTHCARE	CA	N/A	C				No
(16) PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1814184	STRAT PLAN SVCS	CA	N/A	C				No
(17) PIONEER INNOVATIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 36-4818191	HEALTH INNOVATNS	WA	N/A	C				No
(18) PROVIDENCE ASSURANCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-8194071	CAPTIVE INSURANCE	AZ	N/A	C				No
(19) PROVIDENCE HEALTH CARE VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 90-0155714	CLIN/MED LAB	WA	N/A	C				No
(20) PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 80-0886966	PREPAID HEALTH	CA	N/A	C				No
(21) PROVIDENCE HEALTH VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0122216	INVESTMENT	CA	N/A	C				No
(22) ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1900168	HEALTHCARE	CA	N/A	C				No
(23) ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-2340232	HOLDING COMPANY	CA	N/A	C				No
(24) ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0155323	HEALTHCARE	CA	N/A	C				No
(25) VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3943315	INVESTMENTS	CA	N/A	C				No
(26) WESTERN HEALTHCONNECT VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 80-0953654	INVESTMENTS	WA	N/A	C				No
(27) YAKIMA MEDICAL ARTS INC 611 N PERRY 100 SPOKANE,WA99202 91-0787963	RENT REAL ESTATE	WA	N/A	C				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) PROVIDENCE GENERAL FOUNDATION	B	790,939	COST
(2) PROVIDENCE GENERAL FOUNDATION	C	1,751,955	COST
(3) SWEDISH HEALTH SERVICES	J	4,709,701	COST
(4) PACMED	J	560,378	COST
(5) INLAND NW HEALTH SERVICES	J	342,158	COST
(6) PROVIDENCE ST MARY FOUNDATION	C	806,278	COST
(7) PROVIDENCE ST MARY FOUNDATION	B	316,898	COST
(8) PROVIDENCE HEALTH CARE FOUNDATION	C	380,935	COST
(9) PROVIDENCE HEALTH CARE FOUNDATION	B	122,776	COST
(10) PROVIDENCE WELL BEING TRUST	C	139,491	COST
(11) PROVIDENCE TRINITY CARE HOSPICE	C	901,151	COST
(12) PROVIDENCE ALASKA FOUNDATION	C	1,870,417	COST
(13) PROVIDENCE ALASKA FOUNDATION	B	1,341,457	COST
(14) PROVIDENCE MOUNT ST VINCENT FOUNDATION	B	176,000	COST
(15) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION	B	158,000	COST
(16) PROVIDENCE MARIANWOOD FOUNDATION	B	78,000	COST
(17) PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY	C	535,925	COST
(18) PROVIDENCE MT ST VINCENT FOUNDATION	C	1,377,113	COST
(19) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION	C	854,623	COST
(20) PROVIDENCE MARIANWOOD FOUNDATION	C	358,145	COST
(21) PROVIDENCE ST PETER FOUNDATION	C	100,673	COST
(22) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION	B	387,043	COST
(23) PROVIDENCE MT ST VINCENT FOUNDATION	B	391,024	COST
(24) PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY	B	260,474	COST
(25) PROVIDENCE MARIANWOOD FOUNDATION	B	125,119	COST
(26) PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON	B	1,449,812	COST
(27) PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON	C	4,374,694	COST
(28) INLAND NORTHWEST HEALTH SERVICES	B	154,454	COST
(29) INLAND NORTHWEST COMMUNITY FOUNDATION	B	80,500	COST
(30) PROVIDENCE ST PETER FOUNDATION	C	1,324,482	COST
(31) PROVIDENCE ST PETER FOUNDATION	B	687,061	COST

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	37,910
6	Total number of volunteers (estimate if necessary) .............	6	3,708
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,628,743
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	2,552,261

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	36,437,262	35,193,386
9	Program service revenue (Part VIII, line 2g) .........	6,484,242,259	4,390,838,771
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	272,377,260	76,734,504
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	259,492,820	586,475,712
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,052,549,601	5,089,242,373
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	20,568,235	14,417,585
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	3,990,772,792	4,490,134,606
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,505,472
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	4,729,316,243	2,625,889,226
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	8,740,657,270	7,130,441,417
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,688,107,669	-2,041,199,044
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	14,238,634,539	15,777,348,778
21	Total liabilities (Part X, line 26).............	10,782,480,326	12,635,224,708
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,456,154,213	3,142,124,070

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,707,430,341 including grants of $ 0 ) (Revenue $ 3,711,113,364 )
	SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.ACUTE CARE-INPATIENT & OUTPATIENTREALIZING OUR MISSION - AS PEOPLE OF PROVIDENCE, WE REVEAL GOD'S LOVEFOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIP AS A NOT-FOR-PROFIT HEALTH CARE MINISTRY, PROVIDENCE HEALTH & SERVICES - WASHINGTON EMBRACES OUR RESPONSIBILITY TO RESPOND TO THE NEEDS OF PEOPLE IN OUR COMMUNITIES, ESPECIALLY THE POOR AND VULNERABLE. IN THE FACE OF RAPIDLY CHANGING HEALTH CARE, OUR COMMITMENT TO OUR MISSION TO CARE FOR EVERYONE REMAINS UNCHANGED. WHEN THE SISTERS OF PROVIDENCE BEGAN OUR TRADITION OF CARING, 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.2018 ALASKA HIGHLIGHTS INCLUDED:THE ALASKA DEPARTMENT OF HEALTH & SOCIAL SERVICES HAS CERTIFIED PROVIDENCE ALASKA MEDICAL CENTER AS A COMPREHENSIVE PEDIATRIC EMERGENCY CARE FACILITY. THE CERTIFICATION IS ADMINISTERED BY THE ALASKA EMERGENCY MEDICAL SERVICES FOR CHILDREN PEDIATRIC ADVISORY BOARD AND STATE FACILITY RECOGNITION PROGRAM AND FOCUSES ON A HOSPITAL'S ABILITY TO PROVIDE COMPREHENSIVE PEDIATRIC EMERGENCY CARE.PROVIDENCE CHILD CARE SERVICES IS AMONG THE FIRST EARLY CARE AND LEARNING PROGRAMS IN ALASKA TO ENROLL IN AND BE RECOGNIZED BY LEARN & GROW, OUR STATE'S QUALITY RECOGNITION AND IMPROVEMENT SYSTEM. BY PARTICIPATING IN LEARN & GROW, PROVIDENCE CHILD CARE SERVICES HAS DEMONSTRATED ITS COMMITMENT TO ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES. LEARN & GROW IS A SYSTEM TO RECOGNIZE LEVELS OF QUALITY WITHIN EARLY CARE AND LEARNING PROGRAMS AND TO SUPPORT PROGRAMS AS THEY ADVANCE THROUGH THESE LEVELS OF QUALITY.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) HAS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2017. PAMC IS ONE OF LESS THAN 500 HOSPITALS NATIONWIDE AND THE ONLY HOSPITAL IN THE STATE OF ALASKA TO RECEIVE THE HONOR. THIS IS THE SIXTH CONSECUTIVE YEAR PAMC HAS EARNED THE PLATINUM PERFORMANCE AWARD.PROVIDENCE ALASKA MEDICAL CENTER HAS RECEIVED A NATIONAL AWARD FOR ITS HIGH-QUALITY CARE OF PATIENTS EXPERIENCING STROKE. PAMC RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR ITS CARE OF STROKE PATIENTS. THIS MARKS THE SIXTH CONSECUTIVE YEAR PROVIDENCE ALASKA MEDICAL CENTER HAS BEEN RECOGNIZED WITH A GET WITH THE GUIDELINES QUALITY ACHIEVEMENT AWARD.2018 WASHINGTON HIGHLIGHTS INCLUDED:THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) HAVE RECOGNIZED THE CHILDREN'S HOSPITAL AT PROVIDENCE FOR EXCELLENCE IN LACTATION CARE.THE VERMONT OXFORD NETWORK HAS NAMED THE CHILDREN'S HOSPITAL AT PROVIDENCE A 2017 CENTER OF EXCELLENCE IN EDUCATION AND TRAINING. THE HOSPITAL EARNED THIS DESIGNATION BY SUCCESSFULLY TRAINING AT LEAST 85 PERCENT OF THE CARE TEAM, USING A NOVEL ON-LINE LEARNING PLATFORM TO COMPLETE OVER 15 CRITICAL AREAS. THE DESIGNATION REPRESENTS PROVIDENCE'S EFFORTS TO IMPROVE THE QUALITY, SAFETY AND VALUE OF CARE FOR SUBSTANCE-EXPOSED INFANTS AND THEIR FAMILIES.THE SPOKANE TEACHING HEALTH CENTER CLINIC, LOCATED ON WASHINGTON STATE UNIVERSITY SPOKANE'S HEALTH SCIENCES CAMPUS, WAS OPERATED BY PROVIDENCE HEALTH CARE AND SUPPORTED BY THE CONSORTIUM OF EMPIRE HEALTH FOUNDATION, PROVIDENCE HEALTH CARE AND WASHINGTON STATE UNIVERSITY SPOKANE.OVERALL, SPOKANE NOW HAS OVER 100 MEDICAL RESIDENCIES AND FELLOWSHIPS, UP FROM 74 JUST FOUR YEARS AGO. SOME RESIDENTS ARE TRAINING IN FAMILY AND INTERNAL MEDICINE AND ARE SUPPORTED THROUGH THE CONSORTIUM WHILE OTHER RESIDENTS ARE TRAINING IN PSYCHIATRY AND ARE SUPPORTED THROUGH PROVIDENCE.IN ADDITION TO GROWING RESIDENCY SLOTS, THE CONSORTIUM HAS A MISSION OF INTEGRATING STUDENTS AND FACULTY FROM HEALTH SCIENCES PROGRAMS IN THE REGION INTO A TEAM-BASED CLINICAL ENVIRONMENT, WHICH IS THE FUTURE OF HEALTH CARE.THE SOCIETY OF THORACIC SURGEONS (STS) HAS AWARDED ITS HIGHEST OVERALL RATING OF THREE STARS TO PROVIDENCE SACRED HEART MEDICAL CENTER FOR ALL THREE CATEGORIES OF ADULT CARDIAC SURGERY; ISOLATED CORONARY ARTERY BYPASS GRAFTING (CABG), ISOLATED AORTIC VALVE REPLACEMENT (AVR), ANDPROCEDURES INVOLVING BOTH CORONARY ARTERY BYPASS AND AORTIC VALVE (AVR+CABG).BASED ON 2015 DATA, SACRED HEART MEDICAL CENTER IS ONE OF ONLY 12 HOSPITALS IN THE NATION TO RECEIVE THREE STARS IN ALL THREE AREAS OF ADULT CARDIAC SURGERY. THIS PLACES IT AMONG THE TOP 1.2 PERCENT OF HOSPITALS IN THE NATION.PROVIDENCE MOUNT CARMEL HOSPITAL IN COLVILLE HAS BEEN NAMED BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA) AS ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS (CAH) IN AMERICA.THE TOP 20 CRITICAL ACCESS HOSPITALS ARE THOSE HOSPITALS THAT HAVE ACHIEVED SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM NINE INDICES OF STRENGTH: INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, POPULATION RISK, COST, CHARGE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES AND FINANCIAL STABILITY.THE PROVIDENCE SACRED HEART MEDICAL CENTER/GONZAGA UNIVERSITY NURSE ANESTHESIA PROGRAM IS ONE OF THE BEST GRADUATE NURSE ANESTHESIA PROGRAMS IN THE NATION. THE INNOVATIVE NURSE ANESTHESIA DOCTORAL PROGRAM FOCUSES ON CLINICAL ANESTHESIA AND LEADERSHIP.PROVIDENCE SACRED HEART MEDICAL CENTER HAS RECEIVED THE HEALTHGRADES 2017 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE DISTINCTION MAKES SACRED HEART MEDICAL CENTER ONE OF THE TOP FIVE PERCENT OF MORE THAN 4,500 HOSPITALS NATIONWIDE FOR ITS CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS.FIRE DISTRICT 7 PARTNERED WITH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT ON A SYSTEM THAT ALLOWS EMERGENCY RESPONSE PERSONNEL AND DOCTORS TO SHARE PATIENT HEALTH RECORDS IN NEAR REAL TIME.PROVIDENCE ST. PETER HOSPITAL HAS BEEN RECOGNIZED AS ONE OF THE BEST HOSPITALS IN THE STATE OF WASHINGTON.PROVIDENCE ST. PETER WAS ONE OF LESS THAN 50 HOSPITALS IN THE UNITED STATES RANKED HIGH PERFORMING IN EIGHT SPECIALTY AREAS:* ABDOMINAL AORTIC ANEURYSM REPAIR* COPD* COLON CANCER SURGERY* HEART BYPASS SURGERY* HEART FAILURE* HIP REPLACEMENT* KNEE REPLACEMENT* LUNG CANCER SURGERY

4b	(Code: ) (Expenses $ 860,695,454 including grants of $ 14,417,585 ) (Revenue $ 679,725,407 )
	SEE SCHEDULE OLONG-TERM CARE, HOMECARE, HOSPICE CARE, HOUSING, HEALTHCARE JOINT VENTURES, PHARMACY SERVICES PROVIDED TO PATIENTS, AND MANY OTHER PROGRAM SERVICE ACCOMPLISHMENTS. LTC/HOSPICE/HOUSING & ASSISTED LIVINGPROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY HAS A 16-BED INPATIENT HOSPICE CARE CENTER TO MEET THE COMMUNITY'S GROWING NEED FOR COMPASSIONATE, HIGHLY-SKILLED, 24/7 NURSING CARE FOR TERMINALLY ILL ADULTS AND CHILDREN. THE CARE CENTER IS VERY DIFFERENT FROM A TYPICAL HOSPITAL ENVIRONMENT AND WAS SPECIALLY-DESIGNED TO LOOK AND FEEL LIKE HOME. IT INCLUDES COMFORTABLE FURNITURE, A SOOTHING NEUTRAL COLOR SCHEME AND WARM DETAILS LIKE WOOD FLOORING AND NATURAL LIGHTING IN EVERY PATIENT ROOM. THE CARE CENTER IS DESIGNED TO ENCOURAGE FAMILIES TO SPEND QUALITY TIME TOGETHER FOR AS LONG AS THEY WISH. EACH PRIVATE ROOM HAS A COMFORTABLE CHAIR THAT PULLS OUT INTO A BED SO LOVED ONES CAN SPEND THE NIGHT. IN ADDITION, THERE IS A COZY LIVING ROOM, A LARGE DINING ROOM AND A FULL KITCHEN WHERE FAMILY MEMBERS AND GUESTS CAN PREPARE THE PATIENT'S FAVORITE FOODS.GRANT & ALLOCATIONS - SEE SCHEDULES F & I

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses3,568,125,795

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	29,214,994	26,570,279	15,131,130

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	996,107
d	Related organizations		1d	17,227,039
e	Government grants (contributions)		1e	13,952,201

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,018,039

g	Noncash contributions included in lines 1a - 1f:$ 633,619
h Total. Add lines 1a-1f.......		35,193,386

		Business Code
2a	ACUTE CARE	900099	2,847,221,469	2,847,221,469
b	PRIMARY CARE	621110	472,358,190	472,358,190
c	LTC/HOMECARE/HOSPICE	621110	416,678,985	416,678,985
d	LAB REVENUE	621500	391,533,685	389,927,924	1,605,761
e	PHARMACY REVENUE	446110	263,046,442	261,004,220	2,042,222
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		4,390,838,771

3 Investment income (including dividends, interest, and othersimilar amounts) ......			58,693,805			58,693,805
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		28,552,025
b	Less: rental expenses		11,889,317
c	Rental income or (loss)		16,662,708
d	Net rental income or (loss)......			16,662,708			16,662,708
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	33,888,776	852,530,124
b	Less: cost or other basis and sales expenses	59,748,502	808,629,699
c	Gain or (loss)	-25,859,726	43,900,425
d	Net gain or (loss).....			18,040,699			18,040,699
8a	Gross income from fundraising events (not including $ 996,107of contributions reported on line 1c). See Part IV, line 18 ....
	a		249,506
b	Less: direct expenses ...b		514,389
c	Net income or (loss) from fundraising events..			-264,883			-264,883
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		25,025
b	Less: direct expenses ...b		8,143
c	Net income or (loss) from gaming activities..			16,882			16,882
10a	Gross sales of inventory, less returns and allowances ..
	a		2,361,077
b	Less: cost of goods sold ..b		1,393,817
c	Net income or (loss) from sales of inventory..			967,260			967,260
Business Code			Miscellaneous Revenue
11a	COST RECOVERY		900099	31,657,107	80,752		31,576,355
b	CAFETERIA REVENUE		722210	21,391,367		40,813	21,350,554
c	HEALTHCARE JVS		900099	20,503,204	20,338,057	165,147
d	All other revenue ....			495,542,067	13,313,636	2,774,800	479,453,631
e	Total. Add lines 11a–11d ......			569,093,745
12	Total revenue. See Instructions......			5,089,242,373	4,420,923,233	6,628,743	626,497,011

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	12,996,515	12,996,515
2	Grants and other assistance to domestic individuals. See Part IV, line 22	590,761	590,761
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	830,309	830,309
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	27,353,620	4,923,651	22,429,969
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	2,654,655,003	1,824,541,834	829,655,945	457,224
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	357,288,921	38,093,521	319,188,438	6,962
9	Other employee benefits .......	1,255,787,013	31,885,614	1,223,889,692	11,707
10	Payroll taxes ...........	195,050,049	124,614,383	70,395,361	40,305
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	30,074,917	191,588	29,883,329
c	Accounting ...........	4,496,939	1,500	4,495,439
d	Lobbying ...........	674,000		674,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	8,797,464		8,797,464
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	740,444,752	369,981,657	368,666,558	1,796,537
12	Advertising and promotion ....	14,085,099	156,317	13,928,782
13	Office expenses .......	157,359,799	69,142,528	88,185,633	31,638
14	Information technology ......	8,930,755	2,951,707	5,979,048
15	Royalties ..
16	Occupancy ...........	119,758,237	28,004,991	91,753,246
17	Travel ............	27,331,685	7,675,070	19,586,953	69,662
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	14,949,464	4,817,818	10,092,110	39,536
20	Interest ...........	166,811,045	162,587,542	4,223,503
21	Payments to affiliates .......	310,808	44	310,764
22	Depreciation, depletion, and amortization ..	345,899,206	108,877,826	237,021,380
23	Insurance ...	26,301,755		26,301,755
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	653,058,714	653,230,638	-171,924
b	PROF. LIAB. TRUST	92,273,667		92,273,667
c	BAD DEBT	41,210,319	39,628,751	1,581,568
d	UBI TAXES	-1,104		-1,104
e	All other expenses	173,121,705	82,401,230	90,668,574	51,901
25	Total functional expenses. Add lines 1 through 24e	7,130,441,417	3,568,125,795	3,559,810,150	2,505,472
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			95,099,086	1	24,559,192
2	Savings and temporary cash investments .........			896,519,378	2	1,143,192,186
3	Pledges and grants receivable, net ......			1,276,534	3	1,659,312
4	Accounts receivable, net .............			571,307,721	4	668,153,057
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			9,723,326	7	8,392,388
8	Inventories for sale or use ........			78,480,664	8	85,800,507
9	Prepaid expenses and deferred charges ......			63,339,580	9	60,155,246
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	6,105,047,819
b	Less: accumulated depreciation	10b	3,480,246,448	2,727,365,709	10c	2,624,801,371
11	Investments—publicly traded securities .			2,570,019,760	11	2,504,643,581
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			240,722,986	13	273,482,833
14	Intangible assets ...............			163,107,955	14	156,095,552
15	Other assets. See Part IV, line 11 ...........			6,821,671,840	15	8,226,413,553
16	Total assets. Add lines 1 through 15 (must equal line 34)...			14,238,634,539	16	15,777,348,778

17	Accounts payable and accrued expenses .....	689,323,147	17	1,048,997,077
18	Grants payable ...		18
19	Deferred revenue .........	31,487,150	19	65,784,016
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,728,313,042	23	3,962,314,335
24	Unsecured notes and loans payable to unrelated third parties ..	285,920,191	24	97,353
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	6,047,436,796	25	7,558,031,927
26	Total liabilities. Add lines 17 through 25..	10,782,480,326	26	12,635,224,708

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	3,394,671,605	27	3,084,096,445
28	Temporarily restricted net assets ...........	44,541,233	28	50,977,709
29	Permanently restricted net assets	16,941,375	29	7,049,916
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	3,456,154,213	33	3,142,124,070
34	Total liabilities and net assets/fund balances ........	14,238,634,539	34	15,777,348,778

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No