TY 2021 Form 990

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROD F HOCHMAN MD...................................................................... FORMER OFFICER - PSJH PRESIDENT/CEO	0.00 ................. 65.00				X	0	8,639,819	840,345
(2) DEBRA CANALES...................................................................... FORMER KE - PSJH EVP/CAO	0.00 ................. 65.00				X	0	3,078,475	427,939
(3) ERIK WEXLER...................................................................... PRESIDENT STRAT & OPS (SOUTH)	62.50 ................. 2.50		X			2,620,498	0	606,559
(4) RHONDA MEDOWS MD...................................................................... FRMR KE - PSJH PRES. EVP/POP. HEALTH	0.00 ................. 65.00				X	0	2,607,205	314,009
(5) LISA VANCE...................................................................... PRESIDENT STRAT & OPS (NORTH)	0.50 ................. 64.50		X			0	2,303,141	608,229
(6) ELAINE COUTURE...................................................................... EVP CHIEF EXEC WA & MT - THRU 5/21	27.50 ................. 27.50		X			2,718,645	0	31,846
(7) GUY HUDSON MD...................................................................... CHIEF EXEC SWEDISH HEALTH SVCS	63.00 ................. 2.00			X		2,042,666	0	522,155
(8) MIKE BUTLER...................................................................... FORMER PRESIDENT	0.00 ................. 2.00				X	0	2,359,254	7,651
(9) AMY COMPTON-PHILLIPS MD...................................................................... FORMER KE - PSJH EVP/CHF CLIN. OFC.	0.00 ................. 65.00				X	0	1,886,882	303,676
(10) JOEL GILBERTSON...................................................................... EVP CHIEF EXECUTIVE WA AND MT	53.00 ................. 2.00		X			1,775,625	0	396,085
(11) KEVIN MANEMANN...................................................................... CHIEF EXECUTIVE PSJH SO CA	52.50 ................. 2.50			X		1,608,470	0	481,510
(12) CINDY STRAUSS...................................................................... FORMER SECRETARY	0.00 ................. 0.00				X	0	1,927,096	17,855
(13) MIKE WATERS...................................................................... EVP AMBULATORY CARE NETWORK	53.00 ................. 2.00		X			1,528,914	0	396,516
(14) GREG TILL...................................................................... CHIEF PEOPLE OFFICER	55.00 ................. 0.00		X			1,575,980	0	217,892
(15) JO ANN ESCASA-HAIGH...................................................................... EVP/ASSISTANT TREASURER	0.50 ................. 64.50	X				0	1,456,676	262,400
(16) BRYAN MITCHELL...................................................................... PHYSICIAN ORTHOPEDIC SURGEON	50.00 ................. 0.00			X		1,576,565	0	124,764
(17) GREG HOFFMAN...................................................................... PRESIDENT/CEO & TREASURER	50.00 ................. 15.00	X				1,407,278	0	273,342

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) AARON MARTIN........................................................................ FORMER KE - PSJH EVP CHF MKT/DIG INN.	0.00 .......................55.00					X	0	1,436,105	235,997
(19) STEVEN NISCO........................................................................ PHYSICIAN	50.00 .......................0.00				X		1,487,809	0	138,639
(20) JATIN MOTIWAL........................................................................ CE CLINICAL INSTITUTES - THRU 10/21	50.00 .......................0.00				X		1,532,935	0	30,277
(21) SYLVAIN TREPANIER........................................................................ SVP CHIEF NURSING OFFICER	50.00 .......................0.00			X			1,177,071	0	200,368
(22) PRESTON SIMMONS........................................................................ SVP CHIEF EXEC AK REGION	54.50 .......................0.50			X			1,130,100	0	244,953
(23) OREST HOLUBEC........................................................................ FMR KE - PSJH SVP/CHF COM/EXT AFF OFF	0.00 .......................55.00					X	0	1,049,938	191,597
(24) JOHN WHIPPLE........................................................................ SECRETARY	46.50 .......................8.50		X				1,038,537	0	185,449
(25) DEBBIE BURTON........................................................................ SVP CHIEF NURSING OFFCR - THRU 1/21	55.00 .......................0.00			X			1,111,821	0	7,762
(26) SCOTT O'BRIEN........................................................................ COO WA AND MT REGION	27.50 .......................27.50			X			918,205	0	186,117
(27) MARY CRANSTOUN........................................................................ SVP TOTAL REWARDS - TALENT ACQ	54.50 .......................0.50			X			861,647	0	176,670
(28) PEG CURRIE........................................................................ CHIEF EXEC SACRED HEART MEDICAL CTR	54.00 .......................1.00			X			736,074	0	161,800
(29) JIM WATSON ESQ........................................................................ ASSISTANT SECRETARY	46.00 .......................9.00		X				760,088	0	126,854
(30) DAVID BROWN........................................................................ SVP CAO AMBULATORY CARE	55.00 .......................0.00			X			706,384	0	170,700
(31) ALI SANTORE........................................................................ SVP GOVT AFFAIRS & SOCIAL RESP	63.00 .......................2.00			X			774,487	0	102,302
(32) ELLA GOSS........................................................................ CHIEF EXEC ALASKA MEDICAL CENTER	55.00 .......................0.00			X			633,382	0	156,997
(33) VENKAT BHAMIDIPATI........................................................................ FORMER EVP/TREASURER	0.00 .......................0.00					X	0	750,000	0
(34) DARIN GOSS........................................................................ CHIEF EXEC ST. PETER HOSPITAL	54.50 .......................0.50			X			571,680	0	147,248
(35) HELEN ANDRUS........................................................................ REGIONAL CFO WA AND MT	27.50 .......................27.50			X			596,951	0	98,136
(36) DARREN REDICK........................................................................ CHIEF EXEC PRMCE	54.50 .......................0.50			X			402,042	0	128,266
(37) KIM WILLIAMS........................................................................ CHIEF EXEC PRMCE - THRU 3/21	54.50 .......................0.50			X			459,029	0	27,039
(38) AMY MILLER........................................................................ REGIONAL CFO - AK PSJH	55.00 .......................0.00			X			295,360	0	52,903
(39) DONALD ANDERSON JR........................................................................ ASSISTANT SECRETARY FOR ENROLLMENT	45.50 .......................9.50		X				242,551	0	24,080
(40) RICHARD BLAIR........................................................................ DIRECTOR	0.50 .......................13.50	X					90,000	0	0
(41) DAVE OLSEN........................................................................ DIRECTOR	0.50 .......................12.50	X					50,000	0	0
(42) MARY LYONS PHD........................................................................ BOARD CHAIR	1.00 .......................25.00	X					48,750	0	0
(43) CHARLES SORENSON MD........................................................................ DIRECTOR	0.50 .......................12.50	X					40,000	0	0
(44) ISIAAH CRAWFORD PHD........................................................................ DIRECTOR	0.50 .......................14.00	X					30,000	0	0
(45) MICHAEL MURPHY........................................................................ DIRECTOR	0.50 .......................12.50	X					30,000	0	0
(46) KATHARIN DYER........................................................................ DIRECTOR - THRU 8/21	0.50 .......................12.50	X					20,000	0	0
(47) SISTER CAROL PACINI LCM........................................................................ DIRECTOR (PART YEAR)	0.50 .......................12.50	X					0	0	0
(48) SISTER DIANE HEJNA CSJ RN........................................................................ DIRECTOR	0.50 .......................12.50	X					0	0	0
(49) SISTER LUCILLE DEAN SP........................................................................ DIRECTOR	0.50 .......................12.50	X					0	0	0
(50) SISTER PHYLLIS HUGHES RSM DRPH........................................................................ DIRECTOR	0.50 .......................12.50	X					0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MICROSOFT CORPORATION PO BOX 844510 DALLAS,TX752844510	TECHNOLOGY SERVICES	105,460,220
IBM CORP PO BOX 676673 DALLAS,TX752676673	TECHNOLOGY SERVICES	51,048,662
EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA,WI53593	TECHNOLOGY SERVICES	42,794,325
INSIGHT DIRECT USA INC 6820 SOUTH HARL AVENUE TEMPE,AZ85283	TECHNOLOGY SERVICES	38,746,730
HUNTINGTON TECHNOLOGY FINANCE 2285 FRANKLIN ROAD BLOOMFIELD HILLS,MI48302	TECHNOLOGY SERVICES	25,843,506
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 1,349

- TIN:

SCHEDULE A
(Form 990)

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part I Contributors	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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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|No

(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

240,000

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

Yes

520,000

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

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

Yes

704,981

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

1,464,981

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 2021 ADVOCACY AGENDA AT PROVIDENCE, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION

Return Reference

Explanation

PART II-B, LINE 1:

OUR 2021 ADVOCACY AGENDA AT PROVIDENCE, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION

Schedule C (Form 990) 2021

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 instructions and the latest information.

OMB No. 1545-0047

2021

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 FASB 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 FASB 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 FASB 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) 2021

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 ....	4,771,547	4,409,252	4,273,843	4,202,915	3,758,083
b	Contributions ...	183,436	115,730	111,328	113,806	110,125
c	Net investment earnings, gains, and losses	339,178	343,663	135,488	204,390	480,178
d	Grants or scholarships ...	72,214	64,109	81,956	193,582	145,471
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	40,835	32,989	29,451	53,686
g	End of year balance ......	5,181,112	4,771,547	4,409,252	4,273,843	4,202,915

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 %

Term 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 .....	512,489,909		512,489,909
b	Buildings ....	2,322,115,186	1,317,800,434	1,004,314,752
c	Leasehold improvements	330,125,803	218,267,061	111,858,742
d	Equipment ....	3,116,193,427	2,707,126,971	409,066,456
e	Other .....	974,864,437	316,663,418	658,201,019
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,695,930,878

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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

Investments - Program 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				2,274,181,264
(2)OTHER ASSETS				841,045,315
(3)RIGHT OF USE OPERATING LEASES				197,226,154
(4)DUE FROM THIRD-PARTY				17,286,867
(5)HOSPITAL FEE RECEIVABLE				14,878,325
(6)ARTWORK				20,000
(7)INVESTMENT IN CORP SUBSIDIARIES				89,122,609
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				3,433,760,534

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	139,418
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,184,867,714
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) 2021

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) 2021

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

2021

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" on 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 the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING		803,295
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING		20,000
	SUB-SAHARAN AFRICA	0	0	GRANTMAKING		203,798
	SUB-SAHARAN AFRICA	0	0	GRANTMAKING		69,000
	SOUTH ASIA	0	0	INVESTMENTS		18,520,551
	NORTH AMERICA	0	0	INVESTMENTS		11,707,554
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICE	FOREIGN TRAVEL	1,933
	EUROPE	0	0	PROGRAM SERVICE	FOREIGN TRAVEL	16,933
	NORTH AMERICA	0	0	PROGRAM SERVICE	FOREIGN TRAVEL	1,001
	SOUTH AMERICA	0	0	PROGRAM SERVICE	FOREIGN TRAVEL	2,883
	SOUTH ASIA	0	0	PROGRAM SERVICE	FOREIGN TRAVEL	186,973






3a	Sub-total ....	0	0			31,343,064
b	Total from continuation sheets to Part I ...	0	0			190,857
c	Totals (add lines 3a and 3b)	0	0			31,533,921

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	803,295	CHECK	0
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL MISSION TRIPS	20,000	CHECK	0
SUB-SAHARAN AFRICA	MEDICAL MISSION TRIPS	203,798	CHECK	0
SUB-SAHARAN AFRICA	MEDICAL MISSION TRIPS	69,000	CHECK	0

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) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

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/BENEFITTING FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED.
PART III ACCOUNTING METHOD:
PART I, LINE 3, COLUMN (F)	THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

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

2021

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 10 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) 2021

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)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,060,441	1,060,441
2	Less: Contributions . . . .	873,247	873,247
3	Gross income (line 1 minus line 2) . . . . . .	187,194	187,194

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	469,579	469,579
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		469,579
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-282,385

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 . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

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

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) 2021

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

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

Name

Address

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

Gaming manager compensation right arrow

Description of services provided right arrow

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) 2021

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

2021

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? . . . . . .

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .	0	0	56,271,661	0	56,271,661	0.600 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0	1,007,808,787	747,884,868	259,923,919	2.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	309,882	204,736	105,146	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			1,064,390,330	748,089,604	316,300,726	3.370 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	0	0	7,312,159	680,836	6,631,323	0.070 %
f	Health professions education (from Worksheet 5) . . .	0	0	50,149,516	13,235,416	36,914,100	0.390 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	70,409,672	41,773,973	28,635,699	0.310 %
h	Research (from Worksheet 7) .	0	0	149,761	0	149,761	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	0	0	9,463,799	132,271	9,331,528	0.100 %
j	Total. Other Benefits . .			137,484,907	55,822,496	81,662,411	0.870 %
k	Total. Add lines 7d and 7j .			1,201,875,237	803,912,100	397,963,137	4.240 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	989	0	989	0 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	453	0	453	0 %
9	Other
10	Total	1,442		1,442	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

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

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).....

1,670,667,460

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

2,021,041,286

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

-350,373,826

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 .........................

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 %
11 SURGERY CENTER OF OLYMPIA LLC DBA SOUTH SOUND SURGERY CENTER	AMBULATORY SURGERY CENTER	33.000 %	0 %	67.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

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)								Other (describe)	Facility reporting group
1	PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DRIVE ANCHORAGE,AK99508 ALASKA.PROVIDENCE.ORG/ GACH-007	X	X	X	X		X		D
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 1700 13TH STREET 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		E
10	PROVIDENCE ST JOSEPH'S HOSPITAL 500 EAST WEBSTER STREET CHEWELAH,WA99109 WASHINGTON.PROVIDENCE.ORG/ 00000194	X	X				X		E
11	PROVIDENCE KODIAK IS MED CTR 1915 REZANOF DRIVE KODIAK ISLAND,AK99615 ALASKA.PROVIDENCE.ORG/ GACH-008	X				X
12	ALASKA SPECIALTY HOSPITAL 4800 CORDOVA STREET ANCHORAGE,AK99503 ALASKA.PROVIDENCE.ORG/ LTACH-001	X						LONG TERM ACUTE HOSPITAL	D
13	ST LUKE'S REHABILITATION INSTITUTE 711 S COWLEY STREET SPOKANE,WA99202 WWW.ST-LUKES.ORG 157	X							C

Schedule H (Form 990) 2021

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?........................

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 21

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 21

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

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

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/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)

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) 2021

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

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

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 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) 2021

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 MED CTR (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 19

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 20

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROVIDENCE KODIAK IS MED CTR (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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROVIDENCE KODIAK IS MED CTR (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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

Page 7

Part VFacility Information (continued)

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

	PROVIDENCE KODIAK IS MED CTR (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) 2021

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 20

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 21

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

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) 2021

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

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) 2021

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 19

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 20

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

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) 2021

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

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) 2021

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 & 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 21

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..................................

Yes

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 21

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP C - 2 6 & 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/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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP C - 2 6 & 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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

Page 7

Part VFacility Information (continued)

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

	PHS - WASHINGTON (GROUP C - 2 6 & 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) 2021

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 D - 1 & 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 21

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..................................

Yes

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 21

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP D - 1 & 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):

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

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

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

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP D - 1 & 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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

Page 7

Part VFacility Information (continued)

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

	PHS - WASHINGTON (GROUP D - 1 & 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) 2021

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 E - 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 19

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..................................

Yes

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 20

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

Yes

If "Yes" (list url): HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - WASHINGTON (GROUP E - 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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	PHS - WASHINGTON (GROUP E - 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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

Page 7

Part VFacility Information (continued)

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

	PHS - WASHINGTON (GROUP E - 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) 2021

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, 20a, 20b, 20c, 20d, 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 ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS TO HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS/LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PSMMC CONDUCTED 15 STAKEHOLDER INTERVIEWS, INCLUDING 21 PARTICIPANTS, AND THREE LISTENING SESSIONS WITH 15 COMMUNITY MEMBERS BETWEEN MAY AND JUNE OF 2021. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND THEIR ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WITH LOW INCOMES, AND UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. STAKEHOLDERS WERE FROM THE FOLLOWING ORGANIZATIONS AND MUNICIPALITIES: BLUE MOUNTAIN ACTION COUNCIL, BLUE MOUNTAIN HEART TO HEART, CATHOLIC CHARITIES WALLA WALLA, CENTER FOR HUMANITARIAN ENGAGEMENT-WALLA WALLA UNIVERSITY, CITY OF COLLEGE PLACE, CITY OF WALLA WALLA, COMPREHENSIVE HEALTHCARE, DAYTON CHRONICLE, FAMILY MEDICAL CENTER/YAKIMA VALLEY FARM WORKERS CLINIC, MILTON-FREEWATER DOWNTOWN ALLIANCE AND BROADWAY DENTAL CARE, PROVIDENCE MEDICAL GROUP POPULATION HEALTH, WALLA WALLA PUBLIC SCHOOLS, YMCA, YOUTH WOMEN AND CHILDREN'S CENTER, AS WELL AS THE PUBLIC HEALTH OFFICER/MEDICAL DIRECTOR AND THE ADMINISTRATIVE DIRECTOR FROM THE WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH, THE LOCAL HEALTH DEPARTMENT. LISTENING SESSION PARTICIPANTS WERE THOSE RECEIVING SERVICES THROUGH AGING & LONG TERM CARE, RESIDENTS OF THE SLEEP CENTER WHICH IS A SHELTER COMMUNITY FOR THE UNSHELTERED HOMELESS POPULATION, AND MOTHERS OF THOSE LIVING WITH DISABILITIES WHO UTILIZE THE SERVICES AND RESOURCES OF THE DISABILITY NETWORK. PSMMC FIELDED A COMMUNITY SURVEY FROM JULY 6 TO AUGUST 16, 2021 IN ENGLISH AND SPANISH. ABOUT 50 COMMUNITY MEMBERS TOOK THE SURVEY IN ENGLISH.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERS FORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. COMMITTEE MEMBERS WERE: -CINDY BALDWIN, CLINIC OPERATIONS DIRECTOR, KODIAK AREA NATIVE ASSOCIATION-BARBARA BIGELOW, CEO PKIMC, PROVIDENCE KODIAK ISLAND MEDICAL CENTER -PAT BRANSON, EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK; MAYOR, CITY OF KODIAK -ELSA DEHART, RN, DIRECTOR, KODIAK PUBLIC HEALTH CENTER, STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES -MARY GUILAS HAWVER, PRESIDENT, FILIPINO AMERICAN ASSOCIATION; DIRECTOR, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER -CAROL JUERGENS, M.D., CO-OWNER KODIAK ISLAND MEDICAL ASSOCIATES -MERISSA KOLLER, COMMUNITY WELLNESS PROGRAM COORDINATOR, HEALTHY TOMORROWS KODIAK-JUDY CHRISTINE (JC) RATHJE, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER -DAN ROHRER, ASSEMBLYMAN, KODIAK ISLAND BOROUGH; BUSINESS OWNER, SUBWAY -RHONDA WALLACE, CHIEF OF POLICE, CITY OF KODIAK COMMUNITY HEALTH SURVEYTHE 36 QUESTION SURVEY WAS FIELDED FROM MAY 18 - JUNE 1, 2019 WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE. EVERY EFFORT WAS MADE TO ENSURE THAT THE SURVEY REPRESENTED THE DIVERSITY OF THE COMMUNITY AND CAPTURED INPUT FROM THOSE WITH LOW INCOMES AND OTHERWISE UNDERSERVED IN THE COMMUNITY.STAKEHOLDER INTERVIEWS: IN THE MONTH OF JUNE, NINE COMMUNITY LEADERS WERE INTERVIEWED INDIVIDUALLY REGARDING THE HEALTH NEEDS OF THE COMMUNITYCOMMUNITY FORUMPROVIDENCE KODIAK ISLAND MEDICAL CENTER HOSTED A COMMUNITY FORUM (MAY 28, 2019) WITH THE GOAL OF LEARNING MORE ABOUT COMMUNITY MEMBERS' VISION FOR A HEALTHY COMMUNITY AND THE HEALTH-RELATED NEEDS THEY WOULD LIKE TO SEE PRIORITIZED (SEE APPENDIX 2B). COMMUNITY MEMBERS AND STAKEHOLDERS WERE DIVIDED INTO SIX GROUPS WHICH INCLUDED STAFF AND BOARD MEMBERS FROM PROVIDENCE ST. JOSEPH HEALTH - ALASKA REGION.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 6B: BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP: (BMRCHP) IS AN ACTION ORIENTED, CROSS-SECTOR COALITION CONSISTING OF PUBLIC HEALTH, EDUCATION, CLINICAL, PUBLIC SAFETY, SOCIAL SERVICES, LONG-TERM CARE, HOUSING, MANAGED CARE, LAW ENFORCEMENT, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, PHILANTHROPY, LONG-TERM CARE, EARLY LEARNING AND OTHER COMMUNITY BASED ORGANIZATIONS. THESE PARTNERS COORDINATE TO ASSESS THE NEEDS OF THE BLUE MOUNTAIN REGION AND DEVELOP A UNIFIED RESPONSE TO MEET THESE NEEDS.MEMBER ORGANIZATIONS LISTED ON PAGE 31 OF CHNA. AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: WALLA WALLA
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PSMMC WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS OUTLINED IN THE PSMMC CHIP: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE INCLUDE BEHAVIORAL HEALTH NAVIGATION SERVICES IN THE EMERGENCY DEPARTMENT (ED), COMMUNITY PARAMEDIC PROGRAM, INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE, ENHANCING TELEHEALTH FOR BEHAVIORAL HEALTH SERVICES VIA ED AND ON MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN, AND BY CONNECTING WITH PEOPLE IN NEED OF CULTURALLY RESPONSIVE BEHAVIORAL HEALTH SERVICES WHO PRIMARY LANGUAGE IS SPANISH THROUGH PROMOTORES DE SALUD. STRATEGIES TO ADDRESS ACCESS TO HEALTH CARE SERVICES INCLUDE UTILIZING COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD AND THE MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN TO OUTREACH TO PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES, THE SOUTHEAST WASHINGTON (SEWA) FALLS PREVENTION COMMUNITY PARTNERSHIP PROGRAM TO DECREASE EMERGENCY MEDICAL SERVICE CALLS FOR LIFT ASSISTS, AND THE HEALTH EQUITY NURSE SERVING EARLY HEAD START FAMILIES. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING INCLUDE SUPPORTING THE WORK OF THE ANCHOR COMMUNITY INITIATIVE, IMPLEMENTING COMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ), HAVING A PSMMC REPRESENTATIVE FILL THE OPEN HEALTH CARE POSITION ON THE WALLA WALLA COUNCIL ON HOUSING, THROUGH COMMUNITY COLLABORATIONS, EXPLORE OPPORTUNITIES TO INCREASE PERMANENT SUPPORTIVE HOUSING, EXPLORE COLLABORATIONS AND INVEST IN MEDICAL RESPITE SERVICES TO CLOSE THE GAP IN CARE IN THE HEALTH AND HOMELESS SERVICES CONTINUUM, COLLABORATE WITH COMMUNITY PARTNERS TO CREATE PERMANENTLY AFFORDABLE HOME OWNERSHIP OPPORTUNITIES FOR LOW-AND MODERATE-INCOME HOUSEHOLDS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGEMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS.
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 11: IN THE FALL OF 2019, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PKIMC COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES AND ACCOMPLISHMENTS.WITH THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PKIMC/PKICC'S IMPLEMENTATION OF SERVICES AND DID NOT HAVE A PERMANENT HOSPITAL ADMINISTRATOR FOR A SIGNIFICANT PERIOD OF 2020 AND 2021. BEHAVIORAL HEALTH(INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH) POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE. PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) PROVIDED SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICESPKICC ADDRESSED THE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT NEEDS OF KODIAK YOUTH THROUGH THE YOUTH OUTPATIENT SUBSTANCE ABUSE PROGRAM, MENTAL HEALTH CLINICIANS IN THE SCHOOLS PROGRAM, ALCOHOL SAFETY ACTION PROGRAM (ASAP), KODIAK SCHOOLS SUBSTANCE ABUSE TASK FORCE AND ONGOING COLLABORATIONS WITH THE TEEN COURT AND OTHER COMMUNITY PARTNERS.PKICC ADDRESSED THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY HILL THROUGH THE COMMUNITY SUPPORT PROGRAM AND THROUGH CONTINUING EFFORTS TO FURTHER INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING CURRENTLY BEING DONE IN COLLABORATION WITH THE KODIAK COMMUNITY HEALTH CENTER.PKICC ADDRESSES THE SUBSTANCE ABUSE TREATMENT NEEDS OF THE COMMUNITY THROUGH ITS OUTPATIENT CHEMICAL DEPENDENCY TREATMENT PROGRAM SAFE HARBOR, THROUGH ITS CASE-MANAGEMENT PROGRAM ASAP AND THROUGH A RESIDENTIAL TREATMENT COLLABORATION WITH SALVATION ARMY. PKICC CONTINUED TO BE PROACTIVE IN ITS OUTREACH SERVICES IN COLLABORATION WITH MANY COMMUNITY PARTNERS SUCH AS THE BROTHER FRANCIS SHELTER, KODIAK WOMEN'S RESOURCE AND CRISIS CENTER AND MANY OTHER ORGANIZATIONS AND GOVERNMENT AGENCIES IN THE KODIAK COMMUNITY. PKICC CONTINUED TO BE A LEADER IN COMMUNITY EDUCATION, GRANT-SEEKING, ADVOCACY, COLLABORATION, PLANNING AND ACTION TO HELP IMPROVE THE HEALTH OF THE KODIAK COMMUNITY AND THE LIVES OF THOSE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE. PRIMARY CARE UTILIZATION AND ACCESSTHE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS SIGNIFICANT ISSUES. AT PRESENT, KODIAK HAS ADEQUATE PRIMARY CARE CAPACITY WITH KODIAK AREA NATIVE ASSOCIATION CLINIC (KANA) AND MILL BAY HEALTH CENTER, KODIAK COMMUNITY HEALTH CENTER, THE U.S. COAST GUARD ROCKMORE-KING MEDICAL CLINIC, AND THE KODIAK ISLAND AMBULATORY CLINIC PROVIDING PRIMARY CARE SERVICES TO THE RESIDENTS OF KODIAK. BECAUSE OF THIS, PKIMC DOES NOT OFFER TRADITIONAL, NON-SPECIALIZED PRIMARY CARE SERVICES, BUT WILL CONTINUE TO WORK WITH KODIAK PRIMARY CARE PROVIDERS TO EXPLORE OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN THE EFFORT TO IMPROVE PRIMARY CARE UTILIZATION. IN ADDITION TO CONTINUED COLLABORATION WITH COMMUNITY PARTNERS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S INCLUDED SPECIFIC STEPS INCLUDING HIRING A PEDIATRICIAN TO SUPPORT ACCESS TO PRIMARY CARE IN ADDITION TO A RECENTLY HIRED OB/GYN TO SUPPORT WOMEN'S HEALTH. HEALTHY LIFESTYLE/CHRONIC CONDITIONSSURVEY RESPONSES AND HEALTH DATA INDICATE DIFFICULTY WITH MAINTAINING A HEALTHY LIFESTYLE, ENGAGING IN PREVENTATIVE HEALTH, AND MANAGING CHRONIC DISEASE IN THE COMMUNITY.PROVIDENCE KODIAK ISLAND MEDICAL CENTER'S IS IMPLEMENTING SPECIFIC STEPS TO ADDRESS HEALTHY LIFESTYLE AND CHRONIC CONDITIONS. THE PLAN INCLUDES A PAIN MANAGEMENT CLINIC OPERATED THROUGH THE SPECIALTY CLINIC.
PROVIDENCE ST. MARY MEDICAL CENTER (8)	PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES
PROVIDENCE KODIAK IS. MED. CTR. (11)	PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B, LINE 9:	PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 22, 2022, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PART V, SECTION B, LINE 9:	PHS - WASHINGTON (GROUP D - 1 & 12) THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 19, 2022, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 3: PROVIDENCE ST. PETER HOSPITAL, - FACILITY 7: PROVIDENCE CENTRALIA HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 5:	BETWEEN MAY 27 AND JULY 14, 2020 REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON CONDUCTED INTERVIEWS WITH REPRESENTATIVES FROM 5 COMMUNITY-BASED ORGANIZATIONS, INCLUDING 24 STAKEHOLDERS, PEOPLE WHO ARE INVESTED IN THE WELL-BEING OF THE COMMUNITY AND HAVE FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. A TOTAL OF 5 STAKEHOLDER INTERVIEWS, WHICH INCLUDED 24 PARTICIPANTS, WERE COMPLETED BY REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. PROVIDENCE SOUTHWEST WASHINGTON AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEVERAL ATTEMPTS WERE MADE TO CONNECT WITH REPRESENTATIVES FROM LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES AND THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, BUT DUE TO COMPETING PRIORITIES RELATED TO COVID-19, THEY WERE NOT ABLE TO PARTICIPATE IN STAKEHOLDER INTERVIEWS. DR. RACHEL WOOD, LEWIS COUNTY'S HEALTH OFFICER, IS A PROVIDENCE BOARD MEMBER AND SERVED ON THE CHNA OVERSIGHT COMMITTEE, PROVIDING INSIGHT DURING THE DATA REVIEW AND PRIORITIZATION PROCESSES.FOR DETAILED LIST OF STAKEHOLDERS GO TO PG. 58 OF CHNA REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/PCHANDPSPH_SWWA_2020CHNA.PDF?LA=EN&REV=DF96D25CB1DB463296534BFE53AE1FED&HASH=2C244717D79B80EEA2BC3EA0D6FE65E4.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2020 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SOUTHWEST WASHINGTON WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2021-2023 COMMUNITY BENEFIT EFFORTS: PRIORITY 1: HOMELESSNESS/LACK OF SAFE AND AFFORDABLE HOUSINGHOMELESSNESS AND A LACK OF SAFE, AFFORDABLE HOUSING WAS PRIORITIZED BY ALL STAKEHOLDERS AND CONSISTENTLY RANKED AS THE MOST IMPORTANT ISSUE THAT NEEDS TO BE ADDRESSED IN THE SERVICE AREA. DESPITE EFFORTS TO ADDRESS HOUSING CHALLENGES, THERE IS A LACK OF HOUSING AVAILABLE IN THURSTON AND LEWIS COUNTIES, PARTICULARLY AFFORDABLE RENTAL UNITS AND PERMANENT SUPPORTIVE HOUSING. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE AND AFFORDABLE HOUSING INCLUDE: SUPPORT OF COMMUNITY BASED RESPITE CARE SERVICES; IMPLEMENTATION OF A CRISIS RESPONSE UNIT MODEL WITH COMMUNITY PARTNERS; COLLABORATION WITH PROVIDENCE REGIONAL EFFORTS TO IMPLEMENT COMMUNITY SOLUTIONS' BUILT FOR ZERO MODEL PRIORITY 2: BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE)THERE IS A LACK OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES IN THE COMMUNITY. GAPS INCLUDE A LACK OF BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE, SCHOOL-BASED MENTAL HEALTH SERVICES, A LOCAL INPATIENT DETOX FACILITY, AND CASE MANAGEMENT SERVICES. PEOPLE HAVE DIFFICULTY ACCESSING MENTAL HEALTH SERVICES DUE TO LONG WAIT TIMES, A LACK OF PROVIDERS WHO TAKE MEDICAID AND MEDICARE, AND TRANSPORTATION BARRIERS. THESE POPULATIONS INCLUDE SCHOOL-AGED CHILDREN, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE LIVING IN RURAL COMMUNITIES, VETERANS, PEOPLE WHO ARE UNDOCUMENTED, AND MONOLINGUAL SPANISH SPEAKERS. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE) INCLUDE: INTEGRATING HEALTH SERVICES IN PRIMARY AND BEHAVIORAL HEALTH CARE; INTEGRATED MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER; MENTAL HEALTH CRISIS RESPONSE FOR PEOPLE EXPERIENCING HOMELESSNESS. PRIORITY 3: ACCESS TO HEALTH CARE THERE ARE A NUMBER OF BARRIERS TO ACCESSING HEALTH CARE. A COMMON CONCERN WAS TRANSPORTATION, PARTICULARLY FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE LIVING IN RURAL COMMUNITIES. LANGUAGE BARRIERS PREVENT PEOPLE FROM RECEIVING APPROPRIATE AND RESPONSIVE CARE AND DOCUMENTATION STATUS IS A BARRIER TO ACCESSING HEALTH INSURANCE.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE: IMPLEMENTATION OF CRISIS RESPONSE UNIT MOBILE OUTREACH CLINICS WITH COMMUNITY PARTNERS; SUPPORT OF PATIENTS IN NEED OF RESOURCES TO SAFELY DISCHARGE OR IN NEED OF ACCESS TO CARE.EQUITY FRAMEWORK STAKEHOLDERS CHOSE TO PRIORITIZE A FOURTH HEALTH-RELATED NEED, HEALTH AND RACIAL EQUITY, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL THREE NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING HOUSING, MENTAL HEALTH AND SUBSTANCE USE, AND ACCESS TO CARE, PROVIDENCE SOUTHWEST WASHINGTON WILL USE AN EQUITY FRAMEWORK FOR APPROACHING PLANNING AND IMPLEMENTATION.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS, PROVIDENCE SOUTHWEST IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: UNEMPLOYMENT AND LACK OF LIVING WAGE JOBS; FOOD INSECURITY; ACCESS TO ORAL HEALTH CARE. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2021-2023 CHIP, PROVIDENCE SOUTHWEST RECOGNIZES THESE NEEDS AS IMPORTANT TO THE OVERALL HEALTH OF OUR COMMUNITIES. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS PRIORITIZED IN THIS CHIP, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS.
PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5:	PRMCE FORMED THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) AS A PARTNERSHIP BETWEEN BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS, AND NON-PROFITS WITH THE GOAL OF ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE SMALL BUT IMPORTANT BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. RECOGNIZING THAT HEALTH IS MORE THAN HEALTHCARE, PIHC STARTS WITH A SHARED UNDERSTANDING OF HEALTH AS DEFINED BY OUR COMMUNITY AND WORKS TOGETHER TO CREATE A HEALTHIER FUTURE. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS TO SUPPORT HEALTH AND WELL-BEING. TO BETTER UNDERSTAND THE COMMUNITY'S PERSPECTIVE, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PIHC REACHES OUT AND LISTENS TO THE COMMUNITY, LETTING THEM DEFINE WHAT HEALTH AND HAPPINESS MEAN TO THEM. PIHC COLLECTS THIS FEEDBACK THROUGH VARIOUS METHODS INCLUDING THE HEALTH & WELL-BEING MONITOR, THE EDGE OF AMAZING COMMUNITY HEALTH SUMMIT, PIHC STRATEGIC OVERSIGHT TEAM, PIHC STRATEGIC PLANNING COUNCIL, AND THE PIHC SUSTAINABILITY, INCLUSION AND CO-CREATION TASK FORCE. IN ADDITION, FEEDBACK WAS OBTAINED FROM THE PRMCE MISSION AND HEALTHIER COMMUNITIES COMMITTEE AND THE SNOHOMISH HEALTH DISTRICT COMMUNITY HEALTH ASSESSMENT TEAM. THROUGH THESE FORUMS, COMMUNITY MEMBERS, NONPROFIT ORGANIZATIONS, AND GOVERNMENT STAKEHOLDERS PROVIDE INPUT ON THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF SNOHOMISH COUNTY. COMMUNITY INPUT WAS OBTAINED AT VARIOUS TIMES, WITH THE MAJORITY BETWEEN JUNE AND OCTOBER 2019. APPENDIX 3 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, PG. 71 LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: EVERETT.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 11:	THERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL NEEDS IDENTIFIED IN A CHNA. BASED ON THE OUTCOME OF THE EVALUATION, PRMCE MADE A COMMITMENT TO FOCUS ON FOUR AREAS OF NEED (MENTAL HEALTH, OPIOID USE DISORDER, HOMELESSNESS, AND ACCESS TO PRIMARY CARE) BECAUSE WE BELIEVE THAT WE CAN HAVE THE GREATEST IMPACT AND POSITIVE INFLUENCE ON OUTCOMES. AT THE SAME TIME, PRMCE IS ALSO ACTIVELY INVOLVED IN SUPPORTING OUR COMMUNITY THROUGH MANY OTHER COMMUNITY BENEFIT PROGRAMS. PRMCE ANTICIPATES THAT IMPLEMENTATION STRATEGIES AND TACTICS MAY CHANGE AND THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE CHNA. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED IN THE CHIP. THE FOLLOWING INFORMATION OUTLINES PRMCE'S PLAN TO ADDRESS THE FOUR PRIORITY AREAS OVER A THREE-YEAR PERIOD. THE TARGET POPULATION FOR THE IMPROVEMENT PLAN IS THE SNOHOMISH COUNTY COMMUNITY, WITH EMPHASIS ON VULNERABLE POPULATIONS. MENTAL HEALTH CARE IS FOUNDATIONAL TO AN INDIVIDUAL'S QUALITY OF LIFE AND PHYSICAL HEALTH. ACCESS TO MENTAL HEALTH CARE INCLUDES THE AVAILABILITY OF QUALITY, INTEGRATED CARE FOR INDIVIDUALS WITH A RANGE OF MENTAL DISORDERS. DUE TO THE LACK OF ACCESS TO MENTAL HEALTH CARE, PATIENTS ARE EITHER GOING WITHOUT CARE, HAVE LONG WAIT TIMES TO SEE A PROVIDER, OR ARE CARED FOR IN FACILITIES THAT ARE NOT EQUIPPED TO CARE FOR THEM. THE GOAL IS TO IMPROVE ACCESS TO QUALITY, TIMELY MENTAL HEALTH SERVICES IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IMPROVE WHOLE PERSON CARE BY EMBEDDING MENTAL HEALTH PROGRAMS INTO PRIMARY CARE.ACCOMPLISHMENTS: 1) ADDED PEDIATRIC PSYCHIATRIST, THERAPIST AND SOCIAL WORKERS INTO PRIMARY CARE, 2) EXPANDED INTEGRATED BEHAVIORAL HEALTH IN WOMEN'S SERVICES CLINIC, 3) ADDING CLINICAL SOCIAL WORKER AND PSYCHIATRICS IN INTERNAL MEDICINE RESIDENCY CLINICB. STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES.ACCOMPLISHMENTS: 1) OPENED A 24-BED INPATIENT PSYCHIATRIC UNIT, 2) MENTAL HEALTH URGENT CARE CLINIC EXPANDING HOURS.C. STRATEGY: EDUCATE CAREGIVERS, PROVIDERS, AND THE COMMUNITY IN ORDER TO DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH MENTAL ILLNESS.ACCOMPLISHMENTS: 1) INCREASED STAFF AND PROVIDER EDUCATION ON TRAUMA INFORMED CARE, 2) IMPROVED BEHAVIORAL HEALTH COMPETENCIES OF STAFF, 3) COORDINATED CONFERENCE FOR COMMUNITY PRIMARY CARE PROVIDERS FOCUSING ON ADULT ADHD AND BIPOLAR DISORDERS AND FUTURE OF MENTAL HEALTH SERVICES.A. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS MENTAL HEALTH CARE.ACCOMPLISHMENTS 1) PROVIDING FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING MENTAL HEALTH SUCH AS UNITED WAY, DOMESTIC VIOLENCE SERVICES, AND COMPASS HEALTH, 2) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO BEHAVIORAL HEALTH. OPIOID USE DISORDER HAS A SIGNIFICANT HEALTH AND SOCIAL IMPACT ON INDIVIDUALS AND THE COMMUNITY. MISUSE OF PRESCRIPTION OPIOIDS FOR PAIN SUCH AS MORPHINE, OXYCODONE, HYDROCODONE/FENTANYL, AND USE OF ILLEGAL DRUGS SUCH AS HEROIN ARE SERIOUS PROBLEMS IN SNOHOMISH COUNTY. THE GOAL IS TO IMPLEMENT PREVENTION AND INTERVENTION STRATEGIES TO REDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE MISUSE OF OPIOID MEDICATIONS AND USE OF ILLEGAL OPIOIDS IN SNOHOMISH COUNTY, AND REDUCE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH SUBSTANCE USE DISORDERS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: INCREASE ACCESS TO TREATMENT OPTIONS.ACCOMPLISHMENTS: 1) THE CONTINUATION OF PRMCE SUBSTANCE USE DISORDER TREATMENT SERVICES AS A SUBSIDIZED SERVICE AND EXPANDED ACCESS, 2) EXPANSION OF MEDICATION ASSISTED TREATMENT IN THE EMERGENCY DEPARTMENT AND INPATIENT MEDICAL AND SURGICAL HOSPITALIST TEAMS, 3) IMPLEMENTED CLINICAL RESEARCH STUDY FOR THOSE WANTING TO CEASE OPIOID USE AND GO INTO MEDICATION ASSISTED TREATMENT.B. STRATEGY: PREVENT INAPPROPRIATE OPIOID PRESCRIBING TO REDUCE OPIOID MISUSE.ACCOMPLISHMENTS: 1) EDUCATION ON PAIN CONTROL ALTERNATIVES TO PROVIDERS IN PERIOPERATIVE AND OBSTETRICS, 2) HARDWIRE ORDER SETS TO MINIMIZE NARCOTIC PRESCRIBING. 3) COORDINATED CONFERENCE FOR COMMUNITY MEDICAL PROVIDERS ON PAIN RELIEF BEYOND OPIOIDS. C. STRATEGY: PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON DRUG USE.ACCOMPLISHMENTS: 1) EXPANSION OF TOTAL HEALTH TO COMMUNITY PARTNERS IN ORDER TO SCREEN COMMUNITY MEMBERS FOR SOCIAL NEEDS, 2) TRAIN FAMILY MATERNITY CENTER NURSES TO SCREEN PREGNANT MOTHERS FOR SUBSTANCE USE DISORDERS AND OFFER TREATMENT, 3) IMPLEMENT SUBSTANCE USE DISORDER SCREENING FOR INPATIENTSD. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO DIRECTLY ADDRESS OPIOID USE DISORDER.ACCOMPLISHMENTS: 1) FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING OPIOID USE DISORDER SUCH AS POISON CONTROL, COMPASS HEALTH, MARCH OF DIMES, UNITED WAY, COCOON HOUSE, 2) PROVIDED "INSIDE OUT ORGAN SHOW" EDUCATION TO SCHOOLS WHERE REAL HUMAN ORGANS ARE SHOWN TO CHILDREN TO EDUCATE THEM ON THE IMPACT SUBSTANCE USE HAS ON INTERNAL ORGANS, 3) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO OPIOID USE DISORDER, 4) IN COORDINATION WITH MED-PROJECT AND SNOHOMISH HEALTH DISTRICT, OFFER MEDICATION TACK BACK OPTIONS IN THE PROVIDENCE PHARMACIES IN EVERETT AND MONROE.HOMELESSNESS HAS A HIGH NEGATIVE IMPACT ON AN INDIVIDUAL'S HEALTH STATUS AND PERSONS EXPERIENCING HOMELESSNESS HAVE INCREASED NEED OF MEDICAL SYSTEMS. THE TERM "HOMELESS" IS A PROGRAMMATIC DEFINITION APPLIES TO A PERSONS' EXPERIENCE WITHOUT PERMANENT HOUSING AS THEY WHO MAY LIVE ON THE STREETS, STAY IN A SHELTER, MISSION, SINGLE ROOM OCCUPANCY FACILITY, ABANDONED BUILDING OR VEHICLE, OR IN ANY OTHER UNSTABLE OR NON-PERMANENT SITUATION. THE GOAL IS TO REDUCE THE NUMBER OF INDIVIDUALS AND FAMILIES IN SNOHOMISH COUNTY EXPERIENCING HOMELESSNESS, CONNECT PRMCE PATIENTS TO STABLE HOUSING, AND DECREASE THE STIGMA AND DISCRIMINATION ASSOCIATED WITH PERSONS EXPERIENCING HOMELESSNESS. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE PERSONS WITHOUT HOUSING POST DISCHARGE. ACCOMPLISHMENTS: 1) COLLABORATION WITH EVERETT GOSPEL MISSION FOR A MEN'S MEDICAL RESPITE PROGRAM, 2) COLLABORATING WITH AND PROVIDE FINANCIAL ASSISTANCE TO THE NORTHWEST JUSTICE PROJECT TO ASSIST PATIENTS WITH REMOVING BARRIERS TO DISCHARGE TO A HOME SETTING, 3) LEADER PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES TO ADDRESS CONDITIONS AND DYNAMICS THAT CHALLENGE COMMUNITY MEMBERS IN MEETING THEIR HOUSING NEEDS (PARTNERSHIP TO END HOMELESSNESS AS AN EXAMPLE), 4) PROVIDE INFLUENZA VACCINE TO VULNERABLE HOMELESS INDIVIDUALS THAT ARE SEEN IN THE EMERGENCY DEPARTMENT.B. STRATEGY: PROVIDE SCREENING/ASSESSMENT FOR COMMUNITY MEMBERS AND PATIENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH WITH A SPECIFIC FOCUS ON HOUSING/HOMELESSNESS. ACCOMPLISHMENTS: 1) EXPANSION OF TOTAL HEALTH TO SCREEN INDIVIDUALS FOR SOCIAL DETERMINANTS OF HEALTH TO FIRST GENERATION LATINO IMMIGRANTS AND UNDOCUMENTED RESIDENTS.C. STRATEGY: COLLABORATE WITH AND SUPPORT COMMUNITY PARTNERS TO ALLEVIATE BARRIERS TO HOUSING. ACCOMPLISHMENTS: 1) FINANCIAL SUPPORT TO CLARE'S PLACE TO SUPPORT A LOW-BARRIER HOUSING PROJECT, 2) PROVIDE FINANCIAL SUPPORT TO OTHER ORGANIZATIONS DIRECTLY ADDRESSING HOUSING NEEDS SUCH AS HOUSING HOPE, PEORIA HOME, VOLUNTEERS OF AMERICA, AMERICAN RED CROSS, 3) COORDINATE ANNUAL COMMUNITY EDGE OF AMAZING CONFERENCE WITH BREAK-OUT GROUPS DISCUSSING COMMUNITY BARRIERS AND SOLUTIONS TO THE HOUSING CRISIS. 4) PARTICIPATE IN PILOT TO REDUCE BARRIERS TO HOMEOWNERSHIP FOR BIPOC COMMUNITY MEMBERS, 5) PARTICIPATE IN COMMUNITY COLLABORATIVE ON IMPROVING SCHOOL ATTENDANCE FOR FAMILIES EXPERIENCE HOMELESSNESS.
PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 13: ST. LUKE'S REHABILITATION INSTITUTE
PHS - WASHINGTON (GROUP C - 2, 6 & 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.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 5:	PROVIDENCE SACRED HEART MEDICAL CENTER , PROVIDENCE HOLY FAMILY HOSPITAL AND ST. LUKE'S REHABILITATION HOSPITAL PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 528,652 PEOPLE.APPROXIMATELY 60 INDICATORS WERE CHOSEN THAT HELP ILLUSTRATE THE HEALTH OF THE COMMUNITY. DEMOGRAPHIC DATA AND DATA ON KEY SOCIOECONOMIC DRIVERS OF HEALTH STATUS - INCLUDING POVERTY, HOUSING AND EDUCATIONAL ATTAINMENT - ARE PRESENTED FIRST. THIS IS FOLLOWED BY THE DATA AND ANALYSIS OF EACH HEALTH INDICATOR AND IDENTIFIED DISPARITIES AND TRENDS IN THE DATA. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THEIR COMMUNITIES. PARTICIPANTS WERE PRIORITIZED TO INCLUDE GROUPS EXPERIENCING INEQUITIES IN THE DETERMINANTS OF HEALTH OR WHO HAVE HISTORICALLY BEEN EXCLUDED FROM COMMUNITY CONVERSATIONS. A LIST OF PARTICIPATING COMMUNITY PARTNERS CAN BE FOUND IN THE 2021 CHNA. THE 2021 CHNA WAS APPROVED BY THE PROVIDENCE HEALTH CARE COMMUNITY MINISTRY BOARD ON NOVEMBER 4, 2021 AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2021.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6A:	SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, ST. LUKE'S REHABILITATION CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6B:	SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, ST. LUKE'S REHABILITATION CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.CHNA WAS CONDUCTED IN PARTNERSHIP WITH PRIORITY SPOKANE, SPOKANE, WA SPOKANE REGIONAL HEALTH DISTRICT, SPOKANE, WA MULTICARE HEALTH SYSTEM, SPOKANE, WA
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 11:	AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND ST. LUKE'S REHABILITATION CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS:HIGH HOUSING COST BURDEN/HOMELESSNESS: THIS NEED INCLUDES THE LACK OF AVAILABLE HOUSING (LOW VACANCY RATE) AND THE LACK OF AFFORDABLE HOUSING, ALONG WITH SPECIFIC BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HOUSING. HOUSING INSTABILITY AND A LACK OF AFFORDABLE HOUSING IS A THREAT TO HEALTH AND WELL-BEING. FOOD INSECURITY IS RELATED TO HOUSING INSTABILITY, AND ALSO AN IMPORTANT COMPONENT OF HEALTH. DOMESTIC VIOLENCE AND CHILD ABUSE: DOMESTIC VIOLENCE AND CHILD ABUSE WERE IDENTIFIED THROUGHOUT ALL AREAS OF NEED, FROM HOUSING AND ECONOMIC PRESSURES TO MENTAL HEALTH AND DISCRIMINATION. PROVIDENCE IS INCLUDING CHILD ABUSE DUE TO OUR CHILDREN'S HOSPITAL AND THE EXTREME CASES OF CHILD ABUSE WE SEE THROUGH THAT SPECIALTY. POOR MENTAL HEALTH: THERE IS A LACK OF MENTAL HEALTH SERVICES AVAILABLE IN LANGUAGES OTHER THAN ENGLISH, AND THE BARRIERS TO ACCESSING MENTAL HEALTH SERVICES ARE EVEN GREATER FOR PEOPLE THAT ARE UNDOCUMENTED. STIGMA AND SHAME AROUND MENTAL HEALTH IS PREVALENT IN SOME COMMUNITIES AND THEREFORE MENTAL HEALTH ISSUES ARE UNDERREPORTED OR HIDDEN. STAKEHOLDERS SHARED STRESSORS, TRAUMA, CULTURE SHOCK, THE FEAR OF DEPORTATION, BASIC NEEDS NOT BEING MET, FAMILY VIOLENCE, RACISM, AND DISCRIMINATION AS SOME OF THE CAUSES FOR MENTAL HEALTH ISSUES. ACCESS TO HEALTH SERVICES: THROUGHOUT THE PANDEMIC THERE HAS BEEN A NEED TO FOCUS ON ACCESS TO HEALTH CARE, INCLUDING HEALTH EDUCATION AND PREVENTIVE SERVICES. THIS HAS BEEN A CONTINUED NEED OF PEOPLE WITH LOW INCOMES AND THOSE EXPERIENCING VULNERABILITIES, AS EVIDENT IN THE DATA RELATED TO HOMELESSNESS AND FEEDBACK FROM FOCUS GROUPS AND INTERVIEWS.NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH OUR COMMUNITY BENEFIT GRANTS FUNDING PROGRAM AS WELL AS PARTNERSHIP OPPORTUNITIES. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:RACISM/DISCRIMINATION: PROVIDENCE IS NOT THE LEADER IN THIS EFFORT. WE SEE A FIFTH HEALTH-RELATED NEED, RACISM AND DISCRIMINATION, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL FOUR NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING THE OTHER COMMUNITY NEEDS WE WILL USE AN EQUITY AND ANTI-RACIST FRAMEWORK. WE ARE ALSO COMMITTED TO SUPPORTING ORGANIZATIONS THAT ARE PROMOTING HEALTH EQUITY IN OUR COMMUNITY AND ARE CONTINUALLY LOOKING TO IMPROVE OUR KNOWLEDGE AND INTERNAL PROCESSES, AS WELL AS ADDRESS HEALTH DISPARITIES AND SOCIAL INEQUITIES IN OUR COMMUNITIES. WE WILL LOOK TO THOSE WITH LIVED EXPERIENCE TO GUIDE US IN IDENTIFYING HOW TO ADDRESS THE NEEDS OUR COMMUNITIES ARE EXPERIENCING.
PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 1: PROVIDENCE ALASKA MEDICAL CENTER, - FACILITY 12: ALASKA SPECIALTY HOSPITAL
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5:	PAMC WITH ALASKA SPECIALTY HOSPITAL CONDUCTED THE 2021 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: CATHOLIC SOCIAL SERVICES:- LISA AQUINO, CEO UNITED WAY:- SUE BROGAN- CLARK HALVERSON, CEO ANCHORAGE NEIGHBORHOOD HEALTH CENTER:- SHANNON SAVAGE, CHIEF COMS/DEV OFFICER- TAMMY GREEN, CEO ANCHORAGE COMMUNITY LAND TRUST:- RADHIKA KRISHNA DIRECTOR OF OPERATIONS- KIRK ROSE, CEO ANCHORAGE HEALTH DEPARTMENT:- NICOLE LEBO, DIVISION MANAGERANCHORAGE LITERACY PROGRAM:- LORI PICKETT, CEO ALASKA NATIVE HERITAGE CENTER:- EMILY EDENSHAW, CEO PROVIDENCE ALASKA:- NATHAN JOHNSON, REGIONAL DIRECTOR COMMUNITY HEALTH INVESTMENT THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6A:	PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B:	THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH CATHOLIC SOCIAL SERVICES, UNITED WAY, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, ANCHORAGE COMMUNITY LAND TRUST, ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE LITERACY PROGRAM, AND ALASKA NATIVE HERITAGE CENTER.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11:	PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD. GREAT ATTENTION HAS BEEN PAID TO STABLISHING MEANINGFUL MEASURES BY WHICH WE INTEND TO EVALUATE THE IMPACT OF OUR ACTIVITIES AND THE ACTIVITIES OF OUR PARTNERS. IN SOME CASES, OUR EFFORTS HAVE BEEN CONFOUNDED BY THE LACK OF OR LIMITED AVAILABILITY OF DATA. THE EFFORT TO MEASURE OUR IMPACT WILL BE AN ONGOING CHALLENGE AND JOURNEY AS WE SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITY. NOTE: THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PAMC IMPLEMENTATION OF SERVICES. PRIORITIZED COMMUNITY HEALTH NEEDS: 1. POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) HAS MADE THE FIGHT AGAINST HOMELESSNESS A PRIORITY SINCE 2015, PROVIDING ABOUT $2.5 MILLION PER YEAR IN FUNDING. THAT WORK HAS PRIMARILY LED TO ADVANCES IN INFRASTRUCTURE AND THE COLLECTING OF DATA SO THAT HOMELESS SERVICE PROVIDERS CAN GET A TRUE SENSE OF THE SCALE OF THE PROBLEM. THEN IN 2019, PROVIDENCE PARTNERED WITH RASMUSON FOUNDATION, PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, AND WEIDNER APARTMENT HOMES TO PLEDGE A COMBINED $40 MILLION TO CREATING SOLUTIONS FOR HOMELESSNESS IN THE STATE - A JOINT EFFORT THAT WAS SUCCESSFUL ENOUGH TO ATTRACT PARTNERS LIKE THE BEZOS FOUNDATION. WHEN THE PANDEMIC LANDED IN ALASKA, AND CROWDED HOMELESS SHELTERS AND FACILITIES HAD TO RETHINK THEIR SPACES TO ACCOMMODATE FOR ADEQUATE SOCIAL DISTANCING TO PREVENT THE SPREAD OF COVID-19, PROVIDENCE JOINED WITH THE CITY OF ANCHORAGE AND OTHER LOCAL AGENCIES TO CONVERT THE CITY'S 8,600-SEAT SULLIVAN ARENA INTO AN EMERGENCY SHELTER. IT'S SUCCESS IN PROVIDING SHELTER TO MORE THAN 400 PEOPLE AT A TIME AND KEEPING INFECTION RATES LOW AMONG ONE OF THE HIGHEST-RISK POPULATIONS GARNERED NATIONAL ATTENTION. 2. MENTAL HEALTH: PHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY. MENTAL HEALTH IS ANOTHER ISSUE THAT PERENNIALLY APPEARS ON PROVIDENCE'S COMMUNITY NEEDS ASSESSMENTS. BUT THE PANDEMIC - THE HEALTH CRISIS, ITSELF, THE ADVERSE ECONOMIC IMPACT, AND THE EFFECTS OF THE SOCIAL ISOLATION - HAS ONLY HEIGHTENED THE IMPORTANCE OF ACCESS TO BEHAVIORAL HEALTHCARE, PARTICULARLY FOR ADOLESCENTS. THAT'S WHY PROVIDENCE HAS PARTNERED WITH VOLUNTEERS OF AMERICAN ALASKA TO EMBED BEHAVIORAL HEALTH COUNSELORS IN ANCHORAGE SCHOOL DISTRICT (ASD) SCHOOLS. THIS WILL BOOST DELIVERY, RAISE AWARENESS OF THE NEED FOR SERVICES, AND BOLSTER THE COMMUNITY'S OVERALL ABILITY TO COORDINATE CARE AMONG YOUTH. IN 2020 PROVIDENCE PARTNERED WITH ANCHORAGE NEIGHBORHOOD HEALTH CENTER AND SOUTHCENTRAL FOUNDATION TO SET UP A FULL-SERVICE CLINIC IN THE BOX OFFICE OF THE SULLIVAN SPORTS ARENA THAT HAD BEEN CONVERTED INTO AN EMERGENCY HOMELESS SHELTER. PROVIDENCE DIVERTED STAFF, RESOURCES, AND EQUIPMENT TO PROVIDE MEDICAL CARE, BEHAVIORAL HEALTH CARE, AND EVEN AN ONSITE PHARMACY. THERE WAS ALSO HELP FOR SUBSTANCE USE, ADDICTION, AND WITHDRAWAL FROM PSYCHIATRISTS, BOTH IN PERSON AND VIA MAKESHIFT TELEHEALTH TERMINALS. 3. HEALTHY BEHAVIORS: PHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURY PREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE. THE COMMUNITY HEALTH WORKER PROGRAM WAS DEVELOPED IN 2020 AND FOUR COMMUNITY HEALTH WORKERS WERE HIRED, WHO CAME OUT OF PRIOR COHORTS OF OUR PEER NAVIGATOR PROGRAM. THEY SERVE AS COMMUNITY EDUCATORS AND LIAISON AROUND HEALTH ISSUES AND HEALTHY BEHAVIORS. PROVIDENCE ALASKA OVER $100,000 FUNDED THE ANCHORAGE LITERACY PEER LEADER PROGRAM WHICH WAS THE LEAD AGENCY IN THE COMMUNITY REACHING OUT TO MARGINALIZED COMMUNITIES TO ADDRESS VACCINE HESITANCY. 4. SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY PSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELP ADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES. CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD. 5. ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY. CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST-TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE. PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER. THE ALASKA MEDICAL CENTER HAS THE ONLY PRIMARY CARE RESIDENCY CLINIC THAT SERVES THE MEDICAID POPULATION OF ALASKA, AND ONE OF VERY FEW CLINICS THAT ACCEPT MEDICAID AND MEDICARE. IN ADDITION, IT IS TRAINING HEALTH CARE PROVIDERS TO SERVE MARGINALIZED COMMUNITIES.
PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 9: PROVIDENCE MT. CARMEL HOSPITAL, - FACILITY 10: PROVIDENCE ST. JOSEPH'S HOSPITAL
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 5:	PROVIDENCE MOUNT CARMEL HOSPITAL AND ST. JOSEPH HOSPITAL UTILIZED SURVEYS OF THE COMMUNITY THROUGHOUT THE MONTH OF APRIL 2019. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 38 OF THE NEEDS ASSESSMENT DOCUMENT. OVER 100 EMAIL AND PERSONAL INVITATIONS WERE SENT TO TARGETED ORGANIZATIONS AND INDIVIDUALS, INCLUDING LOCAL CITY GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICTS, THE CHEWELAH TRIBE, AND VARIOUS SOCIAL SERVICE AGENCIES. ANNOUNCEMENTS WERE PLACED IN LOCAL NEWSPAPERS AND POSTED IN COMMUNITY CENTERS. THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: CHEWELAH AND COLVILLE.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 6A:	PROVIDENCE MOUNT CARMEL HOSPITAL & PROVIDENCE ST. JOSEPH HOSPITAL
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11:	THE FOLLOWING NEEDS WERE PRIORITIZED IN THE DISCUSSION GROUP. BASED ON ALL OF THE INPUT RECEIVED THROUGH THIS ASSESSMENT PROCESS, THE FOLLOWING IS THE RANK ORDERED LIST OF SIGNIFICANT HEALTH NEEDS. SUPPORT FOR YOUTH AND FAMILIES 1. ADDRESS THE CYCLE OF POVERTY FOR FAMILIES WITH SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT ACCESS2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS3. PROPER NUTRITION FOR CHILDREN AND FAMILIESACCOMPLISHMENTS: PARTNERSHIP WITH COLVILLE PUBLIC LIBRARY: WELCOME BABY COMMITTEE OFFERS LIBRARY SERVICES AND OTHER HELPFUL RESOURCES FOR PARENTS OF BABIES BORN AT PROVIDENCE MOUNT CARMEL HOSPITAL; LIBRARY BOOKS ARE DELIVERED TO AND FROM THE PINEWOOD TERRACE, PARKVIEW, AND BUENA VISTA NURSING HOMES, PROVIDING BOOKS AND AUDIOBOOKS FOR MANY OF COLVILLE'S SENIOR CITIZENS.PARTNERSHIP WITH COLVILLE SCHOOL DISTRICT: YOUTH RECEIVE SUPPORT TO REMAIN IN SCHOOL UNTIL GRADUATION; 5-YEAR GRADUATION RATE IS 85% PARTNERSHIP WITH N.E.W. HUNGER COALITION: PROGRAMMING INCLUDING TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES; HOME GARDEN SUPPORT CONTINUING CARE OF THE AGING POPULATION1. GAP IN RURAL HOME HEALTH CARE NEEDS AND ISOLATION2. HOMELESSNESS INCLUDING HABITABLE DWELLINGS3. PROPER NUTRITION FOR THE AGING POPULATION TO HELP WITH CHRONIC DISEASES. ACCOMPLISHMENTS: PARTNERSHIP WITH COLVILLE SENIOR AND COMMUNITY CENTER: ONGOING ACCESS TO COMMUNITY ACTIVITIES AND MEALS PARTNERSHIP WITH N.E.W. HUNGER COALITION: PROGRAMMING INCLUDING TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES; HOME GARDEN SUPPORTACCESS TO CARE1. IMMUNIZATIONS2. TRANSPORTATION3. HEALTH EDUCATION-MEDICAID -DIABETES -NUTRITION -SUBSTANCE ABUSE - TECHNOLOGY - PALLIATIVE CARE - MENTAL HEALTHACCOMPLISHMENTS: ACCESS TO SPECIALTY CARE PROVIDED THROUGH SEVERAL PROVIDENCE CLINICS TO PROVIDE RANGE OF SERVICES AVAILABLE TO SUPPORT INDIVIDUAL AND COMMUNITY HEALTH: OUTPATIENT PHYSICAL THERAPY (PROVIDENCE ST. JOSEPH HOSPITAL IN CHEWELAH); OUTPATIENT WOUND CARE (PROVIDENCE MOUNT CARMEL IN COLVILLE); FAMILY MATERNITY CENTER (PROVIDENCE MOUNT CARMEL IN COLVILLE).SUPPORT OF STEVENS COUNTY AMBULANCE: BEGINNING IN 2021, THE ORGANIZATION MOVED FROM RELYING ON ALL-VOLUNTEER SERVICE TO EMPLOYING EMTS AND PARAMEDICS TO SERVE STEVENS COUNTYOUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH THE COMMUNITY BENEFITS GRANTING PROGRAM. SOME OF THESE AREAS MAY BE OUT OF OUR SCOPE. HOWEVER, WE SEE THE INTERCONNECTEDNESS OF HEALTH, HOUSING, EDUCATION, AND INCOME AND THIS NEEDS ASSESSMENT PROCESS IDENTIFIED NEEDS THAT WE WILL BE ADDRESSING. IF WE CAN IMPROVE THE HEALTH OF OUR WORKFORCE, THEY WILL BE BETTER EMPLOYEES. IF WE CAN ADDRESS MEDICAL NEEDS IN HOUSING SITUATIONS, THEY MAY BE ABLE TO LIVE IN THEIR HOMES LONGER. IN ADDITION, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHEWELAH WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PART V, SECTION B, LINE 11 (CONTINUED):	PHS - WASHINGTON (GROUP B - 4 & 5)ACCESS TO PRIMARY CARE HAS ALWAYS BEEN A GREAT CHALLENGE FOR THE COMMUNITY. LACK OF ACCESS DISPROPORTIONATELY EFFECTS THOSE LIVING IN POVERTY AND PRESENTS BARRIERS TO GOOD HEALTH. ADDRESSING THESE BARRIERS WILL IMPROVE HEALTH AND HELP PEOPLE GET THE RIGHT CARE, AT THE RIGHT TIME, AND IN THE RIGHT CARE SETTING. INDIVIDUALS WHO HAVE A PRIMARY CARE PROVIDER ARE MORE LIKELY TO RECEIVE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND MEDICATION MANAGEMENT, ALL OF WHICH LEAD TO BETTER HEALTH OUTCOMES. THOSE WITHOUT ACCESS TO A PRIMARY CARE PROVIDER MAY CHOOSE TO RECEIVE CARE IN AN EMERGENCY DEPARTMENT FOR NON-EMERGENT CONDITIONS BECAUSE THEY FEEL THEY HAVE NOWHERE ELSE TO GO, OR THEY DEFER CARE UNTIL AN ILLNESS PROGRESSES. THE GOAL IS TO ASSIST SNOHOMISH COUNTY RESIDENTS WITH ACCESSING PRIMARY CARE AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. ACCOMPLISHMENTS IN 2021 INCLUDE:A. STRATEGY: IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS.ACCOMPLISHMENTS: 1) INCREASE IN THE NUMBER OF AVAILABLE APPOINTMENTS, 2) UTILIZING A VALUE STREAM MANAGEMENT APPROACH TO IDENTIFY BARRIERS, 3) OFFERED ELECTRONIC SCHEDULING AND APPOINTMENT REMINDER APPS, 4) CREATED A CENTRALIZED HUB FOR PEDIATRIC SERVICESB. STRATEGY: COLLABORATE WITH COMMUNITY PARTNERS TO INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE SECTOR.ACCOMPLISHMENTS: 1) PARTICIPATION IN THE SEAMAR FAMILY MEDICINE RESIDENCY PROGRAM AND THE WSU MEDICAL SCHOOL RESIDENCY PROGRAM, 2) COLLABORATION WITH AREA COMMUNITY COLLEGES AND HIGH SCHOOLS TO INCREASE INTERESTS IN HEALTHCARE CAREER PATHS.C. STRATEGY: RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY WHERE IT IS CONVENIENT FOR THE PATIENT.ACCOMPLISHMENTS: 1) ADDED ADDITIONAL PRIMARY CARE PROVIDERS TO PMG NORTHWEST LOCATIONS 2) OPENED AN INTERNAL MEDICINE CLINIC AS A PLACE THAT WSU RESIDENCY PROVIDERS CAN PRACTICE AND PROVIDE CARE TO THE COMMUNITY WITH A SPECIFIC FOCUS ON THOSE THAT DO NOT HAVE A PRIMARY CARE PROVIDER.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMDUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE WILL NOT ADDRESS OBESITY/DIET/EXERCISE OR ACCESS TO YOUTH DENTAL CARE. GIVEN THE SCOPE OF CARE WE PROVIDE TO OUR COMMUNITY, WE WILL HAVE AN INDIRECT IMPACT ON THESE COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH OTHER COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, SUICIDE WILL NOT BE DIRECTLY ADDRESS BY PRMCE. HOWEVER, WE ANTICIPATE THAT THE FOCUS ON ACCESS TO MENTAL HEALTH WILL ALSO HAVE A POSITIVE IMPACT ON SUICIDE.PHS - WASHINGTON (GROUP D - 1 & 12)IN 2021 PROVIDENCE PARTNERED WITH ANCHORAGE NEIGHBORHOOD HEALTH CENTER AND SOUTHCENTRAL FOUNDATION TO SET UP A FULL-SERVICE CLINIC IN THE BOX OFFICE OF THE SULLIVAN SPORTS ARENA THAT HAD BEEN CONVERTED INTO AN EMERGENCY HOMELESS SHELTER. PROVIDENCE DIVERTED STAFF, RESOURCES, AND EQUIPMENT TO PROVIDE MEDICAL CARE, BEHAVIORAL HEALTH CARE, AND EVEN AN ONSITE PHARMACY. THERE WAS ALSO HELP FOR SUBSTANCE USE, ADDICTION, AND WITHDRAWAL FROM PSYCHIATRISTS, BOTH IN PERSON AND VIA MAKESHIFT TELEHEALTH TERMINALS.

Schedule H (Form 990) 2021

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?409
Name and address		Type of Facility (describe)
1	1 - PROVIDENCE ANESTHESIA SERVICES AT PSHMC 101 W 8TH AVE SPOKANE,WA992042307	SPECIALTY CLINIC
2	2 - PROVIDENCE ANESTHESIA SERVICES AT ASC SPOK 16528 E DESMET CT SPOKANE,WA992163522	SPECIALTY CLINIC
3	3 - PROVIDENCE ANESTHESIA SERVICES AT PSMMC 401 W POPLAR ST WALLA WALLA,WA993622846	SPECIALTY CLINIC
4	4 - PROVIDENCE ANESTHESIA SERVICES AT WALLA WA 55 W TIETAN ST WALLA WALLA,WA993624445	SPECIALTY CLINIC
5	5 - PROVIDENCE ANESTHESIA SERVICES AT PHFH 5633 N LIDGERWOOD ST SPOKANE,WA992081224	SPECIALTY CLINIC
6	6 - PROVIDENCE ANESTHESIA SERVICES AT PCH 914 S SCHEUBER RD CENTRALIA,WA985319027	SPECIALTY CLINIC
7	7 - PMG NW WA - ASSAULT AND ABUSE INTERVENTION 1509 CALIFORNIA ST EVERETT,WA982013540	SPECIALTY CLINIC
8	8 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 3020 WILLAMETTE DR NE LACEY,WA985166266	SPECIALTY CLINIC
9	9 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 1216 W ROBERT BUSH DRIVE WESTPACIFI COUNT SOUTH BEND,WA98586	SPECIALTY CLINIC
10	10 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 220 WASHINGTON WAYBLDG A CENTRALIA,WA98531	SPECIALTY CLINIC
11	11 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 7013 SANDRIDGE ROAD SPACIFIC COUNTY HHSD A LONG BEACH,WA985864703	SPECIALTY CLINIC
12	12 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 413 LILLY RD OLYMPIA,WA98506	SPECIALTY CLINIC
13	13 - PROVIDENCE ST PETER HOSPITAL - SEXUAL ASSA 914 S SCHEUBER RD CENTRALIA,WA985319029	SPECIALTY CLINIC
14	14 - PMG NW WA - BEHAVIORAL HEALTH & CARE MANAG 12800 BOTHELL EVERETT HWY EVERETT,WA982086642	SPECIALTY CLINIC
15	15 - PMG NW WA - MILL CREEK WALK-IN 12800 BOTHELL EVERETT HWY STE 120 EVERETT,WA98208	SPECIALTY CLINIC
16	16 - PMG NW WA - PLASTIC AND RECONSTRUCTIVE SUR 12800 BOTHELL EVERETT HWY STE 260B EVERETT,WA982086642	SPECIALTY CLINIC
17	17 - PMG NW WA - BEHAVIORAL HEALTH WALK-IN CLIN 1330 ROCKEFELLER AVE STE 140 EVERETT,WA982011682	SPECIALTY CLINIC
18	18 - PMG EASTERN WA - PSYCHIATRIC CENTER 105 W 8TH AVE STE 450E SPOKANE,WA992042302	SPECIALTY CLINIC
19	19 - PMG EASTERN WA - PSYCHIATRY RESIDENCY SPOK 624 E FRONT AVE SPOKANE,WA992022139	SPECIALTY CLINIC
20	20 - PROVIDENCE BEHAVIORAL MEDICINE - PALMER 2250 S WOODWORTH LOOP STE 202 PALMER,AK99645	SPECIALTY CLINIC
21	21 - PROVIDENCE BEHAVIORAL MEDICINE - ANCHORAGE 3260 PROVIDENCE DR STE C537 ANCHORAGE,AK995084661	SPECIALTY CLINIC
22	22 - PROVIDENCE BEHAVIORAL MEDICINE - ANCHORAGE 3760 PIPER ST STE 1108 ANCHORAGE,AK995084683	SPECIALTY CLINIC
23	23 - PROVIDENCE CRISIS RECOVERY CENTER 3760 PIPER STLL 139 ANCHORAGE,AK995084665	SPECIALTY CLINIC
24	24 - PROVIDENCE ADOLESCENT RESIDENTIAL TREATMEN 3210 W 62ND AVE ANCHORAGE,AK995022103	SPECIALTY CLINIC
25	25 - PMG NW WA - REGIONAL MEDICAL CENTER EVERET 1717 13TH ST EVERETT,WA98201	SPECIALTY CLINIC
26	26 - PMG SE WA - CARDIOLOGY 55 WEST TIETAN ST WALLA WALLA,WA993624445	SPECIALTY CLINIC
27	27 - PROVIDENCE SPOKANE HEART INSTITUTE - 1200 W FAIRVIEW ST COLFAX,WA991119552	SPECIALTY CLINIC
28	28 - PROVIDENCE SPOKANE HEART INSTITUTE - 143 GARDEN HOMES DR COLVILLE,WA991149229	SPECIALTY CLINIC
29	29 - PROVIDENCE SPOKANE HEART INSTITUTE - 1600 E JEFFERSON STE 600 SEATTLE,WA98122	SPECIALTY CLINIC
30	30 - PROVIDENCE SPOKANE HEART INSTITUTE - 16528 E DESMET CT STE B3200 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
31	31 - PROVIDENCE SPOKANE HEART INSTITUTE - 212 E CENTRAL AVE STE 240 SPOKANE,WA992086597	SPECIALTY CLINIC
32	32 - PROVIDENCE SPOKANE HEART INSTITUTE - 2979 SQUALICUM PKWY STE 201 BELLINGHAM,WA98225	SPECIALTY CLINIC
33	33 - PROVIDENCE SPOKANE HEART INSTITUTE - 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA,WA98405	SPECIALTY CLINIC
34	34 - PROVIDENCE SPOKANE HEART INSTITUTE - 411 FORTUYN RD GRAND COULEE,WA991338718	SPECIALTY CLINIC
35	35 - PROVIDENCE SPOKANE HEART INSTITUTE - 62 W 7TH AVE STE 450 SPOKANE,WA992042321	SPECIALTY CLINIC
36	36 - PROVIDENCE SPOKANE HEART INSTITUTE - 714 W PINE ST NEWPORT,WA991569046	SPECIALTY CLINIC
37	37 - PROVIDENCE SPOKANE HEART INSTITUTE - CLARK 808 PORT DR CLARKSON,WA994036009	SPECIALTY CLINIC
38	38 - PROVIDENCE SPOKANE HEART INSTITUTE - 821 E BROADWAY AVE STE 5 MOSES LAKE,WA988375934	SPECIALTY CLINIC
39	39 - PROVIDENCE SPOKANE HEART INSTITUTE - 825 SE BISHOP BLVD STE 140 PULLMAN,WA991635517	SPECIALTY CLINIC
40	40 - PROVIDENCE SPOKANE HEART INSTITUTE - 905 E D ST DEER PARK,WA99006	SPECIALTY CLINIC
41	41 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE SPOKANE,WA99204	SPECIALTY CLINIC
42	42 - PMG NW WA - EASTSIDE INTERNAL MEDICINE CAR 12333 NE 130TH LN STE 210 KIRKLAND,WA980347467	SPECIALTY CLINIC
43	43 - PMG NW WA - CARDIOVASCULAR & THORACIC 1330 ROCKEFELLER AVE STE 400 EVERETT,WA982011676	SPECIALTY CLINIC
44	44 - PMG NW WA - SKAGIT REGIONAL CLINICS -CARDI 307 S 13TH ST STE 300 MOUNT VERNON,WA98274	SPECIALTY CLINIC
45	45 - PMG NW WA - CARDIOLOGY 4225 HOYT AVE STE A EVERETT,WA982032351	SPECIALTY CLINIC
46	46 - PMG NW WA - PMG NW WA ARLINGTON CARDIOLOGY 875 WESLEY ST STE 110 ARLINGTON,WA982231668	SPECIALTY CLINIC
47	47 - PMG EASTERN WA - CENTER FOR CONGENITAL HEA 101 W 8TH AVE STE 4300 SPOKANE,WA992042307	SPECIALTY CLINIC
48	48 - PMG EASTERN WA - CENTER FOR CONGENITAL HEA 1025 S 2ND AVE WALLA WALLA,WA993624116	SPECIALTY CLINIC
49	49 - PMG SW WA - CARDIOLOGY ASSOCIATES - CENTRA 1800 COOKS HILL RD STE K CENTRALIA,WA985319162	SPECIALTY CLINIC
50	50 - PMG SW WA - CARDIOLOGY ASSOCIATES - ABERDE 1921 SUMNER AVE ABERDEEN,WA985203606	SPECIALTY CLINIC
51	51 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 201 TAHOMA BLVD STE 204 YELM,WA985977735	SPECIALTY CLINIC
52	52 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 500 LILLY RD NE STE 100 OLYMPIA,WA985065195	SPECIALTY CLINIC
53	53 - PMG SW WA - CARDIOLOGY ASSOCIATES - SHELTO 929 MT VIEW DR STE 120 SHELTON,WA985844411	SPECIALTY CLINIC
54	54 - PMG SW WA - PROVIDENCE CARDIOLOGY ASSOCIAT 939 MT VIEW DR STE 120 SHELTON,WA985844411	SPECIALTY CLINIC
55	55 - PMG NW WA - DELTA REHABILITATION CENTER 1705 TERRACE AVE SNOHOMISH,WA982901914	SPECIALTY CLINIC
56	56 - PROVIDENCE REGIONAL MEDICAL CENTER EVERETT 2722 COLBY AVE STE 200 EVERETT,WA982013527	SPECIALTY CLINIC
57	57 - PMG SW WA - MDPP CENTRALIA INTERNAL MEDICI 1010 S SCHEUBER RD STE 3 CENTRALIA,WA985318892	SPECIALTY CLINIC
58	58 - PMG SW WA - MDPP WEST OLYMPIA FAMILY MEDIC 1620 COOPER POINT RD SW OLYMPIA,WA985025736	SPECIALTY CLINIC
59	59 - PMG SW WA - MDPP HAWKS PRARIE FAMILY MEDIC 2555 MARVIN RD NE LACEY,WA985163138	SPECIALTY CLINIC
60	60 - PMG SW WA - MDPP BOLDT DIABETES 4800 COLLEGE ST SE LACEY,WA985034389	SPECIALTY CLINIC
61	61 - PROVIDENCE IMAGING CENTER - EAGLE RIVER 17101 SNOWMOBILE LANE STE 101 EAGLE RIVER,AK995777043	SPECIALTY CLINIC
62	62 - PROVIDENCE IMAGING CENTER - ANCHORAGE 3340 PROVIDENCE DR STE 101 ANCHORAGE,AK995084691	SPECIALTY CLINIC
63	63 - PMG EASTERN WA - PROVIDENCE DIGESTIVE HEAL 105 W 8TH AVE STE 7050 SPOKANE,WA992042318	SPECIALTY CLINIC
64	64 - PMG EASTERN WA - ORTHOPEDICS DME 16528 DESMET CT SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
65	65 - PMG EASTERN WA - ORTHOPEDICS 212 E CENTRAL AVE STE 245 SPOKANE,WA992086289	SPECIALTY CLINIC
66	66 - PMG SE WA - EXPRESS CARE AT WALGREENS COLL 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE,WA99324	SPECIALTY CLINIC
67	67 - PMG SE WA - EXPRESS CARE AT WALGREENS WALL 508 N WILBUR AVE WALLA WALLA,WA993621549	SPECIALTY CLINIC
68	68 - PMG NW WA - EXPRESS CARE AT WALGREENS MUKI 10200 MUKILTEO SPEEDWAY MUKILTEO,WA98275	SPECIALTY CLINIC
69	69 - PMG NW WA - EXPRESS CARE AT WALGREENS MURP 13110 BOTHELL EVERETT HWY EVERETT,WA982087202	SPECIALTY CLINIC
70	70 - PMG NW WA - EXPRESS CARE AT WALGREENS CLEA 17432 STATE ROUTE 9 SUITE 201 SNOHOMISH,WA982968451	SPECIALTY CLINIC
71	71 - PMG NW WA - EXPRESS CARE AT WALGREENS BROA 2205 BROADWAY EVERETT,WA982012321	SPECIALTY CLINIC
72	72 - PMG NW WA - EXPRESS CARE AT WALGREENS LAKE 718 91ST AVE NE LAKE STEVENS,WA98258	SPECIALTY CLINIC
73	73 - PROVIDENCE EXPRESS CARE - PEARL 1025 NW 14TH AVE PORTLAND,OR97209	SPECIALTY CLINIC
74	74 - PROVIDENCE EXPRESS CARE - MURRAYHILL 14600 SW MURRAY SCHOOLS DR BEAVERTON,OR97007	SPECIALTY CLINIC
75	75 - PROVIDENCE EXPRESS CARE - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE,OR97267	SPECIALTY CLINIC
76	76 - PROVIDENCE EXPRESS CARE - GLISAN 17979 NE GLISAN ST GRESHAM,OR97030	SPECIALTY CLINIC
77	77 - PROVIDENCE EXPRESS CARE - FISHERS LANDING 1905 SE 164TN AVE VANCOUVER,WA98683	SPECIALTY CLINIC
78	78 - PROVIDENCE EXPRESS CARE - BETHANY 4816 NE BETHANY BLVD PORTLAND,OR97229	SPECIALTY CLINIC
79	79 - PROVIDENCE EXPRESS CARE - LOMBARD 5300 N LAMBARD ST STE 102 PORTLAND,OR97203	SPECIALTY CLINIC
80	80 - PROVIDENCE EXPRESS CARE - HILLSBORO 955 SE BASELINE ST HILLSBORO,OR97123	SPECIALTY CLINIC
81	81 - PMG EASTERN WA - EXPRESS CARE WALGREENS N 12312 E SPRAGUE AVE SPOKANE VALLEY,WA992160720	SPECIALTY CLINIC
82	82 - PMG EASTERN WA - EXPRESS CARE WALGREENS WA 12315 N DIVISION ST SPOKANE,WA992181951	SPECIALTY CLINIC
83	83 - PMG EASTERN WA - EXPRESS CARE AT WALGREENS 2923 E 29TH AVE SPOKANE,WA992234811	SPECIALTY CLINIC
84	84 - PMG EASTERN WA - EXPRESS CARE AT WALGREENS 9027 N INDIAN TRAIL RD SPOKANE,WA992089916	SPECIALTY CLINIC
85	85 - EXPRESS CARE WA PC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE,WA99224	SPECIALTY CLINIC
86	86 - EXPRESS CARE WA PC - RUBY 105 E MISSION AVE STE D SPOKANE,WA99202	SPECIALTY CLINIC
87	87 - EXPRESS CARE WA PC - LACEY 1350 MARVIN RD NE STE D LACEY,WA98516	SPECIALTY CLINIC
88	88 - EXPRESS CARE WA PC - RICHLAND DOWNTOWN 1601 GRORGE WASH WAY RICHLAND,WA99354	SPECIALTY CLINIC
89	89 - EXPRESS CARE WA PC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE,WA99324	SPECIALTY CLINIC
90	90 - EXPRESS CARE WA PC - EVERETT BROADWAY 2205 BROADWAY EVERETT,WA98201	SPECIALTY CLINIC
91	91 - EXPRESS CARE WA PC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND,WA99352	SPECIALTY CLINIC
92	92 - EXPRESS CARE WA PC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE,WA99223	SPECIALTY CLINIC
93	93 - EXPRESS CARE WA PC - MISSOULA SOUTHGATE 3624 BROOK ST STE 101 MISSOULA,MT598017338	SPECIALTY CLINIC
94	94 - EXPRESS CARE WA PC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK,WA99337	SPECIALTY CLINIC
95	95 - EXPRESS CARE WA PC - EASTGATE 508 N WILBUR AVE WALLA WALLA,WA99362	SPECIALTY CLINIC
96	96 - EXPRESS CARE WA PC - NORTH PASCO 5506 N ROAD 68 PASCO,WA99301	SPECIALTY CLINIC
97	97 - EXPRESS CARE WA PC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS,WA99258	SPECIALTY CLINIC
98	98 - EXPRESS CARE WA PC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE,WA99208	SPECIALTY CLINIC
99	99 - PROVIDENCE EXPRESS CARE - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY,OR97015	SPECIALTY CLINIC
100	100 - PROVIDENCE EXPRESS CARE - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO,OR97125	SPECIALTY CLINIC
101	101 - PROVIDENCE EXPRESS CARE - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY,OR97045	SPECIALTY CLINIC
102	102 - PROVIDENCE EXPRESS CARE - NEWBERG 1840 PORTLAND RD NEWBERG,OR97132	SPECIALTY CLINIC
103	103 - PROVIDENCE EXPRESS CARE - CRESTON 3822 SE POWELL BLVD PORTLAND,OR97202	SPECIALTY CLINIC
104	104 - PROVIDENCE EXPRESS CARE - INTERSTATE 4340 N INTERSTATE AVE PORTLAND,OR97217	SPECIALTY CLINIC
105	105 - PROVIDENCE EXPRESS CARE - KRUSE WAY 4823 MEADOWS DRSTE 127 LAKE OSWEGO,OR97035	SPECIALTY CLINIC
106	106 - PMG EASTERN WA - EXPRESS CARE AIRWAY HEIGH 10258 W SUNSET HWY SUITE 6 SPOKANE,WA99001	SPECIALTY CLINIC
107	107 - PMG NW WA - EVERETT REHAB AND CARE CENTER 1919 112TH ST SW EVERETT,WA98204	SPECIALTY CLINIC
108	108 - PMG NW WA - FOREST VIEW TRANSITIONAL HEALT 5129 HILLTOP RD EVERETT,WA982033163	SPECIALTY CLINIC
109	109 - PMG NW WA - BETHANY AT PACIFIC 916 PACIFIC AVE EVERETT,WA982014147	SPECIALTY CLINIC
110	110 - PMG SW WA - OLYMPIA TRANSITIONAL CARE AND 430 LILLY RD NE OLYMPIA,WA985065132	SPECIALTY CLINIC
111	111 - PMG SW WA - RIVERSIDE NURSING AND REHABILI 1305 ALEXANDER ST CENTRALIA,WA98531	SPECIALTY CLINIC
112	112 - PMG SW WA - THE HAMPTON ALZHEIMER'S SPECIA 1400 TROSPER RD SW TUMWATER,WA985128136	SPECIALTY CLINIC
113	113 - PMG SW WA - ROO LAN HEALTH AND REHAB 1505 CARPENTER RD SE LACEY,WA985035906	SPECIALTY CLINIC
114	114 - PMG SW WA - SHARON CARE CENTER 1509 HARRISON AVE CENTRALIA,WA985314568	SPECIALTY CLINIC
115	115 - PMG SW WA - REGENCY OLYMPIA REHABILITATION 1811 22ND AVE SE OLYMPIA,WA98501	SPECIALTY CLINIC
116	116 - PMG SW WA - ORCHARD POINTE 300 S KITSAP BLVD PORT ORCHARD,WA983663778	SPECIALTY CLINIC
117	117 - PMG SW WA - PUGET SOUND HEALTHCARE CENTER 4001 CAPITAL MALL DR SW OLYMPIA,WA985028657	SPECIALTY CLINIC
118	118 - PMG SW WA - MONTESANO HEALTH AND REHABILIT 800 N MEDCALF LN MONTESANO,WA98563	SPECIALTY CLINIC
119	119 - PMG SW WA - MALLARD LANDING ASSISTED LIVIN 813 SE CLARK AVE BATTLE GROUND,WA986048957	SPECIALTY CLINIC
120	120 - PMG SW WA - THE SEQUOIA ASSISTED LIVING CO 825 LILLY RD NE OLYMPIA,WA985066936	SPECIALTY CLINIC
121	121 - PMG SW WA - PRESTIGE POST-ACUTE AND REHAB 917 S SCHEUBER RD CENTRALIA,WA985319027	SPECIALTY CLINIC
122	122 - PMG ALASKA - TRANSITIONAL CARE CENTER 910 COMPASSION CIR ANCHORAGE,AK99504	SPECIALTY CLINIC
123	123 - PMG SW WA - PROVIDENCE MOTHER JOSEPH CARE 3333 ENSIGN RD NE OLYMPIA,WA98506	SPECIALTY CLINIC
124	124 - PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVE SPOKANE,WA992021201	SPECIALTY CLINIC
125	125 - PROVIDENCE MOTHER JOSEPH CARE CENTER 3333 ENSIGN RD NE OLYMPIA,WA985065012	SPECIALTY CLINIC
126	126 - PROVIDENCE MARIANWOOD 3725 PROVIDENCE POINT DR SE ISSAQUAH,WA980297219	SPECIALTY CLINIC
127	127 - PROVIDENCE TRANSITIONAL CARE CENTER 910 COMPASSION CIR ANCHORAGE,AK995041645	SPECIALTY CLINIC
128	128 - PROVIDENCE EXTENDED CARE 920 COMPASSION CIR ANCHORAGE,AK995044665	SPECIALTY CLINIC
129	129 - PMG SE WA - GASTROENTEROLOGY 1017 S 2ND AVESTE 3 SPOKANE,WA992247013	SPECIALTY CLINIC
130	130 - PMG ALASKA - GASTROENTEROLOGY CLINIC 3340 PROVIDENCE DR STE A567 ANCHORAGE,AK995084691	SPECIALTY CLINIC
131	131 - PMG ALASKA - PMGA PEDIATRIC GASTROENTEROLO 4001 DALE STREETSUITE B201 ANCHORAGE,AK99508	SPECIALTY CLINIC
132	132 - PMG EASTERN WA - GASTROENTEROLOGY PMP 16528 E DESMET CT STE A2200 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
133	133 - PMG EASTERN WA - GASTROENTEROLOGY 212 E CENTRAL AVE STE 245 SPOKANE,WA992086290	SPECIALTY CLINIC
134	134 - PMG EASTERN WA - GENETICS CLINIC 105 W 8TH AVE STE 454E SPOKANE,WA992042318	SPECIALTY CLINIC
135	135 - PMG NW WA - TRANSITIONAL CARE PACIFIC CAMP 916 PACIFIC AVE FLR 6 EVERETT,WA982014147	SPECIALTY CLINIC
136	136 - PMG NW WA - GYNECOLOGIC ONCOLOGY 1717 13TH ST STE 300 EVERETT,WA982011621	SPECIALTY CLINIC
137	137 - PMG EASTERN WA - PEDIATRIC HEMATOLOGY ONC 101 W 8TH AVE PSHMC FLR 3 SPOKANE,WA992042307	SPECIALTY CLINIC
138	138 - PMG SW WA - PROVIDENCE REGIONAL CANCER SYS 2015 COOKS HILL RD STE 200 CENTRALIA,WA985319074	SPECIALTY CLINIC
139	139 - PMG SW WA - PROVIDENCE REGIONAL CANCER CEN 2026 OLYMPIC HWY N STE 203 SHELTON,WA98584	SPECIALTY CLINIC
140	140 - PMG SW WA - PROVIDENCE REGIONAL CANCER SYS 954 ANDERSON RD ABERDEEN,WA98520	SPECIALTY CLINIC
141	141 - PROVIDENCE VISITING NURSES ASSOCIATION HOM 1000 N ARGONNE RD SPOKANE VALLEY,WA99212	HOME HEALTH
142	142 - PROVIDENCE IN HOME HEALTH AND HOSPICE - HO 4001 DALE ST STE 101 ANCHORAGE,AK995085444	HOME HEALTH
143	143 - PROVIDENCE HOSPICE OF SEATTLE 2811 S 102ND ST STE 220 TUKWILA,WA981681869	HOME HEALTH
144	144 - PROVIDENCE SOUNDHOMECARE AND HOSPICE - LEW 1010 S SCHEUBER ROAD CENTRALIA,WA98531	HOME HEALTH
145	145 - PROVIDENCE IN HOME HEALTH AND HOSPICE - HO 4001 DALE ST STE 101 ANCHORAGE,AK995085444	HOME HEALTH
146	146 - PROVIDENCE HOSPICE AND HOME CARE OF SNOHOM 1615 75TH STREET SW STE 210 EVERETT,WA982036293	HOME HEALTH
147	147 - PMG SW WA - PROVIDENCE CENTRALIA HOSPITAL 914 S SCHEUBER RD CENTRALIA,WA985319027	PRIMARY CARE
148	148 - PMG SW WA - HARBOR REGIONAL HEALTH COMMUNI 915 ANDERSON DR ABERDEEN,WA985201006	PRIMARY CARE
149	149 - PMG SW WA - PROVIDENCE HOSPITALISTS TEAM 413 LILLY RD NE OLYMPIA,WA985065133	PRIMARY CARE
150	150 - PMG SW WA - WEST OLYMPIA FAMILY MEDICINE A 1620 COOPER POINT RD SW OLYMPIA,WA985025736	URGENT CARE
151	151 - PMG NW WA - INFECTIOUS DISEASE 1330 ROCKEFELLER AVE STE 520 EVERETT,WA982011677	SPECIALTY CLINIC
152	152 - PMG EASTERN WA - INFECTIOUS DISEASE CLINIC 624 E FRONT AVE SPOKANE,WA992022139	SPECIALTY CLINIC
153	153 - PMG SW WA - OLYMPIA INFECTIOUS DISEASE CLI 3525 ENSIGN RD NE STE F OLYMPIA,WA985065065	SPECIALTY CLINIC
154	154 - PROVIDENCE INFUSION AND PHARMACY SERVICES 15918 E EUCLID AVE SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
155	155 - PROVIDENCE INFUSION AND PHARMACY SERVICES 3333 SOUTH 120TH PL STE 100 TUKWILA,WA981685134	SPECIALTY CLINIC
156	156 - PMG EASTERN WA - INTERNAL MEDICINE HOSPITA 105 W 8TH AVE STE 450E SPOKANE,WA992042302	PRIMARY CARE
157	157 - PMG EASTERN WA - INTERNAL MEDICINE KENDALL 546 N JEFFERSON LANE SPOKANE,WA99201	PRIMARY CARE
158	158 - PMG EASTERN WA - INTERNAL MEDICINE 820 S MCCLELLAN ST STE 200 SPOKANE,WA992042456	PRIMARY CARE
159	159 - PMG SW WA - CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3/4 CENTRALIA,WA985318892	PRIMARY CARE
160	160 - PMG NW WA - MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT,WA982080000	PRIMARY CARE
161	161 - PMG EASTERN WA - KIDNEY DIS AND HTN 105 W 8TH AVE STE 1000 SPOKANE,WA992042327	SPECIALTY CLINIC
162	162 - PMG EASTERN WA - SPECIALISTS KIDNEY CARE E 105 W 8TH AVE STE 7010 SPOKANE,WA992042327	SPECIALTY CLINIC
163	163 - PMG EASTERN WA - KIDNEY CARE AT PROVIDENCE 16528 E DESMET CT STE B2100 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
164	164 - PROVIDENCE IMAGING CENTER - MOBILE MAMMO U 3340 PROVIDENCE DR ANCHORAGE,AK995084691	SPECIALTY CLINIC
165	165 - PMG EASTERN WA - MULTIPLE SCLEROSIS CENTER 212 E CENTRAL AVE STE 440 SPOKANE,WA992086290	SPECIALTY CLINIC
166	166 - PMG SE WA - NEUROSCIENCE INSTITUTE 301 WEST POPLAR ST WALLA WALLA,WA993622800	SPECIALTY CLINIC
167	167 - PMG SE WA - NEUROLOGY AT KADLEC MEDICAL CE 888 SWIFT BLVD RICHLAND,WA993523514	SPECIALTY CLINIC
168	168 - PMG NW WA - NEUROSURGERY 1330 ROCKEFELLER AVE STE 220 EVERETT,WA982011678	SPECIALTY CLINIC
169	169 - PMG ALASKA - BRAIN INJURY SERVICES 2250 S WOODWORTH LOOP STE 202 PALMER,AK99645	SPECIALTY CLINIC
170	170 - PMG ALASKA - BRAIN INJURY SERVICES 3260 PROVIDENCE DR STE C537 ANCHORAGE,AK995084661	SPECIALTY CLINIC
171	171 - PMG ALASKA - PMGA PEDIATRIC NEURODEVELOPME 3340 PROVIDENCE DR STE A565 ANCHORAGE,AK99508	SPECIALTY CLINIC
172	172 - PMG EASTERN WA - CHILD NEUROLOGY AND DEVEL 101 W 8TH AVESTE 4200 SPOKANE,WA992042307	SPECIALTY CLINIC
173	173 - PMG EASTERN WA - NEUROLOGY NEUROSCIENCE 101 W 8TH AVESTE 7010 SPOKANE,WA99204	SPECIALTY CLINIC
174	174 - PMG EASTERN WA - EPILEPSY CENTER 105 W 8TH AVESTE 318-C SPOKANE,WA992042318	SPECIALTY CLINIC
175	175 - PMG EASTERN WA - INSA DOWNTOWN 105 W 8TH AVESTE 200 SPOKANE,WA992042318	SPECIALTY CLINIC
176	176 - PMG EASTERN WA - NEUROLOGY HOSPITALISTS 105 W 8TH AVESTE 318-C SPOKANE,WA992042318	SPECIALTY CLINIC
177	177 - PMG EASTERN WA - STROKE CVB DISORDER CLINI 105 W 8TH AVESTE 122C SPOKANE,WA992042302	SPECIALTY CLINIC
178	178 - PMG EASTERN WA - INLAND NEUROSURGERY AND S 1200 FAIRVIEW ST W COLFAX,WA99111	SPECIALTY CLINIC
179	179 - PMG EASTERN WA - INLAND NEUROSURGERY AND S 825 BISHOP BLVD SE140 P PULLMAN,WA991635517	SPECIALTY CLINIC
180	180 - PMG SW WA - PROVIDENCE NURO SURGERY 615 LILLY RD NE STE 220 OLYMPIA,WA985065179	SPECIALTY CLINIC
181	181 - PMG SW WA - PROVIDENCE OLYMPIA NEUROLOGY 525 LILLY RD NE STE 210 OLYMPIA,WA985065101	SPECIALTY CLINIC
182	182 - PMG NW WA - PMG NW WA PHYSIATRY AND SPORTS 916 PACIFIC AVE FL 2 EVERETT,WA98201	SPECIALTY CLINIC
183	183 - PMG EASTERN WA - OCCUPATIONAL MEDICINE NOR 235 E ROWAN AVE STE 202 SPOKANE,WA99207	SPECIALTY CLINIC
184	184 - PMG EASTERN WA - ORTHOPEDICS 100 3RD ST DAVENPORT,WA99122	SPECIALTY CLINIC
185	185 - PMG EASTERN WA - ORTHOPEDICS PMP 16528 E DESMET CT STE A2100 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
186	186 - PMG EASTERN WA - FERRY COUNTY CLINICORTHO 36 KLONDIKE RD REPUBLIC,WA991669701	SPECIALTY CLINIC
187	187 - PMG EASTERN WA - ORTHOPEDICS 714 W PINES NEWPORT,WA991569046	SPECIALTY CLINIC
188	188 - PMG EASTERN WA - ORTHOPEDICS 820 S MCCLELLAN ST STE 300 SPOKANE,WA992042450	SPECIALTY CLINIC
189	189 - PMG NW WA - EVERETT YMCA PT 4730 COLBY AVE STE 220 EVERETT,WA98203	SPECIALTY CLINIC
190	190 - PMG EASTERN WA - ST LUKES PHYSIATRY 715 S COWLEY ST STE 228 SPOKANE,WA992021383	SPECIALTY CLINIC
191	191 - PMG EASTERN WA - ST LUKES PHYSIATRY 715 S COWLEY ST STE 228 SPOKANE,WA992021383	SPECIALTY CLINIC
192	192 - PMG SW WA - PROVIDENCE CENTRALIA PHYSICAL 1900 COOKS HILL RD CENTRALIA,WA985319073	SPECIALTY CLINIC
193	193 - PROVIDENCE PHYSICAL THERAPY - PHYSICAL AND 1809 COOKS HILL RD CENTRALIA,WA985319072	SPECIALTY CLINIC
194	194 - PROVIDENCE PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA,WA985319073	SPECIALTY CLINIC
195	195 - PROVIDENCE PHYSICAL THERAPY 4833 TUMWATER VALLEY DR SE TUMWATER,WA985014583	SPECIALTY CLINIC
196	196 - PROVIDENCE PHYSICAL THERAPY 91 SW CHEHALIS AVE CHEHALIS,WA985321934	SPECIALTY CLINIC
197	197 - PMG EASTERN WA - SURGERY AND PROCEDURE CEN 16528 DESMET CT STE A2100 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
198	198 - PMG NW WA - MONROE CLINIC 19200 N KELSEY ST MONROE,WA982721431	SPECIALTY CLINIC
199	199 - PMG ALASKA - PEDIATRIC SUB-SPECIALTY - PUL 3200 PROVIDENCE DR STE D-338 ANCHORAGE,AK995084615	SPECIALTY CLINIC
200	200 - PMG ALASKA - PEDIATRIC SUB-SPECIALTY 3340 PROVIDENCE DR STE A351 ANCHORAGE,AK995084691	SPECIALTY CLINIC
201	201 - PMG EASTERN WA - PEDIATRIC ENDOCRINOLOGY D 101 W 8TH AVE STE L-1 100 SPOKANE,WA992042307	SPECIALTY CLINIC
202	202 - PMG EASTERN WA - PEDIATRIC HOSPITALISTS 101 W 8TH AVE PSHMC 3 NORTH SPOKANE,WA992042307	SPECIALTY CLINIC
203	203 - PMG EASTERN WA - PEDIATRIC DIGESTIVE HEALT 105 W 8TH AVE STE 7060 SPOKANE,WA992042302	SPECIALTY CLINIC
204	204 - PMG EASTERN WA - PEDIATRIC GASTROENTEROLOG 105 W 8TH AVE STE 7060 SPOKANE,WA992042327	SPECIALTY CLINIC
205	205 - PMG EASTERN WA - PEDIATRIC PULMONOLOGY AND 105 W 8TH AVE STE 660E SPOKANE,WA992042302	SPECIALTY CLINIC
206	206 - PMG EASTERN WA - PEDIATRICS NORTHPOINTE 1111 E WESTVIEW CT SUITE B SPOKANE,WA992181376	SPECIALTY CLINIC
207	207 - PMG EASTERN WA - GRAND RAPIDS 1402 S GRAND BLVD SPOKANE,WA992035001	SPECIALTY CLINIC
208	208 - PMG EASTERN WA - PROVIDENCE MEDICAL PARK P 16528 E DESMET CT STE B1000 SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
209	209 - PMG EASTERN WA - PEDIATRICS MANITO 1919 S GRAND BLVD SPOKANE,WA992032347	SPECIALTY CLINIC
210	210 - PMG EASTERN WA - PEDIATRICS LIBERTY LAKE 23813 E APPLE WAY AVE LIBERTY LAKE,WA99019	SPECIALTY CLINIC
211	211 - PMG EASTERN WA - PEDIATRICS 7221 W DESCHUTES AVE STE D KENNEWICK,WA993367807	SPECIALTY CLINIC
212	212 - PMG EASTERN WA - PEDIATRIC ASSOCIATES 9911 N NEVADA ST SPOKANE,WA992181298	SPECIALTY CLINIC
213	213 - PMG NW WA - PROVIDENCE MILL CREEK PEDIATRI 12800 BOTHELL-EVERETT HWY STE 190 EVERETT,WA98208	SPECIALTY CLINIC
214	214 - PMG ALASKA - MATERNAL FETAL MEDICINE 3260 PROVIDENCE DR STE C522 ANCHORAGE,AK995084661	SPECIALTY CLINIC
215	215 - PMG ALASKA - FETAL MEDICINE CLINIC 3831 PIPER ST STE SLL020 ANCHORAGE,AK99508	SPECIALTY CLINIC
216	216 - PMG EASTERN WA - HIGH RISK PREGNANCY CLINI 101 W 8TH AVE STE 1100 SPOKANE,WA992042307	SPECIALTY CLINIC
217	217 - PMG EASTERN WA - HIGH RISK PREGNANCY CLINI 980 IRONWOOD DR STE 360 COEUR D ALENE,ID83814	SPECIALTY CLINIC
218	218 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 5633 N LIDGERWOOD ST SPOKANE,WA992081224	SPECIALTY CLINIC
219	219 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 800 W 5TH AVE SPOKANE,WA992042803	SPECIALTY CLINIC
220	220 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 101 W 8TH AVE SPOKANE,WA992042307	SPECIALTY CLINIC
221	221 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE SPOKANE,WA992042352	SPECIALTY CLINIC
222	222 - PMG NW WA - EVERGREEN MEDICAL CENTER 12040 NE 128TH ST STE 100 KIRKLAND,WA980343013	SPECIALTY CLINIC
223	223 - PMG NW WA - SWEDISH EDMONDS MEDICAL CENTER 21601 76TH AVE W EDMONDS,WA980267507	SPECIALTY CLINIC
224	224 - PMG NW WA - SWEDISH MEDICAL CENTER FIRST H 747 BROADWAY SEATTLE,WA981224379	SPECIALTY CLINIC
225	225 - PMG ALASKA - FAMILY MEDICINE CENTER 1201 E 26TH AVE ANCHORAGE,AK99508	PRIMARY CARE
226	226 - PMG EASTERN WA - FAMILY PRACTICE CLINIC 100 W SOUTH AVE CHEWELAH,WA991099684	PRIMARY CARE
227	227 - PMG EASTERN WA - FAMILY MEDICINE NORTH PIN 1212 N PINES RD SPOKANE VALLEY,WA992064939	PRIMARY CARE
228	228 - PMG EASTERN WA - FAMILY MEDICINE AT PROVID 16528 E DESMET CT STE B2100 SPOKANE VALLEY,WA992163522	PRIMARY CARE
229	229 - PMG EASTERN WA - FAMILY PHYSICIANS PROVIDE 16528 E DESMET CT STE B3100 SPOKANE VALLEY,WA99216	PRIMARY CARE
230	230 - PMG EASTERN WA - PRIMARY CARE SOUTH 2020 E 29TH AVELOWR LEVEL SPOKANE,WA992033917	PRIMARY CARE
231	231 - PMG EASTERN WA - INDIAN TRAIL FAMILY MEDIC 5011 W LOWELL AVE SPOKANE,WA992088587	PRIMARY CARE
232	232 - PMG EASTERN WA - RESIDENCY FAMILY MEDICINE 624 E FRONT AVE SPOKANE,WA992022139	PRIMARY CARE
233	233 - PMG EASTERN WA - FAMILY MEDICINE 9911 N NEVADA ST SUITE 200 SPOKANE,WA99218	PRIMARY CARE
234	234 - PMG SW WA - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY,WA985163138	PRIMARY CARE
235	235 - PMG SW WA - PROVIDENCE MULTI SPECIALTY CLI 4800 COLLEGE ST SE LACEY,WA985034389	PRIMARY CARE
236	236 - PMG SW WA - EAST OLYMPIA PRIMARY CARE 525 LILLY RD NE STE 250 OLYMPIA,WA985065101	PRIMARY CARE
237	237 - PMG SW WA - CHEHALIS FAMILY MEDICINE AND R 931 S MARKET BLVD CHEHALIS,WA98532	PRIMARY CARE
238	238 - PMG SW WA - PROVIDENCE CARDIAC SURGERY 525 LILLY RD NE STE 200 OLYMPIA,WA985065101	PRIMARY CARE
239	239 - PMG SW WA - PROVIDENCE ST PETER FAMILY ME 525 LILLY RD NE OLYMPIA,WA985065101	PRIMARY CARE
240	240 - PROVIDENCE ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SWSTE A ROCHESTER,WA985799262	PRIMARY CARE
241	241 - PMG EASTERN WA - OUTPATIENT PSYCHOLOGY CLI 105 W 8TH AVE STE 418C SPOKANE,WA992042318	SPECIALTY CLINIC
242	242 - PROVIDENCE ST LUKES REHABILITATION MEDICAL 715 S COWLEY ST STE 306 SPOKANE,WA992021330	SPECIALTY CLINIC
243	243 - PMG SW WA - PROVIDENCE PULMONARY AND SLEEP 500 LILLY RD NE STE 204 OLYMPIA,WA985065197	SPECIALTY CLINIC
244	244 - PMG SE WA - IMAGING 401 WEST POPLAR ST WALLA WALLA,WA993622846	SPECIALTY CLINIC
245	245 - PMG SE WA - RADIATION 401 WEST POPLAR ST WALLA WALLA,WA993622846	SPECIALTY CLINIC
246	246 - PMG NORTH WEST WASHINGTON AT MILL CREEK CO 16708 BOTHELL-EVERETT HWY MILL CREEK,WA98012	SPECIALTY CLINIC
247	247 - PROVIDENCE DIAGNOSTIC IMAGING LACEY 4800 COLLEGE ST SE STE E LACEY,WA985034389	SPECIALTY CLINIC
248	248 - PROVIDENCE RADIANT CARE ABERDEEN 1200 BASICH BLVD ABERDEEN,WA985201035	SPECIALTY CLINIC
249	249 - PMG EASTERN WA - PROVIDENCE PULMONARY & SL 105 W 8TH AVE STE 512C SPOKANE,WA992042318	SPECIALTY CLINIC
250	250 - PMG EASTERN WA - PULMONARY AND SLEEP DISOR 9631 N NEVADA ST STE 300 SPOKANE,WA992181193	SPECIALTY CLINIC
251	251 - PMG NW WA - PROVIDENCE SURGERY CENTER PACI 916 PACIFIC AVE STE 110 EVERETT,WA982014147	SPECIALTY CLINIC
252	252 - PMG NW WA - SURGICAL CENTER 3025 RUCKER AVE EVERETT,WA982013931	SPECIALTY CLINIC
253	253 - PMG EASTERN WA - GYNECOLOGIC ROBOTIC SURGE 101 W 8TH AVE STE 1300 SPOKANE,WA992042307	SPECIALTY CLINIC
254	254 - PMG EASTERN WA - RECONSTRUCTIVE SURGERY 820 S MCCLELLAN ST STE 118 SPOKANE,WA992042446	SPECIALTY CLINIC
255	255 - PMG SW WA - PROVIDENCE VASCULAR SURGERY (O 128 LILLY RD NESTE 205 OLYMPIA,WA985067400	SPECIALTY CLINIC
256	256 - PMG SW WA - PROVIDENCE CENTRALIA GENERAL S 1720 COOKS HILL RD CENTRALIA,WA985319071	SPECIALTY CLINIC
257	257 - PMG NW WA - PPG MONROE WALK IN 14692 179TH AVE SE STE 500 MONROE,WA982721162	URGENT CARE
258	258 - PMG EASTERN WA - URGENT CARE PMP 16528 E DESMET CT SPOKANE VALLEY,WA992163522	URGENT CARE
259	259 - PMG EASTERN WA - SOUTH URGENT CARE 421 S DIVISION ST SPOKANE,WA992021331	URGENT CARE
260	260 - PMG EASTERN WA - URGENT CARE HAWTHORNE 551 E HAWTHORNE RD SPOKANE,WA992181417	URGENT CARE
261	261 - PMG NW WA - WOMENS SERVICES 16708 BOTHELL EVERETT HWY STE 201 MILL CREEK,WA98012	SPECIALTY CLINIC
262	262 - PMG NW WA - PAVILION FOR WOMEN & CHILDREN 900 PACIFIC AVE STE 501 EVERETT,WA982014189	SPECIALTY CLINIC
263	263 - PMG EASTERN WA - FATHER MALNAR MATERNITY C 101 W 8TH AVE STE 1300 SPOKANE,WA992042307	SPECIALTY CLINIC
264	264 - PMG EASTERN WA - GYNECOLOGIC ONCOLOGY CLIN 101 W 8TH AVE STE 1400 SPOKANE,WA992042307	SPECIALTY CLINIC
265	265 - PMG EASTERN WA - OB HOSPITALISTS 101 W 8TH AVE STE 1100 SPOKANE,WA992042307	SPECIALTY CLINIC
266	266 - PMG SW WA - PROVIDENCE CENTRALIA WOMEN'S C 1000 S SCHEUBER RD CENTRALIA,WA985318877	SPECIALTY CLINIC
267	267 - PMG SW WA - PROVIDENCE WOMENS HEALTH SERVI 3425 ENSIGN RD NE STE 220 OLYMPIA,WA985065063	SPECIALTY CLINIC
268	268 - PMG NW WA - WOUND HEALING AND HYPERBARIC M 1330 ROCKEFELLER AVE STE 540 EVERETT,WA982011677	SPECIALTY CLINIC
269	269 - PROVIDENCE EMILLIE COURT ASSISTED LIVING 34 E 8TH AVE SPOKANE,WA992027210	SENIOR CARE
270	270 - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE,WA98126	SENIOR CARE
271	271 - PROVIDENCE CHINIAK BAY ELDER HOUSE 1915 E REZANOF DRIVE KODIAK ISLAND,AK99615	SENIOR CARE
272	272 - PROVIDENCE HORIZON HOUSE ANCHORAGE 3760 PIPER ST SUITE 1061 ANCHORAGE,AK98508	SENIOR CARE
273	273 - PMG SE WA - SACRED HEART MC 101 WEST 8TH AVE STE 4200 SPOKANE,WA992042307	SPECIALTY CLINIC
274	274 - PROVIDENCE HEALTH AND SERVICES - WASHINGTO 1017 S 2ND AVE STE 2 WALLA WALLA,WA993624183	SPECIALTY CLINIC
275	275 - PROVIDENCE HEALTH AND SERVICES - WASHINGTO 1017 S 2ND AVE STE 2 WALLA WALLA,WA993624183	SPECIALTY CLINIC
276	276 - PMG SE WA - 1018 WHITMAN ST WALLA WALLA,WA993623400	SPECIALTY CLINIC
277	277 - PMG SE WA - WA STATE PENITENTIARY 1313 NORTH 13TH AVE WALLA WALLA,WA993628817	SPECIALTY CLINIC
278	278 - PMG SE WA - 1460 DALLES MILITARY RD WALLA WALLA,WA993629551	SPECIALTY CLINIC
279	279 - PMG SE WA - PARK MANOR REHABILITATION CENT 1710 PLAZA WAY WALLA WALLA,WA993624362	SPECIALTY CLINIC
280	280 - PMG SE WA - EAGLE SPRINGS MEMORY CARE 20 SE LARCH AVE COLLEGE PLACE,WA993241199	SPECIALTY CLINIC
281	281 - PMG SE WA - VALLEY RESIDENTIAL SERVICES 240 BUSH ST WALLA WALLA,WA993622618	SPECIALTY CLINIC
282	282 - PMG SE WA - POPLAR MEDICAL 301 WEST POPLAR ST WALLA WALLA,WA993622858	SPECIALTY CLINIC
283	283 - PMG SE WA - QUALICENTER OF WALLA WALLA 301 WEST POPLAR ST WALLA WALLA,WA993622800	SPECIALTY CLINIC
284	284 - PMG SE WA - ER PHYSICIANS 401 WEST POPLAR ST WALLA WALLA,WA993622846	SPECIALTY CLINIC
285	285 - PMG SE WA - REGENCY AT THE PARK 420 SE MYRA RD COLLEGE PLACE,WA993241796	SPECIALTY CLINIC
286	286 - PMG SE WA - EAGLE MEADOWS 550 EAST WHITMAN DR COLLEGE PLACE,WA993242121	SPECIALTY CLINIC
287	287 - PMG SE WA - SWEDISH MEDICAL CENTER 747 BROADWAY SEATTLE,WA981224379	SPECIALTY CLINIC
288	288 - PROVIDENCE HEALTH AND SERVICES WASHINGTON 500 W BROADWAY ST MISSOULA,MT598024008	SPECIALTY CLINIC
289	289 - PROVIDENCE SPOKANE HEART INSTITUTE - 500 W BROADWAY ST MISSOULA,MT598024008	SPECIALTY CLINIC
290	290 - PROVIDENCE SPOKANE HEART INSTITUTE - 606 N 3RD AVESTE 101 SANDPOINT,ID838641594	SPECIALTY CLINIC
291	291 - PROVIDENCE SPOKANE HEART INSTITUTE - 607 W MAIN ST GRANGEVILLE,ID83530	SPECIALTY CLINIC
292	292 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 105 W 8TH AVE STE 1000 PROVIDENCE KIDNEY SPOKANE,WA992042327	SPECIALTY CLINIC
293	293 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE STE 232 SPOKANE,WA992042354	SPECIALTY CLINIC
294	294 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 122 W 7TH AVE STE 110 SPOKANE,WA99204	SPECIALTY CLINIC
295	295 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 2979 SQUALICUM PKWY STE 201 BELLINGHAM,WA982251813	SPECIALTY CLINIC
296	296 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405	SPECIALTY CLINIC
297	297 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 500 17TH AVE SEATTLE,WA98122	SPECIALTY CLINIC
298	298 - PROVIDENCE HEART AND LUNG SURGICAL ASSOCIA 5633 N LIDGERWOOD STPROVIDENCE HOLY FAMILY SPOKANE,WA992081224	SPECIALTY CLINIC
299	299 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 110 SPOKANE,WA99204	SPECIALTY CLINIC
300	300 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 232 SPOKANE,WA99204	SPECIALTY CLINIC
301	301 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 62 W 7TH AVE STE 110 SPOKANE,WA98024	SPECIALTY CLINIC
302	302 - PROVIDENCE NW HEART AND LUNG SURGICAL ASSO 711 S COWLEY ST SPOKANE,WA99202	SPECIALTY CLINIC
303	303 - PMG NW WA - MARYSVILLE CLINIC 11603 STATE AVE STE G MARYSVILLE,WA98271	SPECIALTY CLINIC
304	304 - PMG NW WA - SILVERLAKE CARDIOLOGY 12728 19TH AVE SE STE 200 EVERETT,WA982086526	SPECIALTY CLINIC
305	305 - PMG NW WA - VEIN CENTER 12800 BOTHELL EVERETT HWY STE 270 EVERETT,WA982086644	SPECIALTY CLINIC
306	306 - PMG NW WA - EVERETT DEXA SCAN 1330 ROCKEFELLER AVE STE 230 EVERETT,WA982011676	SPECIALTY CLINIC
307	307 - PMG NW WA - EVERETT INTERNAL MEDICINE 1330 ROCKEFELLER AVE STE 210 EVERETT,WA982011676	SPECIALTY CLINIC
308	308 - PMG NW WA - GENERAL SURGERY CLINIC 1330 ROCKEFELLER AVE STE 310 EVERETT,WA982011677	SPECIALTY CLINIC
309	309 - PMG NW WA - SKAGIT REGIONAL CLINICS - INTE 1415 E KINCAID ST MOUNT VERNON,WA982744126	SPECIALTY CLINIC
310	310 - PMG NW WA - 14841 179TH AVE SE STE 210 MONROE,WA982721127	SPECIALTY CLINIC
311	311 - PMG NW WA - 1700 13TH ST EVERETT,WA982011689	SPECIALTY CLINIC
312	312 - PMG NW WA - CRANIAL SPINE & JOINT CLINIC 1717 13TH ST STE 401 EVERETT,WA982011621	SPECIALTY CLINIC
313	313 - PMG NW WA - SNOHOMISH CLINIC 1830 BICKFORD AVE STE 211 SNOHOMISH,WA98290	SPECIALTY CLINIC
314	314 - PMG NW WA - CANYON PARK CARDIOLOGY 1909 214TH ST SE STE 211 BOTHELL,WA980214418	SPECIALTY CLINIC
315	315 - PMG NW WA - ST JUDE ADULT HOME CARE 20704 WOODS CREEK RD MONROE,WA982729668	SPECIALTY CLINIC
316	316 - PMG NW WA - EDMONDS UROLOGY 21822 76TH AVE W EDMONDS,WA980267900	SPECIALTY CLINIC
317	317 - PMG NW WA - BETHANY AT SILVERLAKE 2235 LAKE HEIGHTS DR EVERETT,WA982086030	SPECIALTY CLINIC
318	318 - PMG NW WA - LYNNWOOD CLINIC 2902 164TH ST SW STE E1 LYNNWOOD,WA98087	SPECIALTY CLINIC
319	319 - PMG NW WA - SPORTS ORTHOPEDIC AND HAND 3726 BROADWAYSTE 201 EVERETT,WA982013788	SPECIALTY CLINIC
320	320 - PMG NW WA - HARBOUR POINT WALK IN 4112 HARBOUR POINT BLVD SW STE 100 MUKILTEO,WA982755457	SPECIALTY CLINIC
321	321 - PMG NW WA - MARYSVILLE FAMILY MEDICINE 4404 80TH ST NE MARYSVILLE,WA982703427	SPECIALTY CLINIC
322	322 - PMG NW WA - SWEDISH MEDICAL CENTER CHERRY 500 17TH AVE SEATTLE,WA981225711	SPECIALTY CLINIC
323	323 - PMG NW WA - PROVIDENCE SAINT JOSEPH MED CE 501 S BUENA VISTA ST BURBANK,CA915054809	SPECIALTY CLINIC
324	324 - PMG ALASKA - PMG PRIMARY CARE HUFFMAN 1389 HUFFMAN PARK DR STE 202 ANCHORAGE,AK99515	SPECIALTY CLINIC
325	325 - PMG ALASKA 3220 PROVIDENCE DR STE E3-040 ANCHORAGE,AK995084679	SPECIALTY CLINIC
326	326 - PMG ALASKA - PMG PRIMARY CARE C436 3260 PROVIDENCE DR STE C436 ANCHORAGE,AK995084661	SPECIALTY CLINIC
327	327 - PMG ALASKA - PALLIATIVE CARE CLINIC 3300 PROVIDENCE DR STE B104 ANCHORAGE,AK99508	SPECIALTY CLINIC
328	328 - PMG ALASKA - PMG PRIMARY CARE B314 3300 PROVIDENCE DR STE B314 ANCHORAGE,AK995084690	SPECIALTY CLINIC
329	329 - PMG ALASKA - PMG MOBILE THERAPIES 3300 PROVIDENCE DRIVE SUITE B302 ANCHORAGE,AK99508	SPECIALTY CLINIC
330	330 - PMG ALASKA - PMGA ADULT PULMONOLOGY & SLEE 3340 PROVIDENCE DR STE A370 ANCHOARGE,AK99508	SPECIALTY CLINIC
331	331 - PMG ALASKA - EXTENDED CARE 920 COMPASSION CIR ANCHORAGE,AK995041645	SPECIALTY CLINIC
332	332 - PROVIDENCE ST PETER HOSPITAL - PALLIATIVE 3525 ENSIGN RD NE STE F OLYMPIA,WA985065065	SPECIALTY CLINIC
333	333 - PMG EASTERN WA - PEDIATRIC UROLOGY 101 W 8TH AVE STE 100 SPOKANE,WA99204	SPECIALTY CLINIC
334	334 - PMG EASTERN WA - INLAND VASCULAR INST 122 7TH AVE STE 420 SPOKANE,WA992042330	SPECIALTY CLINIC
335	335 - PMG EASTERN WA - 1300 E MULLAN AVE STE 900 POST FALLS,ID83854	SPECIALTY CLINIC
336	336 - PMG EASTERN WA - VALLEY YOUNG PEOPLE'S CLI 1414 N VERCLER RD STE 1 SPOKANE VALLEY,WA992161092	SPECIALTY CLINIC
337	337 - PMG EASTERN WA - GARDEN HOMES CLINIC 143 GARDEN HOMES DR COLVILLE,WA991149229	SPECIALTY CLINIC
338	338 - PMG EASTERN WA - VEIN CENTER PROVIDENCE ME 16528 E DESMET CT SPOKANE VALLEY,WA992163522	SPECIALTY CLINIC
339	339 - PMG EASTERN WA - 212 E CENTRAL AVE STE 440 SPOKANE,WA992086290	SPECIALTY CLINIC
340	340 - PMG EASTERN WA - INLAND VASCULAR INSTITUTE 212 E CENTRAL AVE SPOKANE,WA992086291	SPECIALTY CLINIC
341	341 - PMG EASTERN WA - 212 RODEO DR MOSCOW,ID838439798	SPECIALTY CLINIC
342	342 - PMG EASTERN WA - HOLY FAMILY PARTIAL HOSPI 235 E ROWAN AVE STE 107 SPOKANE,WA992071240	SPECIALTY CLINIC
343	343 - PMG EASTERN WA - 301 CEDAR ST OROFINO,ID83544	SPECIALTY CLINIC
344	344 - PMG EASTERN WA - HOUSE OF CHARITY 32 W 2ND AVE SPOKANE,WA99201	SPECIALTY CLINIC
345	345 - PMG EASTERN WA - 415 6TH ST LEWISTON,ID93501	SPECIALTY CLINIC
346	346 - PMG EASTERN WA - 520 N THIRD AVE SANDPOINT,ID838641507	SPECIALTY CLINIC
347	347 - PMG EASTERN WA - INLAND VASCULAR INSTITUTE 62 W 7TH AVE STE 420 SPOKANE,WA992042330	SPECIALTY CLINIC
348	348 - PMG EASTERN WA - 700 S MAIN ST MOSCOW,ID83843	SPECIALTY CLINIC
349	349 - PMG EASTERN WA - 701 LEWISTON ST COTTONWOOD,ID83522	SPECIALTY CLINIC
350	350 - PMG SW WA - CLINIC AT PANORAMA 1450 NORTHWEST LN SE STE A LACEY,WA985036908	SPECIALTY CLINIC
351	351 - PMG SW WA - PROVIDENCE UROLOGY OLYMPIA 149 LILLY RD NE OLYMPIA,WA985065028	SPECIALTY CLINIC
352	352 - PMG SW WA - PANORAMA CONVALESCENT AND REHA 1600 SLEATER KINNEY RD SE LACEY,WA985032500	SPECIALTY CLINIC
353	353 - PROVIDENCE KODIAK MENTAL HEALTH CENTER 717 E REZANOF DR KODIAK,AK99615	SPECIALTY CLINIC
354	354 - PMG SE WA - DAYTON GENERAL HOSPITAL 1012 SOUTH 3RD ST DAYTON,WA98328	SPECIALTY CLINIC
355	355 - PMG SE WA - WALLA WALLA GENERAL HOSPITAL 1025 SOUTH 2ND AVE WALLA WALLA,WA993624116	SPECIALTY CLINIC
356	356 - PMG SE WA - WHEATLAND VILLAGE ASSISTED LIV 1500 CATHERINE ST WALLA WALLA,WA993624166	SPECIALTY CLINIC
357	357 - PMG SE WA - PENDLETON 1601 SE COURT AVE PENDLETON,OR97801	SPECIALTY CLINIC
358	358 - PMG SE WA - COUNTRY LANE ADULT CARE ADULT 1840 GRAY LYNN DR WALLA WALLA,WA993629247	SPECIALTY CLINIC
359	359 - PMG SE WA - CHASE MEDICAL 380 CHASE AVE WALLA WALLA,WA993622924	SPECIALTY CLINIC
360	360 - PMG SE WA - ST MARY MEDICAL CENTER 401 WEST POPLAR ST WALLA WALLA,WA993622846	SPECIALTY CLINIC
361	361 - PMG SE WA - WA ODD FELLOWS HOME 534 BOYER AVE WALLA WALLA,WA993622047	SPECIALTY CLINIC
362	362 - PMG SE WA - GOOD SHEPARD MEDICAL CENTER 610 NORTHWEST 11TH ST HERMISTON,OR97838	SPECIALTY CLINIC
363	363 - PMG SE WA - WALLA WALLA VETERANS ADMINISTR 77 WAINWRIGHT DR WALLA WALLA,WA993623975	SPECIALTY CLINIC
364	364 - PMG NW WA - EMERITUS AT SILVER LAKE 12806 BOTHELL EVERETT HWY EVERETT,WA982086692	SPECIALTY CLINIC
365	365 - PMG NW WA - REGIONAL MEDICAL CENTER 1321 COLBY AVE EVERETT,WA982011665	SPECIALTY CLINIC
366	366 - PMG NW WA - REGENCY CARE CENTER AT MONROE 1355 W MAIN ST MONROE,WA982722022	SPECIALTY CLINIC
367	367 - PMG NW WA - CRANIAL SPINE & JOINT CLINIC 14692 179TH AVE SE STE 100 MONROE,WA98272	SPECIALTY CLINIC
368	368 - PMG NW WA - ALIVE INN 14764 179TH AVE SE MONROE,WA98272	SPECIALTY CLINIC
369	369 - PMG NW WA - MERRILL GARDENS AT MONROE 15465 179TH AVE SE MONROE,WA982721728	SPECIALTY CLINIC
370	370 - PMG NW WA - BETHANY AT SILVER CREST 2131 LAKE HEIGHTS DR EVERETT,WA982088315	SPECIALTY CLINIC
371	371 - PMG NW WA - SUNRISE VIEW CONVALESCENT CENT 2520 MADISON ST EVERETT,WA982034868	SPECIALTY CLINIC
372	372 - PMG NW WA - CASCADE VALLEY HOSPITAL 330 S STILLAGUAMISH AVE ARLINGTON,WA98223	SPECIALTY CLINIC
373	373 - PMG NW WA - MERRY HAVEN CARE CENTER 402 AVE E SNOHOMISH,WA982902720	SPECIALTY CLINIC
374	374 - PMG NW WA - HOSPICE OF SEATTLE 425 PONTIUS AVE N STE 300 SEATTLE,WA981095450	SPECIALTY CLINIC
375	375 - PMG NW WA - EMERALD HILLS HEALTHCARE CENTE 5821 188TH ST SW LYNNWOOD,WA98037	SPECIALTY CLINIC
376	376 - PMG NW WA - MADELEINE VILLA HEALTHCARE CEN 5925 47TH AVE NE MARYSVILLE,WA98270	SPECIALTY CLINIC
377	377 - PMG ALASKA AT PROVIDENCE ALASKA MEDICAL CE 3200 PROVIDENCE DR ANCHORAGE,AK995084615	SPECIALTY CLINIC
378	378 - PMG NW WA - N EVERETT UROLOGY 4310 COLBY AVE STE 203 EVERETT,WA982032338	SPECIALTY CLINIC
379	379 - PMG NW WA - CRANIAL SPINE AND JOINT ON SW 550 17TH AVE SEATTLE,WA981225788	SPECIALTY CLINIC
380	380 - PMG ALASKA AT PROVIDENCE KODIAK ISLAND MED 1915 E REZANOF DR KODIAK,AK996156602	SPECIALTY CLINIC
381	381 - PMG ALASKA AT PROVIDENCE SEWARD MEDICAL CE 417 1ST AVE SEWARD,AK99664	SPECIALTY CLINIC
382	382 - PMG ALASKA AT PROVIDENCE VALDEZ MEDICAL CE 911 MEALS AVE VALDEZ,AK99686	SPECIALTY CLINIC
383	383 - PMG EASTERN WA AT PROVIDENCE SACRED HEART 101 W 8TH AVE SPOKANE,WA992042307	SPECIALTY CLINIC
384	384 - PMG EASTERN WA AT PROVIDENCE ST JOSEPH CAR 17 E 8TH AVE SPOKANE,WA99202	SPECIALTY CLINIC
385	385 - PMG EASTERN WA AT PROVIDENCE ST JOSEPHS HO 500 E WEBSTER AVE CHEWELAH,WA991099523	SPECIALTY CLINIC
386	386 - PMG EASTERN WA AT ST PATRICK HOSPITAL 500 W BROADWAY ST MISSOULA,MT598024008	SPECIALTY CLINIC
387	387 - PMG EASTERN WA AT PROVIDENCE HOLY FAMILY H 5633 N LIDGERWOOD ST SPOKANE,WA99208	SPECIALTY CLINIC
388	388 - PMG EASTERN WA AT MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE,WA991143316	SPECIALTY CLINIC
389	389 - PMG EASTERN WA AT PROVIDENCE MOUNT CARMEL 982 E COLUMBIA AVE COLVILLE,WA991143316	SPECIALTY CLINIC
390	390 - PROVIDENCE HOSPICE AND HOME CARE OF SNOHOM 1700 13TH ST EVERETT,WA982011689	HOME HEALTH
391	391 - PMG EASTERN WA - PMG LAB NORTH PINES 1212 N PINES RD SPOKANE,WA99206	SPECIALTY CLINIC
392	392 - PMG EASTERN WA - PMG LAB PMP 16528 DESMET CT STE B1400 SPOKANE VALLEY,WA99216	SPECIALTY CLINIC
393	393 - PMG EASTERN WA - LAB SOUTH 29TH 2020 E 29THLOWER LEVEL SPOKANE,WA99203	SPECIALTY CLINIC
394	394 - PMG EASTERN WA - PMG LAB HOUSE OF CHARITY 32 W 2ND AVE SPOKANE,WA99201	SPECIALTY CLINIC
395	395 - PMG EASTERN WA - PMG LAB SOUTH DIVISION 421 S DIVISION ST SPOKANE,WA99202	SPECIALTY CLINIC
396	396 - PMG EASTERN WA - PMG LAB - KENDALL YARDS 546 N JEFFERSON LANE SPOKANE,WA99201	SPECIALTY CLINIC
397	397 - PMG EASTERN WA - PMG LAB HAWTHORNE 551 E HAWTHORNE RD SPOKANE,WA99218	SPECIALTY CLINIC
398	398 - PMG EASTERN WA - PMG LAB STHC 624 E FRONT AVE SPOKANE,WA99202	SPECIALTY CLINIC
399	399 - PMG EASTERN WA - PMG LAB - MCB 820 S MCCLELLAN ST STE LL12 SPOKANE,WA992042457	SPECIALTY CLINIC
400	400 - PMG EASTERN WA - PMG LAB ROWAN 9631 N NEVADA ST STE 300 SPOKANE,WA99218	SPECIALTY CLINIC
401	401 - PMG EASTERN WA - PMG LAB NORTHPOINT 9911 N NEVADA ST STE 200 SPOKANE,WA99218	SPECIALTY CLINIC
402	402 - PROVIDENCE ELDERPLACE - HERITAGE HOUSE 1533 WESTERN AVE SEATTLE,WA98101	SPECIALTY CLINIC
403	403 - PROVIDENCE ELDERPLACE - SEATTLE 4515 MARTIN LUTHER KING JR WAY S STE 100 SEATTLE,WA98108	SPECIALTY CLINIC
404	404 - PROVIDENCE ELDERPLACE - WEST SEATTLE 4831 35TH AVE SW SEATTLE,WA98126	SPECIALTY CLINIC
405	405 - PROVIDENCE ELDERPLACE - NORTHAVEN 531 NE 112TH ST SEATTLE,WA98125	SPECIALTY CLINIC
406	406 - PROVIDENCE ELDERPLACE - FULL LIFE 7829 S 180TH ST KENT,WA98032	SPECIALTY CLINIC
407	407 - PROVIDENCE ELDERPLACE - REDMOND 8632 160TH AVE NE REDMOND,WA98052	SPECIALTY CLINIC
408	408 - PMG EASTERN WA - COLVILLE RURAL HEALTH CLI 1200 E COLUMBIA AVE COLVILLE,WA991143354	SPECIALTY CLINIC
409	409 - PMG EASTERN WA - KETTLE FALLS CLINIC 840 S MEYERS ST KETTLE FALLS,WA99141	SPECIALTY CLINIC

Schedule H (Form 990) 2021

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 A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE AND SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:- PROVIDENCE LIVEWELL LOCAL - CONNECTS PEOPLE WITH A CLEARINGHOUSE THAT MAKES IT EASIER TO FIND AND ACCESS HEALTH AND WELL-BEING INFORMATION AND TOOLS AND CONNECT WITH THE COMMUNITY ASSETS THROUGHOUT THE COUNTY THAT SUPPORT HEALTH AND HEALING. - PROVIDENCE HEALTH AND WELL-BEING MONITOR PROVIDENCE PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL DETERMINATES OF HEALTH ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS. - PROVIDENCE TOTAL HEALTH A SCREENING TOOL USED IN A PRIMARY CARE CLINIC TO SCREEN FOR SOCIAL DETERMINANT NEEDS AND REFERRING THOSE PERSONS IDENTIFIED AS HAVING AN UNMET NEED TO COMMUNITY SERVICES.- PROVIDENCE EDGE OF AMAZING ANNUAL COMMUNITY HEALTH SUMMIT THAT BRINGS TOGETHER PEOPLE FROM ORGANIZATIONS THAT ARE COMMITTED TO IMPROVING COMMUNITY HEALTH AND EQUITY. PARTICIPANTS OF THE SUMMIT SHARE PROJECTS AND GOALS TO HELP CREATE COLLABORATIVE PARTNERSHIPS THAT WILL INCREASE IMPACT AND EFFICIENCIES OF COMMUNITY BUILDING ACTIVITIES. - PROVIDENCE HEALTH EDUCATION PROMOTION COLLECTIVELY WITH OUR COMMUNITY PARTNERS, WE PROMOTE AWARENESS OF KEY PRIORITY PUBLIC HEALTH, HEALTH EDUCATION, AND PREVENTION MESSAGES FOR OUR COMMUNITIES. CLASSES, SUPPORT GROUPS, AND EDUCATIONAL EVENTS ARE HELD IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. TOPICS ARE TAILORED TO THE AUDIENCE AND COVER A WIDE VARIETY OF HEALTH AND WELL-BEING AREAS.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-TRI COUNTY ECONOMIC DEVELOPMENT DISTRICTWE ARE ALSO MEMBERS OF MANY BOARDS IN THE COMMUNITY INCLUDING:-COLVILLE CHAMBER OF COMMERCEPROVIDENCE SACRED HEART, CHILDREN'S HOSPITAL, HOLY FAMILY AND ST. LUKE'S REHABILITATION INSTITUTE ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN BRAIN TUMOR ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-CANCER PATIENT CARE-CATHOLIC CHARITIES-HOPE HOUSE-INLAND NW BLOOD CENTER-MARCH OF DIMES-SPECIAL OLYMPICS-SPOKANE REGIONAL LAW AND JUSTICE COUNCIL-WOMEN HELPING WOMEN-YWCAPROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. PROVIDENCE MEDICAL GROUP PHYSICIANS OFFER FREE SPORTS PHYSICALS TO WALLA WALLA STUDENTS GRADES 6-11 IN COORDINATION WITH WALLA WALLA PUBLIC SCHOOLS, PROVIDENCE ST. MARY REHABILITATION AND PROVIDENCE ST. MARY FOUNDATION.A PROVIDENCE MEDICAL GROUP PRACTICE MANAGER CONTRIBUTES TIME TO THE SOS HEALTH SERVICES BOARD, WHICH SERVES ALL PEOPLE IN THE WALLA WALLA VALLEY, PARTICULARLY THOSE WITHOUT INSURANCE COVERAGE, AND REGARDLESS OF IMMIGRATION STATUS. THE PRACTICE MANAGER ALSO PROVIDES MENTORSHIP TO THE CLINIC'S COORDINATOR. A PROVIDENCE ST. MARY PHYSICIAN ALSO VOLUNTEERS AT THE SOS CLINIC.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09 AS DESCRIBED IN NOTE 1, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY.
PART VI, LINE 2:	NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ALASKA MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICTHE CHNA PROCESS IS BASED UPON THE UNDERSTANDING THAT HEALTH AND WELLNESS HAPPEN ACROSS OUR COMMUNITIES, NOT JUST IN MEDICAL FACILITIES. IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. WE ALSO INVITED KEY STAKEHOLDERS AND COMMUNITY MEMBERS TO PROVIDE ADDITIONAL CONTEXT TO THE DATA THROUGH COMMUNITY SURVEYS AND COMMUNITY FORUMS. PRMCE UTILIZED A THREE-STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS. NEEDS IDENTIFIED IN THE SNOHOMISH HEALTH DISTRICT CHNA WERE EVALUATED IN THE FIRST PHASE OF PRIORITIZATION. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE. PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC REPRESENTATIVES PARTICIPATE IN BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP) MEETINGS AND ARE INCLUDED IN BMRCHP CHIP PLANNING DISCUSSIONS AND MEETINGS, PARTICIPATE IN REACH OUT WALLA WALLA MEETINGS AND INITIATIVES, AND HAVE AN EFFECTIVE AND COLLABORATIVE WORKING RELATIONSHIP WITH WALLA WALLA COUNTY DEPARTMENT OF HEALTH.KODIAK MEDICAL CENTERIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEAR, KODIAK MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND HOLY FAMILYEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS.THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE MT. CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS. ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.ST. LUKE'S REHABILITATION CENTEREVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.
PART VI, LINE 3:	COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:	COMMUNITY INFORMATION: PROVIDENCE ST. PETER HOSPITAL AND CENTRALIA HOSPITAL THE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, 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, WITH A POPULATION OF APPROXIMATELY 368,367 PEOPLE, AN INCREASE OF 6.3% FROM THE PRIOR ASSESSMENT. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES.OF THE OVER 368,000 PERMANENT RESIDENTS OF THURSTON AND LEWIS COUNTIES, ROUGHLY 47% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS ACROSS THE COUNTY. FOR REFERENCE, IN 2020, 200% FPL REPRESENTS AN ANNUAL HOUSEHOLD INCOME OF $52,400 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. THE HIGH NEED SERVICE AREA CONSISTS OF A DISPROPORTIONATE AMOUNT OF RESIDENTS AGES 18 TO 34, WHILE OLDER ADULTS, AGES 65 TO 84 ARE LESS LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA. LEWIS AND THURSTON COUNTIES HAVE HIGHER PERCENTAGES OF PEOPLE OVER AGE 65 THAN THE STATE. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS SOUTHWEST WASHINGTON GEOGRAPHIES. IN THE SERVICE AREA, THE MAJORITY POPULATION (80.3%) ARE WHITE. 5.9% OF SERVICE AREA RESIDENTS IDENTIFY AS TWO OR MORE RACES, 5.9% ARE ASIAN/PACIFIC ISLANDER, 3.4% ARE ANOTHER RACE, 2.9% ARE BLACK, AND 1.6% ARE AMERICAN INDIAN. IN THE HOSPITALS' SERVICE AREA, 9.77% OF THE POPULATION IS OF HISPANIC ETHNICITY. WITHIN THE HIGH NEED PORTION OF THE SERVICE AREA, 11.07% OF THE POPULATION IS OF HISPANIC ETHNICITY. INDIVIDUALS WHO IDENTIFY AS HISPANIC OR "OTHER" RACE ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS THAN THEIR PEERS OF OTHER RACES. PEOPLE WHO IDENTIFY AS WHITE ARE SLIGHTLY LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS, HIGHLIGHTING INEQUITIES BY RACE.THE HOSPITALS' SERVICE AREA HAS A LOWER ECONOMIC STATUS WHEN COMPARED TO THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $66,242. OVER ONE QUARTER (29.4%) OF THE AREA IS CONSIDERED LOW-INCOME, LIVING AT 200% OF LESS OF THE FEDERAL POVERTY LEVEL (FPL). 6.7% OF AREA ADULTS ARE UNEMPLOYED AND 16.1% ACCESS SNAP (FOOD STAMP) BENEFITS. AMONG AREA RENTERS, 25.6% EXPERIENCE A SEVERE HOUSING COST BURDEN, AS THEY SPEND 50% OR MORE OF THEIR INCOME ON RENT.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE MASON GENERAL HOSPITAL AND FAMILY CLINICS, GRAYS HARBOR COMMUNITY HOSPITAL, WILLAPA HARBOR HOSPITAL, OCEAN BEACH HOSPITAL AND MEDICAL CLINICS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY AND REGIONAL MEDICAL CENTER PACIFICTHE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY OF PRMCE'S INPATIENT POPULATION RESIDES. AS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN, AND SNOHOMISH COUNTIES. HOWEVER, MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY. PRMCE SERVES ONE OUT OF EVERY FOUR RESIDENTS OF SNOHOMISH COUNTY AND FOR THIS REASON THE GEOGRAPHIC DEFINITION FOR THE CHNA IS SNOHOMISH COUNTY. SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE. THE COUNTY LAND AREA IS COMPRISED OF 68 PERCENT FOREST LAND, 18 PERCENT RURAL, 9 PERCENT URBAN/CITY, AND 5 PERCENT AGRICULTURAL. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 805,624. AMONG SNOHOMISH COUNTY RESIDENTS, 73% OF RESIDENTS ARE WHITE, 12% ASIAN, AND 4% AFRICAN AMERICAN. OF THE TOTAL POPULATION, 11% ARE HISPANIC, AND 5% REPORT TWO OR MORE RACES. THE MEDIAN AGE FOR SNOHOMISH COUNTY IS 38.6 YEARS FOR MALES AND 40.5 YEARS FOR FEMALES. NEARLY 25% OF THE POPULATION IS UNDER THE AGE OF 19. IN THE NEXT FIVE YEARS, THE POPULATION OVER THE AGE OF 65 IS EXPECTED TO INCREASE. THE MEDIAN FAMILY INCOME EXCEEDS THAT OF THE STATE AND THE NATIONAL MEDIAN AT $91,181 AND 7.78% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. HEALTH PROFESSION SHORTAGE AREA THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). SNOHOMISH COUNTY HAS SEVERAL AREAS THAT ARE DESIGNATED AS A SHORTAGE AREA. THIS INFORMATION CAN BE USED TO UNDERSTAND ACCESS ISSUES, STATE AND LOCAL HEALTH CARE PLANNING, PLACEMENT OF PROVIDERS, AND ALLOCATION OF LIMITED HEALTH CARE RESOURCES.HOSPITALS LOCATED IN EVERETT WASHINGTON, IN ADDITION TO PROVIDENCE, ARE KAISER PERMANENTE MEDICAL CENTER, BHC FAIRFAX HOSPITAL. PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, HOLY FAMILY AND ST. LUKE'S REHABILITATION INSTITUTEIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID - 19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL THE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. 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.
PART VI, LINE 5:	PROVIDENCE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 6:	AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:- PROVIDENCE ACROSS SEVEN WESTERN STATES- COVENANT HEALTH IN WEST TEXAS- PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN SEATTLE, WA.2021 WAS A YEAR MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA,OR,CA,MT,AK,TX
PART VI, LINE 2 (CONTINUED)	PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PROVIDENCE KODIAK ISLAND MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE KODIAK ISLAND BOROUGH. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2019, WIPFLI LLP WAS ENGAGED BY PROVIDENCE TO COLLECT AND AGGREGATE PRIMARY AND SECONDARY DATA IN THE FORM OF A CHNA REPORT.A COMMUNITY SURVEY WAS MADE AVAILABLE ONLINE AND ADMINISTERED IN HARD COPY THROUGHOUT THE COMMUNITY BY THE ADVISORY COMMITTEE, COMMUNITY VOLUNTEERS AND PSMCC STAFF. THE SURVEY WAS BASED ON THE PRIOR KODIAK ASSESSMENT SURVEY TO ENABLE TRACKING AND DEMONSTRATION OF HEALTH TRENDS, BUT WAS ALSO AUGMENTED BASED ON INPUT FROM THE KODIAK CHNA ADVISORY GROUP TO CAPTURE INFORMATION ABOUT UNIQUE AND/OR TIMELY HEALTH-RELATED ISSUES WITHIN THE KODIAK COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS IN ADDITION TO STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL CENTER FOR HEALTH STATISTICS- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES PROGRAMKEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN THE KODIAK COMMUNITY. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALAS HEALTH CARE CONTINUES TO EVOLVE, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH COMMUNITY ORGANIZATIONS, WE CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT TO LEARN ABOUT THE GREATEST NEEDS AND ASSETS FROM THE PERSPECTIVE OF SOME OF THE MOST MARGINALIZED GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. THIS ASSESSMENT HELPS US DEVELOP COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS AND GUIDES OUR COMMUNITY BENEFIT INVESTMENTS, NOT ONLY FOR OUR OWN PROGRAMS BUT ALSO FOR MANY PARTNERS. DOZENS OF PARTICIPANTS PROVIDED FEEDBACK. SIGNIFICANT CONTRIBUTORS INCLUDE PRIORITY SPOKANE, A CIVIC LEADERSHIP GROUP MADE UP OF LOCAL GOVERNMENT, BUSINESSES, NONPROFIT ORGANIZATIONS AND LOCAL FUNDERS; THE SPOKANE REGIONAL HEALTH DISTRICT; AND THE SPOKANE HOMELESS COALITION.
PART VI, LINE 4 (CONTINUED):	TOTAL ANCHORAGE POPULATION IS 294,356:- 27.4% YOUTH (0-19 YEARS)- 37.1% ADULTS (20-44 YEARS)- 25.1% OLDER ADULTS (45-64 YEARS)- 10.5% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY:- 64.5% WHITE/CAUCASIAN - 9.8% ASIAN- 9.2% WERE HISPANIC OR LATINO- 8.8% WERE ALASKA NATIVE OR AMERICAN INDIAN- 6.0% WERE AFRICAN AMERICAN OR BLACK- 2.6% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER- 8.2% WERE OF TWO OR MORE RACES. INCOME AND HOUSING:- $82,271 MEDIAN HOUSEHOLD INCOME- 4.9% UNEMPLOYMENT- 8.1% TOTAL POPULATION BELOW POVERTY- 12.3% CHILDREN LESS THAN 18 YEARS OLD BELOW POVERTY- 5.5% HOUSEHOLDS WITH PUBLIC ASSISTANCE INCOME- 4.3% HOMELESS STUDENTS SERVED BY ANCHORAGE SCHOOL DISTRICT OTHER HOSPITALS IN SERVICE AREAIN ADDITION TO ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL ST. ELIAS, THE OTHER HOSPITALS IN ANCHORAGE INCLUDE ALASKA NATIVE MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA VETERANS ADMINISTRATION (VA) HEALTH CARE SYSTEM, AFMS-JOINT BASE ELMENDORF-RICHARDSON-673D MEDICAL GROUP AND ALASKA AREA NATIVE HEALTH SERVICES.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH 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 45,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.1 PERCENT IN 2017. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED: - 20.7 PERCENT YOUTH (0-17 YEARS)- 17 PERCENT YOUNG ADULTS (18-39 YEARS)- 39.1 PERCENT OLDER ADULTS (40-64 YEARS)- 23.2 PERCENT SENIORS (65 YEARS AND OLDER) AMONG STEVENS COUNTY RESIDENTS IN 2018, 89.2 PERCENT WERE WHITE, 0.4 PERCENT AFRICAN AMERICAN, 5.7 PERCENT NATIVE AMERICAN, 0.7 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.7 PERCENT WERE OF TWO OR MORE RACES. IN 2017, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $53,245, AND THE UNEMPLOYMENT RATE WAS 7.3 PERCENT. AN INCREASE FROM 6.3 PERCENT FROM OUR LAST NEEDS ASSESSMENT. 29 PERCENT OF THE COMMUNITY HAS HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL, AND 17.2 PERCENT OF CHILDREN AND 8.8 PERCENT OF OLDER ADULTS LIVE AT OR BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME HAS INCREASED AND PERCENTAGE OF THE POPULATION LIVING UNDER THE FEDERAL POVERTY LEVEL HAS INCREASED SINCE THE LAST NEEDS ASSESSMENT. IN STEVENS COUNTY, 1.6 PERCENT OF OCCUPIED HOUSING LACKED COMPLETE PLUMBING FACILITIES AND 1.8 PERCENT LACKED COMPLETE KITCHEN FACILITIES. COMPARED TO 0.4 PERCENT OF OCCUPIED HOUSING IN WASHINGTON STATE. 90 PERCENT OF OUR POPULATION 25 AND OLDER HAS A HIGH SCHOOL DEGREE OR EQUIVALENT OR MORE EDUCATION. STEVENS COUNTY HAS LESS OF THE POPULATION WITH BACHELOR'S DEGREES OR HIGHER THAN THE STATE AVERAGE. THE SHARE OF STEVENS COUNTY RESIDENTS WHO ARE UNINSURED WAS 10.3 PERCENT IN 2016. THIS IS A DECREASE FROM 15.3 PERCENT IN 2009. THIS IS SLIGHTLY HIGHER THAN THE OVERALL SHARE OF WASHINGTON STATE, AT 9.8 PERCENT. AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS IN STEVENS COUNTY ARE MORE LIKELY TO BE UNINSURED THAN ELSEWHERE IN THE STATE. IN STEVENS COUNTY, 26 PERCENT OF YOUTH AND 40 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. DURING 2016, THE TOP-FOUR CAUSES OF HOSPITALIZATIONS WERE: - 11.2% FOR UNINTENTIONAL INJURIES, INCREASING FROM 9.0% IN 2006. - 11.3% FOR HEART DISEASES, DECREASING FROM 13.8% IN 2006. - 10.7% FOR DIGESTIVE SYSTEM DISEASES, DECREASING FROM 11.2% IN 2006.- 8.9% FOR RESPIRATORY DISEASES, DECREASING FROM 13.2% IN 2006.HEALTH PROFESSIONS SHORTAGE AREA - STEVENS COUNTYTHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MAPS BELOW DEPICT THESE SHORTAGE AREAS RELATIVE TO PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL LOCATIONS. CLICK ON THE LINK BELOW FOR FULL SIZED VERSIONS. OVERALL, STEVENS COUNTY HAS SHORTAGES IN EACH OF THESE AREAS WITH BOTH PRIMARY CARE AND MENTAL HEALTH PROVIDERS NEEDED FOR THE GENERAL POPULATION AND THE LOW-INCOME POPULATION AND DENTAL PROVIDERS ARE NEEDED FOR THE LOW-INCOME POPULATION.OTHER HOSPITALS IN SERVICE AREAPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE THE ONLY HOSPITALS IN STEVENS COUNTY. PROVIDENCE ST. MARY MEDICAL CENTERPSMMC SERVICE AREA IS IN WALLA WALLA COUNTY AND SERVES WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES WHICH INCLUDES A POPULATION OF APPROXIMATELY 144,442 PEOPLE. POPULATION AND AGEALMOST HALF OF THOSE LIVING IN WALLA WALLA COUNTY ARE AGES 18-54, WITH THE NEXT LARGEST AGE GROUP BEING THOSE 6-18, FOLLOWED BY AGES 65-84. THOSE AGES 6-54 ARE MORE LIKELY TO LIVE IN A HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. THE MALE-TO-FEMALE RATIO IS PROPORTIONAL WITH SLIGHTLY MORE MALES THAN FEMALES. RACE AND ETHNICITYPER THE U.S. CENSUS, 2019, AMONG WALLA WALLA COUNTY RESIDENTS, 82.5% WERE WHITE, 1.1% AMERICAN INDIAN, 1.5% ASIAN, 2.2% BLACK, 0.3% PACIFIC ISLANDER, 8.9% OTHER RACE, 3.6% TWO OR MORE RACES. AMONG COLUMBIA COUNTY RESIDENTS, 89.5% WERE WHITE, 1.5% AMERICAN INDIAN, 1.3% ASIAN, 0.9% BLACK, 0.3% PACIFIC ISLANDER, 2.5% OTHER RACE, 4.0% TWO OR MORE RACES. AMONG UMATILLA COUNTY RESIDENTS, 76.1% WERE WHITE, 3.6% AMERICAN INDIAN, 1.0% ASIAN, 1.1% BLACK, 0.2% PACIFIC ISLANDER, 14.5% OTHER RACE, 3.6% TWO OR MORE RACES.OF THE OVER 144,442 PERMANENT RESIDENTS OF WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES ROUGHLY 50% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. INCOME AND HOUSINGTHE 2019 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $57,858 COMPARED TO 2017 RATE OF $54,157. THE MEDIAN INCOME IN THE HIGH NEED SERVICE AREA IS LESS THAN HALF OF THE MEDIAN INCOME IN WALLA WALLA COUNTY AND THE BROADER SERVICE AREA. THE PERCENT OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IS 24.5% IN WALLA WALLA COUNTY, 33.28% IN THE HIGH NEED SERVICE AREA, AND 13.97% IN THE BROADER SERVICE AREA. HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). PSMMC IS IN A PRIMARY CARE, MENTAL, AND DENTAL HEALTH HPSA. LARGE PORTIONS OF THE SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS. OTHER DESIGNATIONS WITHIN WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES INCLUDE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), CORRECTIONAL FACILITIES, AND LOW-INCOME, HOMELESS, AND/OR MIGRANT FARMWORKER POPULATIONS.OTHER HOSPITALS IN SERVICE AREAST. HELENA HOSPITAL ALSO SERVES WALLA WALLA WASHINGTON
PART VI, LINE 4 (CONTINUED):	ST. LUKE'S REHABILITATION CENTERIN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN - SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS-MANN-GRANDSTAFF.KODIAK IS. MEDICAL CENTERBEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, OUR SERVICE AREA IS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES, ENCOMPASSING THE ENTIRE POPULATION OF KODIAK ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISED OF 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES - SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM. THE POPULATION OF KODIAK ISLAND IS 13,621 PEOPLE.BEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, THE COMMUNITIES SERVED BY THE HOSPITAL ARE DEFINED AS THE ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES. COMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. THE AGE DEMOGRAPHICS ARE THE FOLLOWING:- 27.9% YOUTH (0-19 YEARS)- 36.3% YOUNG ADULTS (20-44 YEARS) 24.8% OLDER ADULTS (45-64 YEARS) 11.1% SENIORS (65 YEARS AND OLDER). THE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT RESIDENTS' ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES:- 22% OF ADULTS UNDER THE AGE 65 ARE UNINSURED (US CENSUS: SMALL AREA HEALTH INSURANCE ESTIMATES)- 8% OF ADULTS OF ALL AGES ARE UNINSURED- 11% INDICATE USING THE EMERGENCY ROOM FOR MAIN SOURCE OF HEALTH CARE- 12% REPORT BEING UNABLE TO RECEIVE NEEDED HEALTH CARE IN THE LAST 12 MONTHSTHE FOLLOWING 2019 KODIAK COMMUNITY SURVEY DATA REPRESENT THE HEALTH AND WELLBEING OF COMMUNITY RESIDENTS: - 65% OF ADULTS ARE OVERWEIGHT OR OBESE- 22% OF SURVEY RESPONDENTS INDICATED THEY HAVE A CHRONIC DISEASE, AND OF THOSE, 25% DO NOT HAVE THE RESOURCES NEEDED TO MANAGE THEIR CHRONIC DISEASE- 25% OF SURVEY RESPONDENTS ENGAGED IN BINGE DRINKING IN THE PAST 30 DAYS- 14% OF RESPONDENTS INDICATED THAT THEY EXPERIENCED DEPRESSION IN THE PAST 12 MONTHS- 5% OF SURVEY RESPONDENTS INDICATED THAT THEY HAD THOUGHT ABOUT COMMITTING SUICIDE AT SOME POINT IN THE PAST 12 MONTHS. HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MUNICIPALITY OF ANCHORAGE SERVICE AREAS WITHIN IT THAT HAVE BEEN IDENTIFIED AS MENTAL HEALTH, PRIMARY CARE AND DENTAL HEALTH PROFESSIONS SHORTAGE AREAS.MEDICAL UNDERSERVED AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE."MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY.THE MUNICIPALITY OF ANCHORAGE IS IDENTIFIED AS A MEDICALLY UNDERSERVED AREA. OTHER HOSPITALS IN SERVICE AREA:ANCHORAGE, AK1) ALASKA REGIONAL HOSPITAL2)ALASKA NATIVE MEDICAL CENTERKODIAK, AK PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS THE ONLY HOSPITAL ON KODIAK ISLANDTHE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES. - IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.-THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID-19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.

Schedule H (Form 990) 2021

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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

2021

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) SAINT JOHNS HOSPITAL & HEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA,CA90404	95-6100079	501(C)(3)	11,250,000	OPERATIONAL SUPPORT
(2) CATHOLIC CHARITIES OF SPOKANE PO BOX 2253 SPOKANE,WA99201	91-0569880	501(C)(3)	1,497,460	COMMUNITY BENEFIT RESTRICTED GRANT
(3) EVERETT TRANSITIONAL CARE SERVICES FOUNDATION 916 PACIFIC AVE FL4 EVERETT,WA98201	94-3264605	501(C)(3)	900,000	OPERATIONAL SUPPORT
(4) MEDICAL TEAMS INTERNATIONAL PO BOX 4288 PORTLAND,OR97208	93-0878944	501(C)(3)	701,440	COMMUNITY BENEFIT RESTRICTED GRANT
(5) UNIVERSITY OF ALASKA 1815 BRAGAW ST STE 206 ANCHORAGE,AK99508	92-6000147	GOVERNMENT	392,000	SPONSORSHIP
(6) COALITION TO PROTECT AMERICA'S HEALTH CARE PO BOX 30211 BETHESDA,MD20824	52-2253225	501(C)(3)	250,000	OPERATIONAL SUPPORT
(7) PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE,WA98126	91-1188119	501(C)(3)	233,000	OPERATIONAL SUPPORT
(8) WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVE NE SHORLINE,WA98155	91-1698851	501(C)(3)	230,000	OPERATIONAL SUPPORT
(9) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 425 PONTIUS AVE N UNIT 300 SEATTLE,WA98109	91-2077378	501(C)(3)	209,000	OPERATIONAL SUPPORT
(10) VOLUNTEERS OF AMERICA EASTERN WASHINGTON AND NORTHERN IDAHO 525 W 2ND AVE SPOKANE,WA99201	91-0577131	501(C)(3)	180,000	OPERATIONAL SUPPORT
(11) SPOKANE TREATMENT AND RECOVERY SERVICES 105 W 3RD AVE SPOKANE,WA99201	91-1108762	501(C)(3)	175,150	COMMUNITY BENEFIT RESTRICTED GRANT
(12) THE EVERETT GOSPEL MISSION 3711 SMITH AVE PO BOX 423 EVERETT,WA98201	91-0780146	501(C)(3)	175,000	COMMUNITY BENEFIT RESTRICTED GRANT
(13) NORTHWEST JUSTICE PROJECT 1702 W BROADWAY AVE SPOKANE,WA99201	91-1687791	501(C)(3)	156,650	OPERATIONAL SUPPORT
(14) COMMUNITY HEALTH ASSOCIATION OF SPOKANE 203 N WASHINGTONSTE 300 SPOKANE,WA99201	91-1641797	501(C)(3)	148,000	SPONSORSHIP
(15) INNOVIA FOUNDATION ATTN PRIORITY SPOKANE FUND 421 W RIVERSIDE AVE 606 SPOKANE,WA99201	91-0941053	501(C)(3)	125,000	OPERATIONAL SUPPORT
(16) PROJECT ACCESS NORTHWEST 200 BROADWAY AVE STE 202 SEATTE,WA98122	20-4377921	501(C)(3)	125,000	COMMUNITY BENEFIT RESTRICTED GRANT
(17) SEED GLOBAL HEALTH 20 ASHBURTON PLACE BOSTON,MA02108	45-3064098	501(C)(3)	122,000	OPERATIONAL SUPPORT
(18) VOLUNTEERS OF AMERICA WESTERN WASHINGTON PO BOX 839 EVERETT,WA98206	91-0577129	501(C)(3)	112,500	COMMUNITY BENEFIT RESTRICTED GRANT
(19) CITY OF WALLA WALLA 15 N 3RD AVE WALLA WALLA,WA99362	91-6001290	GOVERNMENT	110,000	OPERATIONAL SUPPORT
(20) PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DR SE ISSAQUAH,WA98029	93-1554288	501(C)(3)	110,000	OPERATIONAL SUPPORT
(21) PARTNERS WITH FAMILIES AND CHILDREN 1321 W BROADWAY SPOKANE,WA99201	68-0576560	501(C)(3)	105,000	COMMUNITY BENEFIT RESTRICTED GRANT
(22) RONALD MCDONALD HOUSE CHARITIES OF THE INLAND NW 1015 W 5TH AVE SPOKANE,WA99204	91-1176115	501(C)(3)	101,500	OPERATIONAL SUPPORT
(23) CITY OF OLYMPIA PO BOX 1967 OLYMPIA,WA98507	91-1392815	GOVERNMENT	100,000	OPERATIONAL SUPPORT
(24) EVERETT COMMUNITY COLLEGE MAIL STOP 12 2000 TOWER ST EVERETT,WA98201	91-0759103	GOVERNMENT	100,000	OPERATIONAL SUPPORT
(25) PARTNERSHIP HEALTH CENTER INC 401 RAILROAD ST W MISSOULA,MT59802	36-3843543	501(C)(3)	100,000	OPERATIONAL SUPPORT
(26) SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ST ORANGE,CA92868	95-1643383	501(C)(3)	100,000	COMMUNITY BENEFIT RESTRICTED GRANT
(27) FRONTIER BEHAVIORAL HEALTH 107 S DIVISION ST SPOKANE,WA99202	91-0853801	501(C)(3)	98,800	SPONSORSHIP
(28) PROVIDENCE ALASKA FOUNDATION PO BOX 196604 ANCHORAGE,AK99519	92-0093565	501(C)(3)	89,736	COMMUNITY BENEFIT RESTRICTED GRANT
(29) SECOND HARVEST INLAND NW 12134 E FRONT AVE SPOKANE,WA99202	23-7173826	501(C)(3)	80,000	COMMUNITY BENEFIT RESTRICTED GRANT
(30) SPOKANE PARKS FOUNDATION PO BOX 8127 SPOKANE,WA99203	91-6033504	501(C)(3)	78,000	COMMUNITY BENEFIT RESTRICTED GRANT
(31) NAMI SPOKANE 10 N POST ST STE 638 SPOKANE,WA99201	91-1153510	501(C)(3)	70,000	COMMUNITY BENEFIT RESTRICTED GRANT
(32) PROV NE WA HUNGER COALITION 986 S MAIN ST STE D COLVILLE,WA99114	46-3051292	501(C)(3)	70,000	COMMUNITY BENEFIT RESTRICTED GRANT
(33) CATHOLIC RELIEF SERVICES PO BOX 17526 BALTIMORE,MD21298	13-5563422	501(C)(3)	69,000	OPERATIONAL SUPPORT
(34) SPOKANE REGIONAL HEALTH DISTRICT 1101 W COLLEGE AVE SPOKANE,WA99201	91-1527532	GOVERNMENT	64,567	OPERATIONAL SUPPORT
(35) SEAVIEW COMMUNITY SERVICES 302 RAILWAY AVE PO BOX 1045 SEWARD,AK99664	92-0043803	501(C)(3)	61,000	SPONSORSHIP
(36) LATINOS EN SPOKANE 947 E ERMINA AVE SPOKANE,WA99207	85-2725630	501(C)(3)	60,000	COMMUNITY BENEFIT RESTRICTED GRANT
(37) SPOKANE PRESCRIPTION ACCESS NETWORK PO BOX 9658 SPOKANE,WA99209	33-1134368	501(C)(3)	60,000	OPERATIONAL SUPPORT
(38) YWCA SPOKANE 930 N MONROE ST SPOKANE,WA99201	91-0565025	501(C)(3)	53,000	OPERATIONAL SUPPORT
(39) FUSE INNOVATION FUND 907 E 8TH AVE SPOKANE,WA99202	87-0800705	501(C)(3)	50,400	COMMUNITY BENEFIT RESTRICTED GRANT
(40) AMERICAN FOUNDATION FOR SUICIDE PREVENTION 199 WATER ST FL11 NEW YORK,NY10038	13-3393329	501(C)(3)	50,000	OPERATIONAL SUPPORT
(41) DELTA DENTAL OF WASHINGTON 400 FAIRVIEW AVE N SEATTLE,WA98109	91-0621480	501(C)(4)	50,000	SPONSORSHIP
(42) SPOKANE REGIONAL CHAMBER OF COMMERCE PO BOX 822 SPOKANE,WA99210	91-0418800	501(C)(6)	50,000	COMMUNITY BENEFIT RESTRICTED GRANT
(43) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA 511 S BUENA VISTA ST BURBANK,CA91505	51-0216589	501(C)(3)	50,000	SPONSORSHIP
(44) EXCELSIOR YOUTH SERVICES 3754 W INDIAND TRAIL RD SPOKANE,WA99208	91-1189908	501(C)(3)	45,000	SPONSORSHIP
(45) SOUND WELLNESS ALLIANCE NETWORK PO BOX 550 VALDEZ,AK99686	82-0942210	501(C)(3)	44,481	COMMUNITY BENEFIT RESTRICTED GRANT
(46) STEVENS COUNTY SHERIFF'S AMBULANCE 425 N HWY COLVILLE,WA99114	91-6001372	GOVERNMENT	43,500	COMMUNITY BENEFIT RESTRICTED GRANT
(47) THE WATERFALL FOUNDATION PO BOX 70049 FAIRBANKS,AK99707	54-1980898	501(C)(3)	43,000	OPERATIONAL SUPPORT
(48) COLVILLE COMMUNITY SENIOR CENTER 231 W ELEP AVE COLVILLE,WA99114	91-1442690	501(C)(3)	40,500	COMMUNITY BENEFIT RESTRICTED GRANT
(49) PLYMOUNTH HOUSING 2213 3RD AVE SEATTLE,WA98121	91-1122621	501(C)(3)	40,000	COMMUNITY BENEFIT RESTRICTED GRANT
(50) CHILDREN'S HOME SOCIETY OF WASHINGTON 2323 N DISCOVERY PLACE SPOKANE,WA99216	91-0575955	501(C)(3)	35,000	COMMUNITY BENEFIT RESTRICTED GRANT
(51) COMPASSIONATE ADDICTION TREATMENT 112 E 1ST AVE SPOKANE,WA99202	83-4425311	501(C)(3)	35,000	OPERATIONAL SUPPORT
(52) SPOKANE COUNTY UNITED WAY 920 N WASHINGTONSTE 100 SPOKANE,WA99201	91-0606058	501(C)(3)	35,000	OPERATIONAL SUPPORT
(53) EASTERN WASHINGTON UNIVERSITY FOUNDATION 102 HARGREAVES HALL CHENEY,WA99004	91-1019819	501(C)(3)	34,650	SPONSORSHIP
(54) VALDEZ SENIOR CENTER INC 1300 E HANAGITA PO BOX 1635 VALDEZ,AK99686	92-0082275	501(C)(3)	31,959	OPERATIONAL SUPPORT
(55) ECONOMIC ALLIANCE SNOHOMISH COUNTY 808 134TH ST SW STE 101 EVERETT,WA98204	91-0647005	501(C)(4)	30,000	OPERATIONAL SUPPORT
(56) NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 17 N STATE ST STE 1530 CHICAGO,IL60602	36-4483505	501(C)(3)	30,000	COMMUNITY BENEFIT RESTRICTED GRANT
(57) SEATTLE REPERTORY THEATRE PO BOX 900923 SEATTLE,WA98109	91-0756535	501(C)(3)	30,000	OPERATIONAL SUPPORT
(58) THE OLYMPIA FREE CLINIC PO BOX 6310 OLYMPIA,WA98507	27-1606329	501(C)(3)	30,000	SPONSORSHIP
(59) TRILOGY RECOVERY COMMUNITY 120 E BIRCH ST STE 14 WALLA WALLA,WA99362	32-0303794	501(C)(3)	30,000	COMMUNITY BENEFIT RESTRICTED GRANT
(60) UNITED WAY 701 W 8TH AVE ANCHORAGE,AK99501	92-0027948	501(C)(3)	29,414	SPONSORSHIP
(61) WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE,WA98125	94-3214597	501(C)(3)	27,500	COMMUNITY BENEFIT RESTRICTED GRANT
(62) SENIOR CITIZENS OF KODIAK INC 302 ERSKINE KODIAK,AK99615	23-7348249	501(C)(3)	26,600	OPERATIONAL SUPPORT
(63) ADVOCATES FOR VICTIMS OF VIOLENCE INC PO BOX 524 VALDEZ,AK99686	92-0083034	501(C)(3)	25,564	OPERATIONAL SUPPORT
(64) FAITH IN PRACTICE 7500 BEECHNUT ST STE 208 HOUSTON,TX77074	76-0415986	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(65) JUBILEE WOMEN'S CENTER 620 18TH AVE E SEATTLE,WA98112	91-1539920	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(66) LET EVERY WOMAN KNOW - ALASKA 3851 PIPER ST STE U1185 ANCHORAGE,AK99508	46-1861913	501(C)(3)	25,000	OPERATIONAL SUPPORT
(67) NAZARETH GUILD PO BOX 76 SPOKANE,WA99210	45-3962529	501(C)(3)	25,000	OPERATIONAL SUPPORT
(68) PACIFIC NORTHWEST BALLET ATTN CAITLIN M BELL 301 MERCER ST SEATTLE,WA98109	91-0897129	501(C)(3)	25,000	OPERATIONAL SUPPORT
(69) REACH COMPASSION IN ACTION 3604 NE 10TH COURT RENTON,WA98056	81-3474411	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(70) ST VINCENT DE PAUL FOOD BANK AND COMMUNITY SERVICES PO BOX 4273 / 215 S 6TH AVE PASCO,WA99302	82-5338652	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(71) WOMEN'S & CHILDREN'S FREE RESTAURANT 1408 N WASHINGTON ST SPOKANE,WA99201	91-1399742	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(72) WORLD PULSE VOICES 401 NE 19TH AVE STE 200 PORLAND,OR97232	41-2065177	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(73) MEAD SCHOOL DISTRICT 2323 E FAREWELL RD MEAD,WA99201	23-7104932	501(C)(6)	24,006	SPONSORSHIP
(74) LUTHERAN COMMUNITY SERVICES NORTHWEST 210 W SPRAGUE AVE SPOKANE,WA99201	93-0386860	501(C)(3)	22,700	COMMUNITY BENEFIT RESTRICTED GRANT
(75) PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW RENTON,WA98057	51-0216587	501(C)(3)	22,089	SPONSORSHIP
(76) MARTIN LUTHER KING JR FAMILY OUTREACH CENTER 500 S STONE ST SPOKANE,WA99202	91-0912823	501(C)(3)	20,400	COMMUNITY BENEFIT RESTRICTED GRANT
(77) CARL MAXEY CENTER 1312 N MONROE ST 148 SPOKANE,WA99201	82-4396555	501(C)(3)	20,000	SPONSORSHIP
(78) GIRLS INC OF ST LOUIS 3801 NELSON DR ST LOUIS,MO63121	43-1321294	501(C)(3)	20,000	COMMUNITY BENEFIT RESTRICTED GRANT
(79) LUMEN PUBLIC SCHOOL 718 W RIVERSIDE AVE 201 SPOKANE,WA99201	83-2652406	GOVERNMENT	20,000	COMMUNITY BENEFIT RESTRICTED GRANT
(80) TRANSITIONAL PROGRAMS FOR WOMEN 3128 N HEMLOCK SPOKANE,WA99205	91-1307272	501(C)(3)	20,000	COMMUNITY BENEFIT RESTRICTED GRANT
(81) UNIVERSITY DISTRICT DEVELOPMENT ASSOCIATION 120 N PINE ST STE 292 SPOKANE,WA99202	91-1973749	501(C)(3)	20,000	SPONSORSHIP
(82) VANESSA BEHAN CRISIS NURSERY 2230 E SPRAGUE AVE SPOKANE,WA99202	91-1196575	501(C)(3)	18,000	OPERATIONAL SUPPORT
(83) KODIAK ISLAND HEALTH CARE FOUNDATION 1911 E REZANOF DRIVE KODIAK,AK99615	92-0146203	501(C)(3)	17,500	OPERATIONAL SUPPORT
(84) WALLA WALLA YMCA 340 S PARK WALLA WALLA,WA99362	91-0580856	501(C)(3)	16,500	OPERATIONAL SUPPORT
(85) COMMUNITY MINDED ENTERPRISES PO BOX 48150 SPOKANE,WA99228	91-1764236	501(C)(3)	15,500	COMMUNITY BENEFIT RESTRICTED GRANT
(86) A CHILD'S HOPE SPOKANE 222 W MISSION AVE STE 250 SPOKANE,WA99201	81-4953438	501(C)(3)	15,000	COMMUNITY BENEFIT RESTRICTED GRANT
(87) A REFUGE TRAUMA INFORMED THERAPIES 222 W MISSION AVE STE 122 SPOKANE,WA99201	83-3115513	501(C)(3)	15,000	OPERATIONAL SUPPORT
(88) YMCA OF SNOHOMISH COUNTY PO BOX 419 EVERETT,WA98206	91-0565561	501(C)(3)	15,000	SPONSORSHIP
(89) WGHA 1809 7TH AVE STE 1000 SEATTLE,WA98101	27-2314726	501(C)(3)	13,000	SPONSORSHIP
(90) CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION 51383 HWY 93 PO BOX 278 PABLO,MT58855	81-0230409	501(C)(3)	12,500	COMMUNITY BENEFIT RESTRICTED GRANT
(91) NATIONAL MEDICAL FELLOWSHIPS PO BOX 3875 NEW YORK,NY10163	01-0963657	501(C)(3)	10,750	SPONSORSHIP
(92) CAMP FIRE INLAND NORTHWEST 409 N ARGONNE RD STE B SPOKANE VALLEY,WA99212	91-0567727	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(93) COMMUNITIES IN SCHOOLS OF WASHINGTON 1010 S 336TH ST STE 205 FEDERAL WAY,WA98003	91-1541026	501(C)(3)	10,000	SPONSORSHIP
(94) FAILSAFE FOR LIFE 15615 N MEADOWGLEN CT SPOKANE,WA99208	81-3525568	501(C)(3)	10,000	OPERATIONAL SUPPORT
(95) GAMELIN WASHINGTON ASSOCIATION 1423 1ST AVE 440 SEATTLE,WA98101	20-1910170	501(C)(3)	10,000	OPERATIONAL SUPPORT
(96) HOPE STREET 1887 HOME STREET WALLA WALLA,WA99362	83-3052347	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(97) NEW BEGINNINGS CHAPEL 882 W MAIN WALLA WALLA,WA99362	27-4601869	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(98) PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 3201 SW GRAHAM ST UNIT 302 SEATTLE,WA98126	91-2171539	501(C)(3)	10,000	OPERATIONAL SUPPORT
(99) PROVIDENCE PETER CLAVER ASSOCIATION 7101 38TH AVE S SEATTLE,WA98118	31-1629656	501(C)(3)	10,000	OPERATIONAL SUPPORT
(100) SAFE CROSSING FOUNDATION 4210 SW OREGON ST STE H SEATTLE,WA98116	75-2992774	501(C)(3)	10,000	OPERATIONAL SUPPORT
(101) SOCIETY OF ST VINCENT DE PAUL 5950 4TH AVE S SEATTLE,WA98108	91-0583891	501(C)(3)	10,000	SPONSORSHIP
(102) SOUTHWEST YOUTH AND FAMILY SERVICES 4555 DELRIDGE WAY SW SEATTLE,WA98106	91-1117862	501(C)(3)	10,000	SPONSORSHIP
(103) WALLA WALLA ALLIANCE FOR THE HOMELESS PO BOX 3431 WALLA WALLA,WA99362	47-4473859	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(104) MARCH OF DIMES DONATION PROCESSING CENTER PO BOX 18819 ATLANTA,GA31126	13-1846366	501(C)(3)	9,000	SPONSORSHIP
(105) AMERICAN RED CROSS PO BOX 3097 SEATTLE,WA98114	53-0196605	501(C)(3)	7,500	COMMUNITY BENEFIT RESTRICTED GRANT
(106) LIFE SUPPORT PO BOX 264 SOUTH CLE ELUM,WA98943	20-0413954	501(C)(3)	7,500	SPONSORSHIP
(107) CORPORATION OF ST BENEDICTS CHURCH 8110 JEWEL LAKE ROAD ANCHORAGE,AK99502	92-0122543	501(C)(3)	7,000	OPERATIONAL SUPPORT
(108) TOGETHER 1520 IRVING ST SW STE A TUMWATER,WA98512	91-1465778	501(C)(3)	6,500	SPONSORSHIP
(109) REACH OUT AND READ INC 89 SOUTH ST STE 201 BOSTON,MA02111	04-3481253	501(C)(3)	6,050	SPONSORSHIP
(110) LEWIS COUNTY AUTISM COALITION 1673 S MARKET BLVD PMB 240 CHEHALIS,WA98532	47-3931045	501(C)(3)	6,000	OPERATIONAL SUPPORT
(111) COMMUNITY YOUTH SERVICES 711 STATE AVE NE OLYMPIA,WA98506	91-0859922	501(C)(3)	5,500	OPERATIONAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

107

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) 2021

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)
(2)
(3)
(4)
(5)
(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:

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.

Schedule I (Form 990) 2021

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

2021

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 on 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 on 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 ............

Yes

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1ROD F HOCHMAN MD FORMER OFFICER - PSJH PRESIDENT/CEO	(i) (ii)	0 ------------- 2,224,561	0 ------------- 5,586,400	0 ------------- 828,858	0 ------------- 810,415	0 ------------- 29,930	0 ------------- 9,480,164	0 ------------- 764,400
2DEBRA CANALES FORMER KE - PSJH EVP/CAO	(i) (ii)	0 ------------- 1,103,566	0 ------------- 671,005	0 ------------- 1,303,904	0 ------------- 410,295	0 ------------- 17,644	0 ------------- 3,506,414	0 ------------- 1,251,780
3ERIK WEXLER PRESIDENT STRAT & OPS (SOUTH)	(i) (ii)	1,288,496 ------------- 0	884,707 ------------- 0	447,295 ------------- 0	582,297 ------------- 0	24,262 ------------- 0	3,227,057 ------------- 0	424,024 ------------- 0
4RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH	(i) (ii)	0 ------------- 1,092,734	0 ------------- 536,536	0 ------------- 977,935	0 ------------- 294,426	0 ------------- 19,583	0 ------------- 2,921,214	0 ------------- 925,168
5LISA VANCE PRESIDENT STRAT & OPS (NORTH)	(i) (ii)	0 ------------- 1,273,462	0 ------------- 766,134	0 ------------- 263,545	0 ------------- 580,007	0 ------------- 28,222	0 ------------- 2,911,370	0 ------------- 211,879
6ELAINE COUTURE EVP CHIEF EXEC WA & MT - THRU 5/21	(i) (ii)	275,094 ------------- 0	485,102 ------------- 0	1,958,449 ------------- 0	25,033 ------------- 0	6,813 ------------- 0	2,750,491 ------------- 0	311,233 ------------- 0
7GUY HUDSON MD CHIEF EXEC SWEDISH HEALTH SVCS	(i) (ii)	1,209,134 ------------- 0	559,998 ------------- 0	273,534 ------------- 0	501,889 ------------- 0	20,266 ------------- 0	2,564,821 ------------- 0	270,912 ------------- 0
8MIKE BUTLER FORMER PRESIDENT	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 2,359,254	0 ------------- 7,651	0 ------------- 0	0 ------------- 2,366,905	0 ------------- 0
9AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC.	(i) (ii)	0 ------------- 988,719	0 ------------- 510,324	0 ------------- 387,839	0 ------------- 270,192	0 ------------- 33,484	0 ------------- 2,190,558	0 ------------- 341,291
10JOEL GILBERTSON EVP CHIEF EXECUTIVE WA AND MT	(i) (ii)	765,306 ------------- 0	518,330 ------------- 0	491,989 ------------- 0	364,702 ------------- 0	31,383 ------------- 0	2,171,710 ------------- 0	194,575 ------------- 0
11KEVIN MANEMANN CHIEF EXECUTIVE PSJH SO CA	(i) (ii)	906,923 ------------- 0	663,247 ------------- 0	38,300 ------------- 0	453,045 ------------- 0	28,465 ------------- 0	2,089,980 ------------- 0	0 ------------- 0
12CINDY STRAUSS FORMER SECRETARY	(i) (ii)	0 ------------- 228,582	0 ------------- 263,565	0 ------------- 1,434,949	0 ------------- 6,525	0 ------------- 11,330	0 ------------- 1,944,951	0 ------------- 397,592
13MIKE WATERS EVP AMBULATORY CARE NETWORK	(i) (ii)	682,426 ------------- 0	533,015 ------------- 0	313,473 ------------- 0	375,762 ------------- 0	20,754 ------------- 0	1,925,430 ------------- 0	183,238 ------------- 0
14GREG TILL CHIEF PEOPLE OFFICER	(i) (ii)	664,080 ------------- 0	699,002 ------------- 0	212,898 ------------- 0	188,205 ------------- 0	29,687 ------------- 0	1,793,872 ------------- 0	175,548 ------------- 0
15JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER	(i) (ii)	0 ------------- 810,289	0 ------------- 339,019	0 ------------- 307,368	0 ------------- 235,035	0 ------------- 27,365	0 ------------- 1,719,076	0 ------------- 266,274
16BRYAN MITCHELL PHYSICIAN ORTHOPEDIC SURGEON	(i) (ii)	1,426,305 ------------- 0	60,534 ------------- 0	89,726 ------------- 0	99,377 ------------- 0	25,387 ------------- 0	1,701,329 ------------- 0	88,016 ------------- 0
17GREG HOFFMAN PRESIDENT/CEO & TREASURER	(i) (ii)	875,809 ------------- 0	415,999 ------------- 0	115,470 ------------- 0	241,752 ------------- 0	31,590 ------------- 0	1,680,620 ------------- 0	76,348 ------------- 0
18AARON MARTIN FORMER KE - PSJH EVP CHF MKT/DIG INN	(i) (ii)	0 ------------- 809,570	0 ------------- 351,062	0 ------------- 275,473	0 ------------- 222,987	0 ------------- 13,010	0 ------------- 1,672,102	0 ------------- 251,577
19STEVEN NISCO PHYSICIAN	(i) (ii)	946,836 ------------- 0	234,919 ------------- 0	306,054 ------------- 0	113,252 ------------- 0	25,387 ------------- 0	1,626,448 ------------- 0	281,651 ------------- 0
20JATIN MOTIWAL CE CLINICAL INSTITUTES - THRU 10/21	(i) (ii)	485,967 ------------- 0	339,558 ------------- 0	707,410 ------------- 0	4,350 ------------- 0	25,927 ------------- 0	1,563,212 ------------- 0	490,509 ------------- 0
21SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER	(i) (ii)	641,890 ------------- 0	329,115 ------------- 0	206,066 ------------- 0	173,930 ------------- 0	26,438 ------------- 0	1,377,439 ------------- 0	91,647 ------------- 0
22PRESTON SIMMONS SVP CHIEF EXEC AK REGION	(i) (ii)	621,914 ------------- 0	288,279 ------------- 0	219,907 ------------- 0	213,845 ------------- 0	31,108 ------------- 0	1,375,053 ------------- 0	192,884 ------------- 0
23OREST HOLUBEC FMR KE - PSJH SVP/CHF COM/EXT AFF OF	(i) (ii)	0 ------------- 538,173	0 ------------- 309,999	0 ------------- 201,766	0 ------------- 160,532	0 ------------- 31,065	0 ------------- 1,241,535	0 ------------- 164,043
24JOHN WHIPPLE SECRETARY	(i) (ii)	485,477 ------------- 0	301,033 ------------- 0	252,027 ------------- 0	156,256 ------------- 0	29,193 ------------- 0	1,223,986 ------------- 0	180,264 ------------- 0
25DEBBIE BURTON SVP CHIEF NURSING OFFCR - THRU 1/21	(i) (ii)	1,581 ------------- 0	97,000 ------------- 0	1,013,240 ------------- 0	7,318 ------------- 0	444 ------------- 0	1,119,583 ------------- 0	118,519 ------------- 0
26SCOTT O'BRIEN COO WA AND MT REGION	(i) (ii)	581,129 ------------- 0	257,895 ------------- 0	79,181 ------------- 0	173,552 ------------- 0	12,565 ------------- 0	1,104,322 ------------- 0	58,551 ------------- 0
27MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ	(i) (ii)	478,972 ------------- 0	188,541 ------------- 0	194,134 ------------- 0	150,948 ------------- 0	25,722 ------------- 0	1,038,317 ------------- 0	153,592 ------------- 0
28PEG CURRIE CHIEF EXEC SACRED HEART MEDICAL CTR	(i) (ii)	475,822 ------------- 0	110,499 ------------- 0	149,753 ------------- 0	147,296 ------------- 0	14,504 ------------- 0	897,874 ------------- 0	122,777 ------------- 0
29JIM WATSON ESQ ASSISTANT SECRETARY	(i) (ii)	450,443 ------------- 0	287,615 ------------- 0	22,030 ------------- 0	94,222 ------------- 0	32,632 ------------- 0	886,942 ------------- 0	0 ------------- 0
30DAVID BROWN SVP CAO AMBULATORY CARE	(i) (ii)	411,677 ------------- 0	119,936 ------------- 0	174,771 ------------- 0	140,142 ------------- 0	30,558 ------------- 0	877,084 ------------- 0	152,970 ------------- 0
31ALI SANTORE SVP GOVT AFFAIRS & SOCIAL RESP	(i) (ii)	500,823 ------------- 0	195,754 ------------- 0	77,910 ------------- 0	89,786 ------------- 0	12,516 ------------- 0	876,789 ------------- 0	76,807 ------------- 0
32ELLA GOSS CHIEF EXEC ALASKA MEDICAL CENTER	(i) (ii)	397,498 ------------- 0	129,650 ------------- 0	106,234 ------------- 0	131,965 ------------- 0	25,032 ------------- 0	790,379 ------------- 0	84,573 ------------- 0
33VENKAT BHAMIDIPATI FORMER EVP/TREASURER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 750,000	0 ------------- 0	0 ------------- 0	0 ------------- 750,000	0 ------------- 0
34DARIN GOSS CHIEF EXEC ST. PETER HOSPITAL	(i) (ii)	401,962 ------------- 0	148,752 ------------- 0	20,966 ------------- 0	117,179 ------------- 0	30,069 ------------- 0	718,928 ------------- 0	0 ------------- 0
35HELEN ANDRUS REGIONAL CFO WA AND MT	(i) (ii)	389,977 ------------- 0	122,811 ------------- 0	84,163 ------------- 0	82,598 ------------- 0	15,538 ------------- 0	695,087 ------------- 0	58,481 ------------- 0
36DARREN REDICK CHIEF EXEC PRMCE	(i) (ii)	349,997 ------------- 0	42,229 ------------- 0	9,816 ------------- 0	103,636 ------------- 0	24,630 ------------- 0	530,308 ------------- 0	4,948 ------------- 0
37KIM WILLIAMS CHIEF EXEC PRMCE - THRU 3/21	(i) (ii)	108,612 ------------- 0	103,966 ------------- 0	246,451 ------------- 0	20,614 ------------- 0	6,425 ------------- 0	486,068 ------------- 0	150,654 ------------- 0
38AMY MILLER REGIONAL CFO - AK PSJH	(i) (ii)	255,954 ------------- 0	38,541 ------------- 0	865 ------------- 0	23,566 ------------- 0	29,337 ------------- 0	348,263 ------------- 0	0 ------------- 0
39DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT	(i) (ii)	210,749 ------------- 0	30,761 ------------- 0	1,041 ------------- 0	12,268 ------------- 0	11,812 ------------- 0	266,631 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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 EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS -RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $2,355,018 JATIN MOTIWAL - $140,250 VENKAT BHAMIDIPATI - $750,000 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROD F. HOCHMAN, MD - $764,400 DEBRA CANALES - $1,251,780 ERIK WEXLER - $424,024 RHONDA MEDOWS, MD - $925,168 LISA VANCE - $211,879 ELAINE COUTURE - $311,233 GUY HUDSON, MD - $270,912 AMY COMPTON-PHILLIPS, MD - $341,291 JOEL GILBERTSON - $194,575 CINDY STRAUSS - $397,592 MIKE WATERS - $183,238 GREG TILL - $175,548 JO ANN ESCASA-HAIGH - $266,274 BRYAN MITCHELL - $88,016 GREG HOFFMAN - $76,348 AARON MARTIN - $251,577 STEVEN NISCO - $281,651 JATIN MOTIWAL - $490,509 SYLVAIN TREPANIER - $91,647 PRESTON SIMMONS - $192,884 OREST HOLUBEC - $164,043 JOHN WHIPPLE - $180,264 DEBBIE BURTON - $118,519 SCOTT O'BRIEN - $58,551 MARY CRANSTOUN - $153,592 PEG CURRIE - $122,777 DAVID BROWN - $152,970 ALI SANTORE - $76,807 ELLA GOSS - $84,573 HELEN ANDRUS - $58,481 DARREN REDICK - $4,948 KIM WILLIAMS - $150,654
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2021

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 section 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 the 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) 2021

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.	3,330,410	MED. SVCS.		No
(2) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	14,254,797	TECH. SVCS.		No
(3) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	1,612,867	CONSULTING		No
(4) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	474,420	LEGAL SVCS.		No
(5) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	268,582	CONSTR.		No
(6) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	23,801,033	CONSULTING		No
(7) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	105,460,220	TECH SVCS.		No
(8) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	10,689,838	CONSULTING		No
(9) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	232,662	CONSTR.		No
(10) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	4,397,960	ACCT. SVCS.		No
(11) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	246,766	MED. SVCS.		No
(12) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	4,455,873	CONSULTING		No
(13) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	3,129,042	CONSULTING		No
(14) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	156,499	LEASE		No
(15) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	23,919,223	CONSULTING		No
(16) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	137,129	STAFFING SVCS.		No
(17) SUBSTANTIAL CONTRIBUTOR	SUB. CONTR.	7,285,705	CONSULTING		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES -
WASHINGTON

Employer identification number

51-0216586

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	THE MAYDAY FOUNDATION PROVIDES IMMEDIATE, PRACTICAL FINANCIAL SUPPORT TO THURSTON COUNTY FAMILIES COPING WITH CANCER WHILE RAISING KIDS AT HOME. THEY COVER HOUSEHOLD EXPENSES LIKE RENT, MORTGAGE, UTILITIES, GAS AND GROCERIES FOR A SHORT TIME, UNTIL A CANCER PATIENT CAN WORK OUT A NEW BUDGET OR RETURN TO WORK. THE FOUNDATION'S FAMILY SUPPORT FUND IS THE LIFELINE OF SUPPORT FOR LOCAL FAMILIES WORKING THROUGH THE FINANCIAL IMPLICATIONS OF A CANCER DIAGNOSIS. THE GOAL IS TO KEEP PEOPLE IN THEIR HOMES, PREVENTING HOMELESSNESS AND BANKRUPTCY. ABOUT 50% OF MAYDAY FAMILIES ARE MOTHERS WITH BREAST CANCER AND ABOUT HALF OF THESE WOMEN ARE SINGLE PARENTS. SUPPORT FROM PROVIDENCE IS EARMARKED FOR HOUSING COSTS FOR LOCAL CANCER PATIENTS. THROUGH THE ADELINE COFFMAN GUILD PROVIDENCE FUNDS UNCOMPENSATED CARE FOR THE CHILDREN OF LEWIS COUNTY, WASHINGTON AT SEATTLE CHILDREN'S HOSPITAL, A PEDIATRIC REFERRAL CENTER FOR THE PACIFIC NORTHWEST, SPECIALIZING IN THE HEALTH CARE OF CHILDREN. PROVIDENCE FUNDED THE THURSTON-MASON COUNTY DENTAL SOCIETY TO PROVIDE: FREE DENTAL TREATMENT AT THE OLYMPIA UNION GOSPEL MISSION TO THOSE WITH NO INSURANCE AND WHO ARE AT OR BELOW THE POVERTY LINE; FREE DENTAL SUPPLIES AND EDUCATION TO SCHOOL AGED CHILDREN THROUGH THE LITTLE RED SCHOOLHOUSE PROJECT. TOGETHER! SERVES YOUTH AND FAMILIES IN THE SOUTH SOUND TO ADVANCE THE HEALTH AND WELL-BEING OF ALL YOUNG PEOPLE. PROVIDENCE FUNDING HAS SUPPORTED THE HOST HOMES PROGRAM, A SHORT-TERM COMMUNITY-BASED HOSTED HOUSING OPTION FOR UNACCOMPANIED YOUTH, 13- 21, UNSTABLY HOUSED WITHOUT THEIR LEGAL GUARDIAN. MANY YOUTH SERVED ARE LGBTQ+ AND/OR HAVE EXPERIENCED SIGNIFICANT TRAUMA. PROVIDENCE ALSO SUPPORTS THE COMMUNITY SCHOOLS INITIATIVE, WHICH FOCUSES ON BASIC NEEDS, PHYSICAL HEALTH, FAMILY ENGAGEMENT, AND MORE. CASE MANAGERS ASSIST STUDENTS WITH SUPPORTS SUCH AS HOMELESSNESS PREVENTION AND RAPID REHOUSING OF FAMILIES EXPERIENCING HOMELESSNESS, DISTRIBUTION OF MEAL BOXES, AND SUPPORT FOR EXISTING AND EXPANDED AFTER-SCHOOL PROGRAMS AND LUNCHTIME SUPPORT AND ENRICHMENT ACTIVITIES. PROVIDENCE FUNDED OLYMPIA CAMP ABILITIES TO HOST THEIR ANNUAL SPORTS CAMP FOR VISUALLY IMPAIRED AND BLIND CHILDREN. MOST CHILDREN WITH A VISUAL IMPAIRMENT OR WHO ARE BLIND ARE MARGINALIZED AND NOT INCLUDED IN SCHOOL SPORTS OR PHYSICAL EDUCATION, WHICH HAS LED TO A 70% OBESITY RATE FOR THESE CHILDREN. OLYMPIA CAMP ABILITIES TEACHES THESE CHILDREN HOW TO PLAY SPORTS SAFELY WITH ADAPTIVE EQUIPMENT AND THE HOPE IS THEY CAN RETURN TO SCHOOL AND TEACH THEIR PHYSICAL EDUCATION TEACHER OR COACH HOW THEY CAN BE INCLUDED IN SPORTS SAFELY. MANY OF THE ATHLETES COME FROM LOW-INCOME HOMES AND 100% SCHOLARSHIPS ARE PROVIDED FOR ANY CHILD APPLYING TO ATTEND CAMP. THE PROVIDENCE SYSTEM HAS INVESTED IN PROVIDING TECHNICAL ASSISTANCE TO THURSTON COUNTY THROUGH COMMUNITY SOLUTIONS' BUILT FOR ZERO INITIATIVE. WITH LOCAL SUPPORT, THE COUNTY HAS CONVENED A ROBUST BUILT FOR ZERO (BFZ) COHORT. THE COMMUNITY IS CONCENTRATING ITS EFFORTS ON CHRONICALLY HOMELESS INDIVIDUALS AND IS FOCUSED ON BUILDING A UNIFIED PROCESS FOR DEVELOPING A BY-NAME LIST OF PEOPLE EXPERIENCING HOMELESSNESS TO ACHIEVE FUNCTIONAL ZERO FOR HOMELESSNESS IN THURSTON COUNTY BY 2026. ADJACENT TO ST. PETER HOSPITAL AND MOTHER JOSEPH CARE CENTER, THE HOMELESS ENCAMPMENT ALONG ENSIGN ROAD IN OLYMPIA IS ONE OF THE LARGEST AND MOST VISIBLE IN ALL OF THURSTON COUNTY. PROVIDENCE IS A CRUCIAL AND TRUSTED PARTNER TO LOCAL GOVERNMENTS AND OUR LOCAL HEALTH JURISDICTION IN HELPING TO PROVIDE SERVICES AND A SAFE HOUSING ENVIRONMENT FOR THOSE CURRENTLY LIVING ALONG ENSIGN, INCLUDING THE PROVISION OF FUNDING FROM THE PROVIDENCE SYSTEM. IN OLYMPIA, WASHINGTON, THE PROVIDENCE SEXUAL ASSAULT CLINIC AND CHILD MALTREATMENT CENTER PROVIDES MEDICAL SERVICES TO CHILDREN AND ADULTS WHO ARE VICTIMS OF SEXUAL OR PHYSICAL ABUSE. THE CLINIC IS THE ONLY FACILITY OF ITS KIND IN THE REGION AND RECEIVES PATIENT REFERRALS FROM LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES AND MEDICAL PROVIDERS. EACH YEAR, THE SEXUAL ASSAULT CLINIC SERVES MORE THAN 350 PATIENTS AND THEIR FAMILIES FROM ITS FIVE SURROUNDING COUNTIES. THE CLINIC ALSO WORKS WITH INDIAN CHILD WELFARE AND TRIBAL COMMUNITIES. THE PROVIDENCE ST. PETER HOSPITAL BIRTH CENTER OFFERS CARE TO A POPULATION THAT IS SEEN IS TOO GREAT TO BE ABSORBED BY ANY OTHER LOCAL HOSPITALS, INCLUDING: FULLY EQUIPPED LABOR, DELIVERY AND RECOVERY AREAS; IN-ROOM CARE AND RESOURCES FOR NEWBORNS; OPERATING AND RECOVERY ROOMS WITH C-SECTION AND EMERGENCY CAPABILITIES; DELIVERY SUPPORT THROUGH PEDIATRIC WELLNESS CHECKS, INCLUDING COMPLETE HEALTH CARE FOR BOTH MOTHER AND CHILD. OTHER SERVICES INCLUDE BREASTFEEDING SUPPORT, LACTATION CONSULTATIONS, AND BREAST PUMP EQUIPMENT. LOCATED WITHIN THE BIRTH CENTER IS A LEVEL II SPECIAL CARE NURSERY FOR ADVANCED NEONATAL CARE. THIS DESIGNATION INDICATES A HIGH LEVEL OF SPECIALIZED CARE FOR HIGH-RISK NEWBORNS SUCH AS PRE-TERM INFANTS AND THOSE WITH SERIOUS MEDICAL CONDITIONS. HOME FOR GOOD - PERMANENT SUPPORTIVE HOUSING FOR ANCHORAGE'S MOST VULNERABLE: IN ANCHORAGE, ALASKA, PROVIDENCE PARTNERED WITH THE UNITED WAY, THE MUNICIPALITY OF ANCHORAGE, SOCIAL FINANCE, AND A HOST OF FUNDERS ON AN INNOVATIVE PAY-FOR-SUCCESS PERMANENT SUPPORTIVE HOUSING PROGRAM TO SERVE ANCHORAGE'S MOST VULNERABLE HOMELESS POPULATION. PROVIDENCE PROVIDED $500,000 IN COMMUNITY PARTNERSHIP FUNDING NEEDED TO KICK OFF THE PROGRAM. THE HOME-FOR-GOOD PSH PROGRAM INITIATED IN OCTOBER OF 2020 TO PROVIDE SUPPORTIVE HOUSING THAT COMBINES STABLE HOUSING WITH ROBUST, WRAP-AROUND SERVICES FOR 150 OF ANCHORAGE RESIDENTS IDENTIFIED AS THE COMMUNITY'S MOST VULNERABLE WHO SUFFER FROM PERSISTENT HOMELESSNESS AND DISABLING CONDITIONS. DATA COLLECTED FOR THE INITIAL 65 INDIVIDUALS SERVED BY HOME FOR GOOD IN 2021 REFLECT A SIGNIFICANT REDUCTION IN EMERGENCY SERVICES UTILIZATION AFTER JUST SIX MONTHS. SAFETY CENTER INTAKES WENT DOWN 75%. ARRESTS WENT DOWN 69%. CALLS FOR EMS TRANSPORT WENT DOWN 50% AND THERE WAS A 78% REDUCTION IN SHELTER STAYS FOR THIS POPULATION. THE CHILDREN'S LUNCHBOX: THE CHILDREN'S LUNCHBOX IN ANCHORAGE, ALASKA HAS PLAYED A VITAL ROLE IN FEEDING HUNGRY CHILDREN SINCE 1998. IN 2021, THE PROGRAM CONTINUED TO MEET GROWING NEEDS AND ENSURE NO CHILD WENT HUNGRY. BUOYED BY A $125,000 INVESTMENT FROM PROVIDENCE HEALTH & SERVICES ALASKA IN PARTNERSHIP WITH PROVIDENCE ALASKA FOUNDATION, AND GENEROUS DONATIONS FROM OTHER INDIVIDUAL AND CORPORATE DONORS AND GRANTS, BEAN'S CAF WAS ABLE TO EXPAND THE CHILDREN'S LUNCHBOX TO MEET THE GROWING NEED OF FAMILIES DURING THE PANDEMIC. IN 2021, CHILDREN'S LUNCHBOX PROVIDED 245,383 MEALS TO FAMILIES AND CHILDREN IN ANCHORAGE. THAT NUMBER INCREASES DAILY. FRESH MEALS ARE ASSEMBLED EACH WEEK AND PACKAGED IN VACUUM-SEALED CONTAINERS. THE SHELF-STABLE PANTRY PACKS ARE PACKAGED BY VOLUNTEERS IN AN OFF-SITE WAREHOUSE, FOLLOWING COVID-19 SAFETY PROTOCOL, OR BY VOLUNTEERS AT HOME. THE PANTRY BOXES CONTAIN BREAKFAST, LUNCH OR DINNER AND CAN BE PICKED UP VIA MOBILE PICK-UP OR DELIVERY AT DESIGNATED LOCATIONS THROUGHOUT TOWN. VACCINATION CLINICS AND COMMUNITY HEALTH WORKERS: IN 2021, PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) IN WALLA WALLA, WASHINGTON, CONDUCTED ITS FREE ANNUAL DRIVE-THROUGH INFLUENZA VACCINATION CLINIC IN OCTOBER PROVIDING BETWEEN 500-600 DOSES. THE EXPERIENCE OF PROVIDING THE ANNUAL DRIVE-THROUGH INFLUENZA VACCINATION CLINIC EACH OCTOBER FOR THE LAST 12 YEARS HELPED THE TEAM TO QUICKLY STAND UP THE COVID-19 MASS VACCINATION CLINICS IN 2020 THAT CONTINUED IN 2021. PSMMC COLLABORATED WITH PUBLIC HEALTH AND OTHER COMMUNITY ORGANIZATIONS TO DEVELOP FREE COMMUNITY COVID-19 TESTING STRATEGIES TO ADDRESS THE NEEDS OF POPULATIONS SUCH AS THE ELDERLY, THOSE WITH LIMITED MOBILITY, THE HISPANIC COMMUNITY, AND HIGH-RISK WORK ENVIRONMENTS. TO RESPOND TO COVID-19 RELATED COMMUNITY NEEDS, FOUR COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD MADE 2300 UNIQUE TOUCHPOINTS IN 2021 REACHING PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS (AGES 12-24): PSMMC SUPPORTED THE WORK OF THE ANCHOR COMMUNITY INITIATIVE (ACI) WALLA WALLA IN 2021. ACI REPORTED A 20% REDUCTION IN THE NUMBER OF ACTIVELY HOMELESS YOUTH AND YOUNG ADULTS IN THEIR SYSTEM APRIL-SEPTEMBER 2021 COMPARED TO THE PRIOR SIX-MONTH PERIOD. IN STEVENS COUNTY, WASHINGTON, PROVIDENCE MOUNT CARMEL AND PROVIDENCE ST. JOSEPH HOSPITALS SUPPORTED YOUTH AND FAMILIES THROUGH PARTNERSHIPS WITH THE COLVILLE PUBLIC LIBRARY TO OFFER RESOURCES TO FAMILIES OF NEWBORNS, AS WELL AS SUPPORT OF COLVILLE SCHOOL DISTRICT TO PROMOTE A SAFE, HEALTHY SCHOOL ENVIRONMENT. FURTHER, PROVIDENCE SUPPORTED YOUTH AND FAMILIES THROUGH FOOD SECURITY PARTNERSHIP WITH N.E.W. HUNGER COALITION, WHICH PROVIDES TRAILERS TO TRANSPORT FRESH PRODUCE TO RURAL FOOD PANTRIES AND OFFERS HOME GARDEN SUPPORT.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	REMOVING BARRIERS TO CARE - ACCESS TO COMMUNITY-BASED CARE IMPROVING ACCESS TO CARE AND COVERAGE ARE AMONG SEVERAL IMPORTANT SOCIAL DETERMINANTS FOR ENJOYING A HEALTHIER LIFE. BY MEETING PEOPLE WHERE THEY ARE IN THE COMMUNITY, REGARDLESS OF THEIR CIRCUMSTANCES, PROVIDENCE IS REMOVING OBSTACLES TO CARE. WE'RE STRONG ADVOCATES FOR PRESERVING AND EXPANDING COVERAGE OF CRUCIAL SAFETY NET PROGRAMS, ESPECIALLY IN TIMES OF CRISIS. ONE SUCH PROGRAM IS THE PROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE (PICAA) IN EVERETT, WASHINGTON. PICAA IS THE PRIMARY FACILITY IN SNOHOMISH COUNTY PROVIDING MEDICAL AND FORENSIC EXAMS FOR THOSE IMPACTED BY SEXUAL, PHYSICAL, AND/OR RELATIONSHIP VIOLENCE AS WELL AS THERAPY AND ADVOCACY SERVICES. PICAA'S SEXUAL ASSAULT NURSES ALSO TRAVEL TO OTHER FACILITIES THROUGHOUT SNOHOMISH COUNTY, WHICH OFTEN DON'T HAVE TRAINED CLINICIANS AVAILABLE TO PROVIDE EXAMS. PROVIDENCE PLACES A PRIORITY ON SERVING THIS VULNERABLE POPULATION IN SNOHOMISH COUNTY. IN ADDITION TO STAFFING AND SUPPORTING PICAA WITH COMMUNITY BENEFIT FUNDING, PROVIDENCE ALSO SUPPORTS PEORIA HOME, WHICH OFFERS HOUSING AND SERVICES TO WOMEN SEEKING TO LEAVE SEX TRAFFICKING. TO FURTHER SUPPORT ACCESS TO URGENT AND EMERGENT CARE, PROVIDENCE HAS PROVIDED MANY YEARS OF SUPPORT TO STEVENS COUNTY AMBULANCE; BEGINNING IN 2021, THE ORGANIZATION MOVED FROM RELYING ON ALL-VOLUNTEER SERVICE TO EMPLOYING EMTS AND PARAMEDICS TO SERVE STEVENS COUNTY. IN 2021, PROVIDENCE HEALTH CARE / PROVIDENCE INLAND NORTHWEST WASHINGTON IN SPOKANE, WASHINGTON, SUPPORTED THE LAUNCH OF ALLIED RESIDENTIAL HEALTH, A LOCAL OPERATOR OF 40 ADULT RESIDENTIAL LIVING SPACES; THE FOCUS POPULATION FOR THIS PROGRAM ARE PATIENTS WHO WOULD OTHERWISE NOT HAVE A SAFE PLACE TO DISCHARGE TO. FOR MORE INFORMATION ABOUT PROVIDENCE WASHINGTON GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON FOR MORE INFORMATION ABOUT PROVIDENCE ALASKA GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/ALASKA
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - WASHINGTON'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 187,762,405. MANAGEMENT AND GENERAL EXPENSES 195,500,052. FUNDRAISING EXPENSES 132,856. TOTAL EXPENSES 383,395,313. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,679,616. MANAGEMENT AND GENERAL EXPENSES 1,748,832. FUNDRAISING EXPENSES 1,188. TOTAL EXPENSES 3,429,636. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 153,929,145. MANAGEMENT AND GENERAL EXPENSES 160,272,531. FUNDRAISING EXPENSES 108,917. TOTAL EXPENSES 314,310,593. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 71,513,752. MANAGEMENT AND GENERAL EXPENSES 74,460,818. FUNDRAISING EXPENSES 50,601. TOTAL EXPENSES 146,025,171. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 373,854,031. MANAGEMENT AND GENERAL EXPENSES 389,260,474. FUNDRAISING EXPENSES 264,530. TOTAL EXPENSES 763,379,035. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 17,577,478. MANAGEMENT AND GENERAL EXPENSES 18,301,842. FUNDRAISING EXPENSES 12,437. TOTAL EXPENSES 35,891,757.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -422,146,368. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 8,157,251. CHANGE IN INVESTMENT IN JOINT VENTURE -9,444,698. OTHER CHANGES IN NET ASSETS -16,243,071.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

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) EXPRESS CARE LLC 800 FIFTH AVE STE 1200 SEATTLE,WA98104 83-1518217	HEALTHCARE	WA	6,338,513	12,325,487	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(2) HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 27-1698016	A/R & COLLECTIONS	WA	0	-3,181,557	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(3) LEGACY LLC PO BOX 196606 ANCHORAGE,AK99519 32-0252199	REAL ESTATE	AK	3,355,079	35,740,619	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(4) LIND HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	INVESTMENTS	WA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(5) PIONEER HEALTH LABS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 81-2389573	HEALTHCARE	WA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(6) PROVIDENCE DOLORES HOUSE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 82-5497218	SUPPORTIVE HOUSING	WA	288,696	5,428,560	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(7) PROVIDENCE HOUSE OAKLAND GP LLC 540 23RD ST OAKLAND,CA94612 81-1481031	SUPPORTIVE HOUSING	CA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(8) PROVIDENCE JOHN GABRIEL HOUSE GP LLC 8632 160TH AVE NE REDMOND,WA98052	SUPPORTIVE HOUSING	WA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(9) PROVIDENCE JOSEPH HOUSE GP LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 27-3678218	SUPPORTIVE HOUSING	WA	47,489	8,504,248	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(10) PROVIDENCE MOTHER BERNARD HOUSE 1140 4TH ST EUREKA,CA95501	SUPPORTIVE HOUSING	CA	3,117,230	8,421,926	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(11) PROVIDENCE PROCUREMENT COMPANY LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 85-1587298	PROCUREMENT	WA	0	0	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(12) PSJ PROVIDER RECRUITMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	RECRUITING	WA	24,481,898	883,282	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(13) PVMH INVESTMENT CO LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	INVESTMENTS	WA	60,592	11,707,554	PROVIDENCE HEALTH & SERVICES - WASHINGTON
(14) ST ELIAS SPECIALTY HOSPITAL LLC 4800 CORDOVA ST ANCHORAGE,AK99503 26-0115489	HEALTHCARE	AK	37,129,943	62,094,752	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)COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA,CA94559 68-0393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes
(2)COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 61-1573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(3)COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 46-1259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes
(4)COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 46-3516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(5)COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes
(6)COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK,TX79410 75-2897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(7)COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 84-4273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(8)COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-2913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(9)COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(10)EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT,WA982065128 94-3264605	TRANSITIONAL CARE	WA	501(C)(3)	10	N/A		No
(11)GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 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)GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 20-3856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(14)HMTS INC 1 HOAG DRIVE NEWPORT BEACH,CA92658 45-3583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes
(15)HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH,CA92663 45-2982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes
(16)HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH,CA92658 33-0676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes
(17)HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH,CA92663 95-3222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes
(18)HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH,CA92663 95-1643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(19)HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes
(20)INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes
(21)INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-2003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes
(22)KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-6033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes
(23)KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND,WA99352 23-7005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes
(24)KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-0655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(25)LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes
(26)LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 26-4021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(27)LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(28)METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(29)METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(30)METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(31)MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(32)NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE,WA98116 20-0799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes
(33)OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(34)PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 56-2290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes
(35)PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK,CA915054809 95-3544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(36)PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE,AK99508 92-0093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes
(37)PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL,OR97362 91-1940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(38)PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(39)PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND,OR97213 93-0800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(40)PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD,OR97504 93-0692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(41)PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-3385506	SUPPORT	WA	501(C)(3)	7	N/A		No
(42)PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-4322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes
(43)PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(44)PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH		No
(45)PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(46)PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 51-0216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes
(47)PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes
(48)PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 55-0828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes
(49)PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 101 W 8TH AVE SPOKANE,WA99204 32-0014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(50)PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 93-0863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes
(51)PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 51-0216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes
(52)PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER,OR97031 93-0921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(53)PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT,WA98203 27-2552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(54)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA,WA98168 91-2077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(55)PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE,CA90503 51-0224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(56)PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH,WA980297219 93-1554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(57)PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(58)PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes
(59)PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE,OR97222 94-3079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(60)PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057	RELIGIOUS ORG	WA	501(C)(3)	1	N/A		No
(61)PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE,WA981262799 91-1188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(62)PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG,OR97132 93-0889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(63)PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(64)PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes
(65)PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND,OR972132967 93-1231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(66)PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes
(67)PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(68)PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(69)PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE,OR97138 93-0927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(70)PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA,WA985065166 91-1097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes
(71)PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-2171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(72)PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 94-3244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(73)PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-1244422	HEALTHCARE	WA	501(C)(3)	12, III	N/A		No
(74)PROVIDENCE ST JOSEPH HEALTH FOUNDATION 4400 NE HALSEY ST STE 599 PORTLAND,OR97213 94-3078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(75)PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(76)PROVIDENCE ST MARY FOUNDATION 401 W POPLAR STREET WALLA WALLA,WA99362 45-2841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(77)PROVIDENCE ST VINCENT MEDICAL FOUNDATION 9205 SW BARNES ROAD STE MT2111 PORTLAND,OR97225 93-0575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(78)PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-3264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes
(79)PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 5315 TORRANCE BLVD NO B-1 TORRANCE,CA90503 33-0261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes
(80)PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1500 DIVISION STREET OREGON CITY,OR97045 93-1003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes
(81)REDWOOD MEMORIAL FOUNDATION 2700 DOBEER STREET EUREKA,CA95501 94-2779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes
(82)SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-4291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes
(83)SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA,CA90404 95-6100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes
(84)SEATTLE SCIENCE FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 61-1502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes
(85)SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 26-2612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA		No
(86)SISTERS OF ST JOSEPH OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643383	RELIGIOUS ORG	CA	501(C)(3)	1	N/A		No
(87)SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 68-0395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes
(88)ST JOSEPH HEALTH MINISTRY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-1666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO		No
(89)ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(90)ST JOSEPH HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-3589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH		No
(91)ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE SUITE 100 IRVINE,CA92612 33-0143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes
(92)ST JOSEPH HOME CARE NETWORK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 68-0331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes
(93)ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(94)ST JUDE HOSPITAL INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643325	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(95)ST LUKE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 94-3176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(96)ST MARY MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(97)ST PATRICK HOSPITAL FOUNDATION 502 W SPRUCE STREET MISSOULA,MT59802 23-7056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes
(98)ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes
(99)SWEDISH EDMONDS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-2305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(100)SWEDISH HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-0433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(101)SWEDISH MEDICAL CENTER FOUNDATION 747 BROADWAY SEATTLE,WA98122 91-0983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes
(102)SWEDISH MJM HOLDINGS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-3139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes
(103)TARZANA MEDICAL CENTER LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 83-3972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(104)THE GAMELIN ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(105)THE GAMELIN CALIFORNIA ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes
(106)THE GAMELIN OREGON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes
(107)TRI-CITIES CANCER CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1594526	HEALTHCARE	WA	501(C)(3)	3	KRMC	Yes
(108)TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESCHUTES AVE BUILDING A KENNEWICK,WA99336 91-1739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes
(109)UNIVERSITY OF PROVIDENCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes
(110)WESTERN HEALTHCONNECT 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 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) 2021

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	(k) Percentage ownership
(1) 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA,CA90404 73-1735618	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(2) BRIDGEPORT MEDICAL IMAGING LLC (BMI) 4400 NE HALSEY 495 PORTLAND,OR97213 26-0796953	IMAGING - DIAGNOSTICS	OR	N/A					No		Yes
(3) BROADWAY IMAGING LLC PO BOX 4587 MISSOULA,MT598064587 52-2405971	MEDICAL IMAGING	MT	N/A					No		Yes
(4) CANBY MEDICAL CENTER I LLC 4800 SW MACADAM AVE STE 120 PORTLAND,OR97239 20-5470937	REAL ESTATE - MOB	OR	N/A					No		Yes
(5) CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-3526875	HEALTHCARE	CA	N/A					No			No
(6) CENTER FOR MEDICAL IMAGING LLC (CMI) 4400 NE HALSEY 495 PORTLAND,OR97213 20-0477972	IMAGING - DIAGNOSTICS	OR	N/A					No		Yes
(7) CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY 495 PORTLAND,OR97213 26-0381897	RADIATION ONCOLOGY	OR	N/A					No		Yes
(8) COASTAL ASC HOLDINGS LLC ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92663 81-0986844	HEALTHCARE	CA	N/A					No		Yes
(9) COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY ONE CITY BLVD W STE 1100 ORANGE,CA92868 26-4591502	HEALTHCARE	CA	N/A					No		Yes
(10) COVENANT LONG-TERM CARE LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 20-5033419	HEALTHCARE	TX	N/A					No			No
(11) CSS JV LLC 11782 SW BARNES ROAD STE 200 BLDG C PORTLAND,OR97225 26-3638838	AMBULATORY SURGERY CENTER	OR	N/A					No			No
(12) FIRST HILL SURGERY CENTER LLC 1101 MADISON STREET STE 200 SEATTLE,WA98104 47-2066485	AMBULATORY SURGERY CENTER	WA	N/A					No		Yes
(13) FULLERTON SURGICAL CENTER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-0927394	AMBULATORY SURGERY CENTER	CA	N/A					No		Yes
(14) GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK,CA91505 95-4570858	REAL ESTATE - MOB	CA	N/A					No			No
(15) HCSA PROPERTIES LLC 1600 M STREET NW AUBURN,WA98001 46-0620892	REAL ESTATE RENTAL	WA	SHS & PHS - WA	UNRELATED	21,533	1,724,124		No	10,083		No	11.590 %
(16) HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE,CA92868 27-1000061	INVESTMENTS	CA	N/A					No			No
(17) HOAG ORTHOPEDIC INSTITUTE 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 61-1588294	HEALTHCARE	CA	N/A					No		Yes
(18) IMAGING ASSOCIATES LLC 3650 PIPER STREET STE A ANCHORAGE,AK99508 20-3906048	MEDICAL IMAGING	AK	PHS WA	RELATED	5,053,657	8,120,147		No		Yes		50.000 %
(19) INLAND IMAGING LLC 801 S STEVENS ST SPOKANE,WA99204 91-1855796	MEDICAL IMAGING	WA	PHS WA	RELATED	4,137,608	7,826,154		No		Yes		50.000 %
(20) LSC REAL PROPERTY LLC 2301 QUAKER AVENUE LUBBOCK,TX79410 47-4646059	REAL ESTATE	TX	N/A					No			No
(21) METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK,TX79410 75-2343261	HEALTHCARE	TX	N/A					No			No
(22) MISSION VIEJO PARTNERS II LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3943675	REAL ESTATE - MOB	CA	N/A					No		Yes
(23) NEWPORT IMAGING CENTER 360 SN MIGUEL NEWPORT BEACH,CA92660 33-0191776	HEALTHCARE	CA	N/A					No		Yes
(24) NORTH OC IMAGING JV HOLDINGS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 85-2444305	HEALTHCARE	CA	N/A					No			No
(25) OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD,OR97504 45-0471748	MEDICAL IMAGING	OR	N/A					No		Yes
(26) OREGON OUTPATIENT SURGERY CENTER 7300 SW CHILDS RD TIGARD,OR97224 22-3883387	AMBULATORY SURGERY CENTER	OR	N/A					No			No
(27) PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC 1221 MADISON STREET SEATTLE,WA98104 20-3132044	MEDICAL IMAGING	WA	N/A					No		Yes
(28) PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC 19625 62ND AVENUE SOUTH SUITE 101 KENT,WA98032 45-2901632	MEDICAL EQUIPMENT	WA	N/A					No		Yes
(29) PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-2701056	INVESTMENTS	WA	PHS WA	EXCLUDED	2,296,126	4,370,148		No		Yes		29.330 %
(30) PROV RADIATION ONCOLOGY DEVELOP ASSN LLC 4400 NE HALSEY 495 PORTLAND,OR97213 26-0682491	REAL ESTATE - MOB	OR	N/A					No			No
(31) PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 82-3765555	MEDICAL	AL	N/A					No			No
(32) PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 82-3270499	MEDICAL	AL	N/A					No		Yes
(33) PROVIDENCE CHILDREN'S NEONATAL SVCS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-0918549	NEONATAL CARE	WA	N/A					No			No
(34) PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 92-0118807	MEDICAL IMAGING	AK	PHS WA	RELATED	14,412,127	13,059,040		No		Yes		99.000 %
(35) PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3190634	INVESTMENTS	WA	PHS WA	EXCLUDED	249,966,097	2,804,690,877		No	940,418	Yes		41.960 %
(36) PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA,MT59802 84-1401625	AMBULATORY SURGERY CENTER	MT	N/A					No			No
(37) PROVIDENCE UCLA USP SURGERY CENTER JV 14201 DALLAS PARKWAY DALLAS,TX75254 32-0503030	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(38) PROVIDENCEUSP SOUTH BAY SURGERY CENTERS 15305 DALLAS PKWY STE 1600 LB 28 ADDISON,TX75001 47-5064486	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(39) PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-0684116	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(40) RADIATION THERAPY INNOVATIONS LLC 1221 MADISON ST 1ST FL SEATTLE,WA98104 30-0553035	HEALTHCARE	WA	N/A					No		Yes
(41) SANTA ANA MOB LLC 1800 QUAIL STREET STE 100 NEWPORT BEACH,CA92660 75-3205306	REAL ESTATE - MOB	CA	N/A					No		Yes
(42) SJO ASC HOLDINGS LLC 1140 W LA VETA AVE ORANGE,CA92868 82-1655501	HEALTHCARE	CA	N/A					No			No
(43) ST JOSEPH PHYSICIAN VENTURES I LLC 1100 WEST STEWART DRIVE ORANGE,CA92868 45-4521884	REAL ESTATE	CA	N/A					No		Yes
(44) ST JOSEPHSATELLITE DIALYSIS CENTERS LLC 300 SANTANA ROW SUITE 300 SAN JOSE,CA95128 81-4657391	HEALTHCARE	CA	N/A					No			No
(45) ST JUDE SURGICAL CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3352570	AMBULATORY SURGERY CENTER	CA	N/A					No		Yes
(46) ST PETER-SOUTH SOUND REGIONAL MRI CENTER 3417 ENSIGN RD NE OLYMPIA,WA98506 91-1455338	MEDICAL IMAGING	WA	PHS WA	RELATED	387,537	2,766,188		No		Yes		50.000 %
(47) SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD,KS66211 20-8187971	AMBULATORY SURGERY CENTER	KS	N/A					No		Yes
(48) TARZANA PEDIATRIC VENTURES LLC 18321 CLARK ST TARZANA,CA91356 82-1308306	HEALTHCARE	CA	N/A					No			No
(49) THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE,WA99204 84-1606484	HOTEL SERVICES	WA	PHS WA	UNRELATED	145,655	1,468,596		No	145,621	Yes		50.000 %
(50) WON-ONC LLC 1900 COOKS HILL RD CENTRALIA,WA98531 26-2181194	REAL ESTATE - MOB	WA	PHS WA	EXCLUDED	62,963	1,048,644		No		Yes		25.000 %

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE,WA98122 20-1954319	OWNERS' ASSOCIATION	WA	N/A	C					No
(2) ACCLARA SOLUTIONS GROUP LLC 10713 W SAM HOUSTON PKWY N 500 HOUSTON,TX77064 87-0837184	HOLDING COMPANY	TX	N/A	C					No
(3) ACCLARA SOLUTIONS INTERMEDIATE LLC 10713 W SAM HOUSTON PKWY N 500 HOUSTON,TX77064 37-1783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C					No
(4) AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD HM08 PEMBROKE BD	CAPTIVE INSURANCE	BD	N/A	C					No
(5) AYIN HEALTH SOLUTIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 83-3037172	HEALTHCARE	DE	N/A	C					No
(6) BOURGET HEALTH SERVICES INC 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 91-1354431	CLINICAL/MEDICAL LAB	WA	N/A	C					No
(7) CARON CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 81-0486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C					No
(8) COLBURN HILL GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA95057 86-3383433	HEALTHCARE	DE	N/A	C					No
(9) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA 1301 20TH ST STE 280 SANTA MONICA,CA90404 95-2880495	HEALTHCARE	CA	N/A	S					No
(10) HMR WEIGHT MANAGEMENT SERVICES CORP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-3598718	HEALTHCARE	WA	N/A	C					No
(11) HOAG MANAGEMENT SERVICES INC 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 33-0731587	HEALTHCARE	CA	N/A	C					No
(12) HOAG PHYSICIAN PARTNERS 16148 SAND CANYON AVE IRVINE,CA92618 83-4276044	HEALTHCARE	CA	N/A	C					No
(13) KENSCI INC 615 2ND AVE 700 SEATTLE,WA98104 47-4048082	HEALTHCARE	WA	N/A	C					No
(14) KENSCI TECH INDIA PRIVATE LIMITED 615 2ND AVE 700 SEATTLE,WA98104	HEALTHCARE	IN	N/A	C					No
(15) KENSCI ASIA PACIFIC PTE LTD 615 2ND AVE 700 SEATTLE,WA98104	HEALTHCARE	SN	N/A	C					No
(16) LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 75-2578995	INACTIVE	TX	N/A	C					No
(17) LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 75-2118585	HEALTHCARE	TX	N/A	C					No
(18) LUMEDIC INC (FKA LUMEDIC ACQ CO INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 83-3881097	HEALTHCARE	WA	N/A	C					No
(19) MEDICAL SPECIALTIES MANAGERS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 33-0406218	HEALTHCARE	WA	N/A	C					No
(20) MEDIREVV INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 20-8783763	HEALTHCARE	DE	N/A	C					No
(21) MISSION VIEJO MEDICAL VENTURES INC 27800 MEDICAL CENTER RD 354 MISSION VIEJO,CA92691 33-0212905	HEALTHCARE	CA	N/A	C					No
(22) PERFORMANCE HEALTH TECHNOLOGY LTD 3993 FAIRVIEW INDUSTRIAL DR SE SALEM,OR97302 93-1211733	HEALTHCARE	OR	N/A	C					No
(23) PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-1814184	STRATEGIC PLANNING SERVICES	CA	N/A	C					No
(24) PIONEER INNOVATIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 36-4818191	HEALTHCARE INNOVATIONS	WA	N/A	C					No
(25) PROVIDENCE ASSURANCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 20-8194071	CAPTIVE INSURANCE	AZ	PHS WA	C	122	10,975,830	100.000 %		No
(26) PROVIDENCE GLOBAL CENTER LLP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 98-1516461	IT SVCS	IN	PHS WA & PSJH	C	31,282,145	18,520,551	99.000 %		No
(27) PROVIDENCE HEALTH CARE VENTURES INC 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 90-0155714	CLINICAL/MEDICAL LAB	WA	PHS WA	C		25,451,559	100.000 %		No
(28) PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 80-0886966	PREPAID HEALTHCARE	CA	N/A	C					No
(29) PROVIDENCE HEALTH VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 33-0122216	INVESTMENT	CA	N/A	C					No
(30) PROVIDENCE PHYSICIAN SERVICES CO 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 91-1216033	HEALTHCARE	WA	N/A	C					No
(31) PROVIDENCE ST JOSEPH HEALTH NETWORK 20555 EARL ST TORRANCE,CA90503 82-3771547	HEALTHCARE	CA	N/A	C					No
(32) QUIVIQ INC 1400-112TH AVENUE ST SUITE 100 BELLEVUE,WA98004 83-3879444	HEALTHCARE ANALYTICS	WA	N/A	C					No
(33) ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-2340232	HOLDING COMPANY	CA	N/A	C					No
(34) ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-1900168	HEALTHCARE	CA	N/A	C					No
(35) ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 33-0155323	HEALTHCARE	CA	N/A	C					No
(36) TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-2092143	HOLDING COMPANY	DE	N/A	C					No
(37) TEGRIA INSIGHTS GROUP HOLDINGS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-1400769	HOLDING COMPANY	WA	N/A	C					No
(38) TEGRIA INSIGHTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-1532593	HEALTHCARE	WA	N/A	C					No
(39) TEGRIA PRODUCTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 87-0995138	HOLDING COMPANY	DE	N/A	C					No
(40) TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-4686520	HOLDING COMPANY	DE	N/A	C					No
(41) TEGRIA RCM GROUP US INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-3046450	HOLDING COMPANY	DE	N/A	C					No
(42) TEGRIA SERVICES GROUP-CAN INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	HEALTHCARE	CA	N/A	C					No
(43) TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-4704409	HOLDING COMPANY	DE	N/A	C					No
(44) TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 90-0872936	HEALTHCARE	WI	N/A	C					No
(45) VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 95-3943315	INVESTMENT	CA	N/A	C					No

Schedule R (Form 990) 2021

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 .....................

Yes

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) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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) KADLEC REGIONAL MEDICAL CENTER	A	9,481,692	ACCRUAL
(2) KADLEC REGIONAL MEDICAL CENTER	L	449,298	ACCRUAL
(3) KADLEC REGIONAL MEDICAL CENTER	O	1,463,204	ACCRUAL
(4) KADLEC REGIONAL MEDICAL CENTER	Q	208,264	ACCRUAL
(5) PROVIDENCE ALASKA FOUNDATION	J	67,617	ACCRUAL
(6) PROVIDENCE FACEY MEDICAL FOUNDATION	L	230,400	ACCRUAL
(7) PROVIDENCE HEALTH & SERVICES - MONTANA	A	1,022,055	ACCRUAL
(8) PROVIDENCE HEALTH & SERVICES - MONTANA	L	611,175	ACCRUAL
(9) PROVIDENCE HEALTH & SERVICES - MONTANA	O	187,340	ACCRUAL
(10) PROVIDENCE HEALTH & SERVICES - OREGON	A	4,766,057	ACCRUAL
(11) PROVIDENCE HEALTH & SERVICES - OREGON	J	264,129	ACCRUAL
(12) PROVIDENCE HEALTH & SERVICES - OREGON	L	2,700,456	ACCRUAL
(13) PROVIDENCE HEALTH & SERVICES - OREGON	O	395,765	ACCRUAL
(14) PROVIDENCE HEALTH & SERVICES - OREGON	Q	1,302,454	ACCRUAL
(15) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA	A	15,568,243	ACCRUAL
(16) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA	O	317,621	ACCRUAL
(17) PROVIDENCE SAINT JOHNS HEALTH CENTER	A	4,601,190	ACCRUAL
(18) PROVIDENCE ST JOSEPH MEDICAL CENTER	A	188,229	ACCRUAL
(19) SWEDISH EDMONDS	A	1,867,190	ACCRUAL
(20) SWEDISH EDMONDS	O	910,764	ACCRUAL
(21) SWEDISH EDMONDS	Q	179,363	ACCRUAL
(22) SWEDISH HEALTH SERVICES	A	34,598,062	ACCRUAL
(23) SWEDISH HEALTH SERVICES	J	4,040,474	ACCRUAL
(24) SWEDISH HEALTH SERVICES	L	136,010	ACCRUAL
(25) SWEDISH HEALTH SERVICES	O	392,558	ACCRUAL
(26) SWEDISH HEALTH SERVICES	Q	1,113,637	ACCRUAL
(27) TARZANA MEDICAL CENTER LLC	A	544,919	ACCRUAL
(28) THE GAMELIN-CA ASS'N (PROV HOUSE OAKLAND)	L	97,338	ACCRUAL
(29) KADLEC REGIONAL MEDICAL CENTER	R	21,672,450	ACCRUAL
(30) PROVIDENCE ALASKA FOUNDATION	R	2,921,051	ACCRUAL
(31) PROVIDENCE ST JOSEPH HEALTH	R	19,401,320	ACCRUAL
(32) SWEDISH EDMONDS	R	18,667,855	ACCRUAL
(33) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA	R	216,659,625	ACCRUAL
(34) PROVIDENCE HEALTH & SERVICES - OREGON	R	165,606,410	ACCRUAL
(35) SWEDISH HEALTH SERVICES	R	483,325,538	ACCRUAL
(36) PACMED CLINICS DBA PACIFIC MEDICAL CENTERS	R	4,229,705	ACCRUAL
(37) PROVIDENCE HEALTH & SERVICES - MONTANA	R	54,309,623	ACCRUAL
(38) PROVIDENCE ST JOSEPH MEDICAL CENTER	R	2,625,783	ACCRUAL
(39) PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON	R	619,138	ACCRUAL
(40) PROVIDENCE SAINT JOHNS HEALTH CENTER	R	754,593	ACCRUAL
(41) PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION	R	501,921	ACCRUAL
(42) TARZANA MEDICAL CENTER LLC	R	89,367	ACCRUAL
(43) KADLEC REGIONAL MEDICAL CENTER	S	330,671,848	ACCRUAL
(44) PACMED CLINICS DBA PACIFIC MEDICAL CENTERS	S	4,315,029	ACCRUAL
(45) PROVIDENCE ALASKA FOUNDATION	S	1,500,000	ACCRUAL
(46) PROVIDENCE HEALTH & SERVICES - MONTANA	S	282,191,351	ACCRUAL
(47) PROVIDENCE HEALTH & SERVICES - OREGON	S	1,573,282,292	ACCRUAL
(48) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA	S	1,481,828,908	ACCRUAL
(49) PROVIDENCE SAINT JOHNS HEALTH CENTER	S	754,593	ACCRUAL
(50) PROVIDENCE ST JOSEPH HEALTH	S	9,165,194	ACCRUAL
(51) PROVIDENCE ST JOSEPH MEDICAL CENTER	S	10,651,591	ACCRUAL
(52) SWEDISH EDMONDS	S	18,667,855	ACCRUAL
(53) SWEDISH HEALTH SERVICES	S	1,517,440,494	ACCRUAL
(54) TARZANA MEDICAL CENTER LLC	S	89,367	ACCRUAL
(55) PROVIDENCE ALASKA FOUNDATION	C	4,117,143	ACCRUAL
(56) PROVIDENCE COMMUNITY HEALTH FOUNDATION (MEDFORD)	C	60,000	ACCRUAL
(57) PROVIDENCE GENERAL FOUNDATION	C	1,305,534	ACCRUAL
(58) PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON	C	2,123,018	ACCRUAL
(59) PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY	C	327,142	ACCRUAL
(60) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION	C	405,059	ACCRUAL
(61) PROVIDENCE MARIANWOOD FOUNDATION	C	136,148	ACCRUAL
(62) PROVIDENCE MOUNT ST VINCENT FOUNDATION	C	323,313	ACCRUAL
(63) PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION	C	2,506,121	ACCRUAL
(64) PROVIDENCE ST MARY FOUNDATION	C	483,156	ACCRUAL
(65) SWEDISH MEDICAL CENTER FOUNDATION	C	154,795	ACCRUAL
(66) KADLEC REGIONAL MEDICAL CENTER	R	209,755	ACCRUAL
(67) PROVIDENCE HEALTH & SERVICES - WASHINGTON	R	42,506,422	ACCRUAL
(68) SWEDISH HEALTH SERVICES	R	2,821,208	ACCRUAL
(69) KADLEC REGIONAL MEDICAL CENTER	S	6,258,957	ACCRUAL
(70) PROVIDENCE HEALTH & SERVICES - OREGON	S	2,149,784	ACCRUAL
(71) PROVIDENCE HEALTH & SERVICES - WASHINGTON	S	42,506,422	ACCRUAL
(72) SWEDISH EDMONDS	S	59,233	ACCRUAL
(73) SWEDISH HEALTH SERVICES	S	601,679	ACCRUAL
(74) ST JOSEPH HERITAGE HEALTHCARE	M	54,300	ACCRUAL
(75) PROVIDENCE ST JOSEPH HEALTH	P	135,566,002	ACCRUAL
(76) PROVIDENCE MOUNT ST VINCENT FOUNDATION	B	233,000	ACCRUAL
(77) PROVIDENCE HOSPICE OF SEATTLE FOUNDATION	B	209,000	ACCRUAL
(78) PROVIDENCE MARIANWOOD FOUNDATION	B	110,000	ACCRUAL
(79) SISTERS OF ST JOSEPH OF ORANGE	B	100,000	ACCRUAL
(80) PROVIDENCE ALASKA FOUNDATION	B	89,736	ACCRUAL
(81) PROVIDENCE HEALTH & SERVICES - SOUTHERN CALIFORNIA	B	50,000	ACCRUAL

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	44,016
6	Total number of volunteers (estimate if necessary) .............	6	3,710
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,835,162
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,989,537

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	202,302,367	267,445,611
9	Program service revenue (Part VIII, line 2g) .........	7,352,649,727	8,734,213,683
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	214,399,031	235,415,579
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	187,365,189	235,843,198
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,956,716,314	9,472,918,071
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	9,806,952	21,558,631
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)	4,487,928,256	5,186,424,054
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,931,481
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	3,508,981,934	4,169,338,553
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	8,006,717,142	9,377,321,238
19	Revenue less expenses. Subtract line 18 from line 12.......	-50,000,828	95,596,833
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	11,692,053,785	11,792,986,725
21	Total liabilities (Part X, line 26).............	8,592,798,656	8,893,985,905
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,099,255,129	2,899,000,820

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 5,051,253,037 including grants of $ 21,558,631 ) (Revenue $ 8,922,531,425 )
	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: - PROVIDENCE ACROSS SEVEN WESTERN STATES - COVENANT HEALTH IN WEST TEXAS - PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA. - SWEDISH HEALTH SERVICES IN SEATTLE, WA. 2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. 2021 PROGRAM SERVICE ACCOMPLISHMENTSIN 2021, PROVIDENCE WASHINGTON AND PROVIDENCE ALASKA CONTINUED THE TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE HIGHLIGHTED ACCOMPLISHMENTS IN 2021.PARTNERSHIPS AND INVESTMENTS DRIVE PROGRESS TOWARD HOUSING AND BEHAVIORAL HEALTH SOLUTIONS, ACCESS TO CARE, AND HEALTH EQUITY:IN SOUTHWEST WASHINGTON (THURSTON AND LEWIS COUNTIES), CRITICAL PARTNERSHIPS, PROJECTS, AND PROGRAMS ARE SUPPORTED BY RESOURCES FROM PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, AS WELL AS A VARIETY OF OTHER PROVIDENCE FUNDING SOURCES, SUCH AS PROVIDENCE SYSTEM COMMUNITY HEALTH INVESTMENT AND THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND (SJCPF).THE REST PROGRAM (RESTORATIVE EXPERIENCE FOR A SAFER TRANSITION) IS A FLAGSHIP PARTNERSHIP BETWEEM PROVIDENCE AND INTERFAITH WORKS IN OLYMPIA, OFFERING A SAFE, HEALING ENVIRONMENT FOR UNHOUSED INDIVIDUALS WHO ARE DISCHARGING FROM PROVIDENCE ST. PETER HOSPITAL. IT PROVIDES A STREAMLINED, COST-EFFECTIVE SOLUTION TO THE NEED FOR COMPREHENSIVE SUPPORTIVE RECOVERY SPACE, AS WELL AS ON-SITE COORDINATION OF SUPPORT SERVICES TO SET UP THESE PATIENTS FOR SUCCESS. IN ADDITION TO LOCAL HOSPITAL FUNDING, INTERFAITH HAS RECEIVED A SJCPF CAPACITY-BUILDING GRANT FOR THIS PROGRAM.THE PROVIDENCE COMMUNITY CARE CENTER (PCCC) PROVIDES INTEGRATED CARE TO VULNERABLE PEOPLE THROUGH COMPASSIONATE SERVICE IN A SAFE ENVIRONMENT. THE PCCC RESPONDS TO THE NEEDS OF MARGINALIZED AND UNDERSERVED INDIVIDUALS AND WORKS TO ENSURE THOSE NEEDS ARE MET. ON-SITE IN DOWNTOWN OLYMPIA, PROVIDENCE PROVIDES BEHAVIORAL HEALTH SERVICES, INCLUDING SHORT-TERM CASE MANAGEMENT AND THERAPY AND PSYCHIATRIC BRIDGE-MEDICATION MANAGEMENT. COMMUNITY PARTNERS, INCLUDING THE OLYMPIA FREE CLINIC AND THE CITY OF OLYMPIA'S CRISIS RESPONSE UNIT (CRU), PROVIDE CARE AND SERVICES AT THE PCCC AS WELL. A PROVIDENCE NURSE IS ALSO EMBEDDED WITHIN THE CRU TO HELP THE PROGRAM PROVIDE A HOLISTIC, COMPREHENSIVE RESPONSE TO VULNERABLE INDIVIDUALS EXPERIENCING CRISES IN OLYMPIA.THE OLYMPIA FREE CLINIC (TOFC) PROVIDES LOW-BARRIER HEALTH CARE SERVICES TO ADULTS WHO EXPERIENCE DIFFICULTIES ACCESSING MAINSTREAM HEALTH CARE SERVICES. THESE BARRIERS INCLUDE HOMELESSNESS, LANGUAGE, FINANCIAL, INSURANCE STATUS, CITIZENSHIP AND IMMIGRATION STATUS, SOCIOECONOMIC FACTORS, TRANSPORTATION, MOBILITY, AND SOCIAL STIGMA, AMONG OTHERS. IN ADDITION TO PROVIDING SERVICES AT THE PROVIDENCE COMMUNITY CARE CENTER, TOFC INSTITUTED A WEEKLY MOBILE CLINIC THAT UTILIZES A POP-UP TENT TO PROVIDE ON-SITE MEDICAL AND COVID-19 VACCINATION SERVICES AT VARIOUS HOMELESS ENCAMPMENTS THROUGHOUT THURSTON COUNTY. PROVIDENCE FUNDING SUPPORTS ONGOING EFFORTS TO PROVIDE ACCESS TO HEALTH CARE SERVICES FOR UNDERSERVED COMMUNITY MEMBERS, PARTICULARLY THOSE WHO ARE UNINSURED, AS WELL AS EFFORTS TO ADD MENTAL HEALTH CARE TO THE SUITE OF SERVICES AVAILABLE IN TOFC'S ENCAMPMENT CLINICS.A PARTNERSHIP BETWEEN CATHOLIC COMMUNITY SERVICES AND THE CITY OF OLYMPIA, THE MITIGATION SITE (NOW KNOWN AS QUINCE STREET VILLAGE) IS A TEMPORARY, LEGAL CAMPING SITE THAT PROVIDES A LEVEL OF ORDER, SAFETY, DIGNITY, AND CLEANLINESS. PROVIDENCE FUNDING HAS SUPPORTED THE BUILDING AND FURNISHING OF MICRO-HOMES, INCLUDING SHELTERS, BEDS, AND MATTRESSES.IN THURSTON AND LEWIS COUNTIES, WASHINGTON, COMMUNITY YOUTH SERVICES EMPOWERS YOUTH AT-RISK AND THEIR FAMILIES TO MEET THEIR GOALS FOR SAFETY, STABILITY, BELONGING AND SUCCESS BY PROVIDING A CONTINUUM OF INDIVIDUALIZED SERVICES AND ADVOCACY. IT SERVES AS THURSTON COUNTY'S COORDINATED ENTRY AGENCY FOR UNACCOMPANIED HOMELESS YOUTH AGED 12-24. PROVIDENCE INVESTMENTS SUPPORT A VARIETY OF SERVICES AND, IN PARTICULAR, ROSIE'S PLACE YOUTH RESOURCE CENTER AND YOUNG ADULT SHELTER. FUNDING HELPS MEET BASIC NEEDS AMONG YOUTH SERVED AT ROSIE'S BY PROVIDING NUTRITIOUS MEALS AND PROVIDING VITAL SURVIVAL GEAR (SUCH AS FIRST AID SUPPLIES, HAND WARMERS, EMERGENCY BLANKETS). THESE FOOD AND EMERGENCY SUPPLIES HELP ENSURE YOUTH ARE NOT JUST RECEIVING TEMPORARY SHELTER BUT TOOLS THAT SUPPORT THEIR ABILITY TO REMAIN STABLE AND SELF-SUFFICIENT ONCE THEY RETURN TO THE COMMUNITY.THE FAMILY SUPPORT CENTER OF SOUTH SOUND (FSC) IN LEWIS AND THURSTON COUNTIES, WASHINGTON, SERVES AS THURSTON COUNTY'S COORDINATED ENTRY POINT FOR ALL HOMELESS FAMILIES WITH CHILDREN AND SURVIVORS OF DOMESTIC VIOLENCE WHO ARE IN NEED OF HOUSING ASSISTANCE. FAMILIES AND SURVIVORS GAIN ACCESS TO MENTAL HEALTH SERVICES, CIVIL LEGAL ASSISTANCE, HEALTH CARE ENROLLMENT, EARLY LEARNING AND INTERVENTION PROGRAMS, HUMAN TRAFFICKING SERVICES, AND MORE. STAFF COMPLETE TARGETED OUTREACH, PROVIDING HOMELESS PREVENTION SERVICES TO THE HISPANIC AND TRIBAL COMMUNITIES, WHICH LOCAL DATA DEMONSTRATES ARE THE MOST DISPROPORTIONATELY REPRESENTED IN THURSTON COUNTY'S HOMELESS HOUSING SYSTEM. PROVIDENCE FUNDING SUPPORTS A VARIETY OF SERVICES AND PROGRAMS, INCLUDING PEAR BLOSSOM PLACE, THE REGION'S LARGEST 24/7 FAMILY SHELTER. IN ADDITION TO 36 YEAR-ROUND SHELTER BEDS, WITH AN OPEN-ENDED STAY, THERE ARE SEVEN PERMANENT SUPPORTIVE APARTMENTS ON SITE. THERE ARE ONSITE CHILDREN'S PLAY AREAS, A COMMUNITY LIVING ROOM, LAUNDRY FACILITIES, AND 24/HOUR ONSITE SUPPORT FROM STAFF AND VOLUNTEERS.PROVIDENCE FUNDS THE LEWIS COUNTY GOSPEL MISSION, WHICH HELPS MEET THE MENTAL AND PHYSICAL NEEDS OF THOSE EXPERIENCING HOMELESSNESS AND THOSE WITH MENTAL HEALTH OR SUBSTANCE ABUSE DISORDERS. THEY PROVIDE FOR THE BASIC NEEDS OF AND RELIEVE HUNGER FOR THE HOMELESS AND UNDER-RESOURCED COMMUNITY MEMBERS OF LEWIS COUNTY. THEIR MEAL PROGRAM SERVES A BRIDGE THAT ALLOWS THEM TO CONNECT HOMELESS AND UNDER-RESOURCED/MARGINALIZED RESIDENTS WITH COMMUNITY RESOURCE PARTNERS TO PROVIDE HOUSING & EMPLOYMENT SERVICES, MENTAL HEALTH SERVICES, AND MEDICAL SERVICES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses5,051,253,037

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	32,599,544	27,494,591	8,626,927

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	873,247
d	Related organizations		1d	12,068,230
e	Government grants (contributions)		1e	254,504,134

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		267,445,611

		Business Code
2a	NET PATIENT REVENUE	621110	5,000,597,444	4,999,804,632	792,812
b	CORP SVCS-AFFILIATE	900099	3,656,918,502	3,656,918,502
c	JV INCOME	900099	52,195,650	52,195,650
d	HOSPITAL FEE	621110	24,502,087	24,502,087
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		8,734,213,683

3 Investment income (including dividends, interest, and othersimilar amounts) ......			48,102,035		769,733	47,332,302
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		42,195,618	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		42,195,618	6c
d	Net rental income or (loss).......			42,195,618			42,195,618
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		652,847,284	7a
b	Less: cost or other basis and sales expenses	11,107,989	454,425,751	7b
c	Gain or (loss)	-11,107,989	198,421,533	7c
d	Net gain or (loss).........			187,313,544			187,313,544
8a	Gross income from fundraising events (not including $ 873,247of contributions reported on line 1c). See Part IV, line 18 ....
			8a	187,194
b	Less: direct expenses ...		8b	469,579
c	Net income or (loss) from fundraising events..			-282,385			-282,385
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	8,230,582
b	Less: cost of goods sold ..		10b	5,890,976
c	Net income or (loss) from sales of inventory..			2,339,606			2,339,606
Business Code			Miscellaneous Revenue
11a	COST RECOVERY		900099	40,078,126	40,078,126
b	PHARMACY REVENUE		446110	38,766,217	37,358,443	1,407,774
c	CAFETERIA REVENUE		722514	9,365,862	9,364,008	1,854
d	All other revenue ....			103,380,154	101,517,165	1,862,989
e	Total. Add lines 11a–11d ......			191,590,359
12	Total revenue. See instructions.....			9,472,918,071	8,921,738,613	4,835,162	278,898,685

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	20,462,538	20,462,538
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	1,096,093	1,096,093
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	28,470,985	13,943,260	14,517,859	9,866
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........	3,322,513,838	1,627,153,925	1,694,208,578	1,151,335
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	380,123,340	186,160,003	193,831,615	131,722
9	Other employee benefits .......	1,229,652,437	602,204,802	627,021,529	426,106
10	Payroll taxes ...........	225,663,454	110,515,469	115,069,787	78,198
11	Fees for services (non-employees):
a	Management ......	64,030	31,358	32,650	22
b	Legal .........	32,342,213	15,839,139	16,491,867	11,207
c	Accounting ...........	10,736,232	5,257,917	5,474,595	3,720
d	Lobbying ...........	1,222,755		1,222,755
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	8,190,185		8,190,185
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,646,431,505	806,316,427	839,544,549	570,529
12	Advertising and promotion ....	42,513,889	20,820,573	21,678,584	14,732
13	Office expenses .......	136,049,364	66,628,242	69,373,977	47,145
14	Information technology ......	59,332,349	29,057,175	30,254,614	20,560
15	Royalties ..
16	Occupancy ...........	186,799,395	91,482,348	95,252,316	64,731
17	Travel ............	11,900,143	5,827,926	6,068,093	4,124
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	10,361,333	5,074,316	5,283,427	3,590
20	Interest ...........	187,496,948	91,823,965	95,608,010	64,973
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	408,373,819	199,995,273	208,237,034	141,512
23	Insurance ...	30,714,853	15,042,163	15,662,047	10,643
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	818,555,146	818,555,146
b	HOSPITAL FEE	68,147,263	68,147,263
c	LICENSES AND TAXES	51,726,343	25,332,241	26,376,177	17,925
d	RECRUITING & RELOCATION	24,373,342	11,936,498	12,428,398	8,446
e	All other expenses	434,007,446	212,548,977	221,308,074	150,395
25	Total functional expenses. Add lines 1 through 24e	9,377,321,238	5,051,253,037	4,323,136,720	2,931,481
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 ........			510,507,793	1	670,463,745
2	Savings and temporary cash investments .........			1,023,433,319	2	407,158,235
3	Pledges and grants receivable, net ......			7,523,687	3	10,766,473
4	Accounts receivable, net .............			557,150,022	4	656,239,247
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			7,200,335	7	7,569,736
8	Inventories for sale or use ............			117,113,303	8	135,851,577
9	Prepaid expenses and deferred charges ......			132,250,696	9	105,129,444
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,255,788,762
b	Less: accumulated depreciation	10b	4,559,857,884	2,557,171,860	10c	2,695,930,878
11	Investments—publicly traded securities .			2,954,641,737	11	3,183,011,683
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			317,246,610	13	403,138,094
14	Intangible assets ...............			118,832,468	14	83,967,079
15	Other assets. See Part IV, line 11 ...........			3,388,981,955	15	3,433,760,534
16	Total assets. Add lines 1 through 15 (must equal line 33)...			11,692,053,785	16	11,792,986,725

17	Accounts payable and accrued expenses .....	2,038,439,889	17	1,654,761,967
18	Grants payable ...		18
19	Deferred revenue .........	80,118,369	19	29,626,102
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	-7,096,594	23	24,730,122
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	6,481,336,992	25	7,184,867,714
26	Total liabilities. Add lines 17 through 25..	8,592,798,656	26	8,893,985,905

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,020,792,608	27	2,812,467,680
28	Net assets with donor restrictions ...........	78,462,521	28	86,533,140
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,099,255,129	32	2,899,000,820
33	Total liabilities and net assets/fund balances ........	11,692,053,785	33	11,792,986,725

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