Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): | MEDICAL RESPITE PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AND EVERETT GOSPEL MISSION COLLABORATED TO GIVE SHORT-TERM MEDICAL RESPITE TO INDIVIDUALS WITHOUT HOMES BEING DISCHARGED FROM THE HOSPITAL EMERGENCY ROOM. PATIENTS WHO RECEIVE RESPITE CARE ARE 50% LESS LIKELY TO BE READMITTED TO A HOSPITAL WITHIN 90 DAYS AFTER DISCHARGE. THE RESPITE PROGRAM AT THE EVERETT GOSPEL MISSION ADDRESSES A CRITICAL GAP FOR OUR COMMUNITIES MOST VULNERABLE. WHEN SOMEONE EXPERIENCING HOMELESSNESS IS DISCHARGED FROM THE HOSPITAL, THEY OFTEN END UP RIGHT BACK ON THE STREET WHICH IS NO PLACE TO HEAL SO ALL TOO OFTEN THEY END UP BACK IN THE EMERGENCY ROOM. THIS SITUATION CREATES A HEAVY EMOTIONAL AND PHYSICAL BURDEN, RECOVERY AND HEALING TIMES ARE EXTENDED. THE MEDICAL RESPITE PROGRAM PROVIDES A SAFE PLACE TO HEAL, REST AND RECUPERATE WITH DIGNITY AND WHOLENESS. DEVELOPING COMMUNITY SOLUTION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, NON-PROFIT ORGANIZATIONS, AND THE PEOPLE OF SNOHOMISH COUNTY. ONE GOAL IS TO INCREASE AWARENESS AND ACCESS TO RESOURCES AROUND SOCIAL AND ECONOMIC FACTORS LIKE FOOD SECURITY, HOUSING, AND JOBS. PIHC SERVES AS A COMMUNITY HUB MAKING IT EASIER FOR COMMUNITY MEMBERS TO FIND AND USE RESOURCES THEY NEED TO BE HEALTHY. IN 2022, 215 PEOPLE FROM 78 COMMUNITY ORGANIZATIONS ATTENDED THE ANNUAL "PIHC EDGE OF AMAZING CONFERENCE" TO LEARN NEW RESEARCH AND TRENDS, AMPLIFY EFFORTS, AND INCREASE THE POSITIVE IMPACT WE CAN MAKE TOGETHER TO IMPROVE THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY. ADDITIONALLY, 28,000 PEOPLE WERE REACHED THROUGH COMMUNITY HEALTH EVENTS, PROMOTING AWARENESS OF KEY PRIORITY PUBLIC HEALTH MESSAGES, AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH THE WWW.LIVEWELLLOCAL.ORG COMMUNITY RESOURCE HUB. THE HEALTH & WELL-BEING MONITOR COMMUNITY SURVEY TO IDENTIFY GAPS IN WELL-BEING HAD A TOTAL OF 2,277 RESPONDENTS SHARING NEEDS AROUND SUCH AS HOUSING, TRANSPORTATION, FOOD, UTILITIES, EDUCATION, AND PERSONAL SAFETY AMONG OTHERS. IN PARTNERSHIP WITH THE YMCA OF SNOHOMISH COUNTY, PIHC DISTRIBTUED MORE THAN 22,000 COVID TEST KITS TO LOW-INCOME FAMILIES AT SIX YMCA BRANCHES THROUGHOUT SNOHOMISH COUNTY. ADDITONALLY, 200 MASKS, 100 HYGIENE KITS AND 480 VACCINES WERE ADMINISTERED TO BIPOC RESIDENTS THROUGH THE PIHC EQUITY PARTNERSHIP IN THE FIRST QUARTER OF 2022. ACCESS TO SPECIALTY CARE THERE IS A HUGE GAP IN ACCESS TO SPECIALTY CARE IN RURAL COMMUNITIES. SEVERAL CLINICS IN STEVENS COUNTY PROVIDE A RANGE OF SERVICES TO SUPPORT INDIVIDUAL AND COMMUNITY HEALTH. IN 2022, PROVIDENCE ST. JOSEPH HOSPITAL IN CHEWELAH PROVIDED OUTPATIENT PHYSICAL THERAPY WHILE PROVIDENCE MOUNT CARMEL IN COLVILLE PROVIDES OUTPATIENT WOUND CARE AND FAMILY MATERNITY CENTER. PROVIDING LIFE-SAVING MEDICATION AND SUPPLIES. IN 2022, PROVIDENCE PARTNERED WITH STEVEN'S COUNTY SHERIFF'S AMBULANCE BY HIRING FIELD PARAMEDICS WHO PROVIDED AN ADVANCED LEVEL OF CARE THAT WAS NEEDED IN THE COMMUNITY FOR DECADES. STEVENS AND PART OF FERRY COUNTY COMMUNITY COVERS AROUND 2,000 SQUARE MILES AND APPROXIMATELY 15,000 PLUS PEOPLE. THIS PROJECT INCREASED THE OVERALL TRAINING AND SKILLS TO PROVIDERS AND ALL FIRE AND EMS AGENCIES AROUND STEVEN'S COUNTY. THIS HELPED DECREASE RESPONSE TIMES FOR 911 CALLS AND ALLOWED THE DEPARTMENT TO INCREASE INTERFACILITY TRANSPORTS FOR ALS PATIENTS CARE FROM PROVIDENCE MOUNT CARMEL, ST. JOSEPH AND REPUBLIC HOSPITALS. WITH THE IMPLANTATION OF ALS PROVIDERS, THE WAIT TIME FOR AN INTERFACILITY TRANSPORT FOR CARDIAC, STROKE AND TRAUMA PATIENTS FROM THE EMERGENCY ROOM AND ICU HAS BEEN REDUCED FROM 4 TO 6 HOURS FOR ANOTHER AGENCY OUTSIDE OF THE AREA TO RESPOND. HIRING ADDITIONAL PARAMEDICS ALSO HELPED INCREASE THE SAFETY OF THE STAFF AND PATIENTS BY REDUCING BURNOUT WITHIN THE STAFF. A SAFE SPACE FOR YOUNG SURVIVORS IN 2022, PROVIDENCE PARTNERED WITH THE CHILDREN'S ADVOCACY CENTER IN SPOKANE TO PROVIDE A SAFE PLACE FOR CHILD AND TEEN SURVIVORS OR WITNESSES OF CHILD ABUSE, NEGLECT AND OTHER CRIMES. THIS IS THE ONLY AGENCY PROVIDING SPECIALIZED MEDICAL EXAMINATIONS, FORENSIC INTERVIEWS, MENTAL HEALTH SERVICES, CHILD LEGAL ADVOCACY AND HOLISTIC VICTIM SUPPORT SERVICES TO CHILD VICTIMS, ADULTS WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES UNDER ONE ROOF. LAW ENFORCEMENT OFFICERS, HEALTH CARE WORKERS AND OTHERS REFER CHILDREN TO THE CENTER. ONCE THEY ARE IN THE DOOR, TWO ADVANCED REGISTERED NURSE PRACTITIONERS FUNDED BY PROVIDENCE INLAND NORTHWEST WASHINGTON COMMUNITY BENEFIT, TAKE THE KIDS UNDER THEIR CARE. THE CENTER HAS SERVED AN INCREASING NUMBER OF CHILDREN, WITH A 50.5% RISE IN INTERVIEW RATES OVER THE LAST FOUR YEARS. IN 2022 ALONE, THE CENTER SERVED 636 KIDS. THIS IS THE HIGHEST NUMBER THE AGENCY HAS SERVED. FREE AND DISCOUNTED HEALTH CARE - PROVIDENCE COMMUNITY CLINIC SERVES THE MOST VULNERABLE COMMUNITY MEMBERS. PROVIDENCE COMMUNITY CLINIC LOCATED IN DOWNTOWN SPOKANE, WASHINGTON CONTINUED TO SERVE THE MOST VULNERABLE COMMUNITY MEMBERS IN 2022. THE CLINIC EMBODIES THE PROVIDENCE MISSION BY PROVIDING COMPASSIONATE SERVICE TO PEOPLE WITH UNMET HEALTH CARE NEEDS. PEOPLE AT THE CLINIC AND OTHER PROVIDENCE AFFILIATES RECEIVE CHARITY CARE WHICH IS FREE AND DISCOUNTED CARE FOR THOSE IN NEED, AND IT IS A PART OF PROVIDENCE'S COMMUNITY BENEFIT PROGRAM. CLINIC PATIENTS INCLUDE, BUT ARE NOT LIMITED TO, PEOPLE IN LOW SOCIO-ECONOMIC SITUATIONS WO ARE UNINSURED OR UNDER-INSURED OR EXPERIENCING CHRONIC HOMELESSNESS. THIS SMALL BUT MIGHT CLINIC CARE FOR MORE THAN 1,400 PEOPLE A YEAR. TRANSITIONAL RESPITE CARE IN 2022, PROVIDENCE PARTNERED WITH CATHOLIC CHARITIES HOUSE OF CHARITY AND VOLUNTEERS OF AMERICA- HOPE HOUSE (VOA) IN SPOKANE, WASHINGTON TO CREATE A TRANSITIONAL RESPITE CARE PROGRAM. THIS PROGRAM PROVIDES TRANSITIONAL RESPITE TO HELP PEOPLE EXPERIENCING HOMELESSNESS RECOVER FROM ACUTE MEDICAL ISSUES VIA 24/7 SHELTER, MEALS, TRANSPORTATION, AND MEDICAL SERVICES. CATHOLIC CHARITIES HOUSE OF CHARITY IMPLEMENTED AN EFFECTIVE WORKFLOW IN STAGES WITH PROVIDENCE COMMUNITY CLINIC, MEETING THE NEEDS OF THE CLINIC, HOSPITAL SOCIAL WORKERS, AND THE CLIENTS THEMSELVES. 113 INDIVIDUALS WERE SERVED IN 2022 WITH 11 HOUSED, 77 CONNECTED TO HOUSING RESOURCES UPON EXIT, 17 HAD ACCESS TO HARM REDUCTION/SUD SERVICES, CONNECTED 56 TO PRIMARY CARE PHYSICIANS AND 113 OF THE CLIENTS ATTENDED FOLLOW UP CARE WITH EXISTING PRIMARY CARE PHYSICIANS. AT VOLUNTEERS OF AMERICA HOPE HOUSE, PROVIDED RESPITE TO WOMEN WHO WOULD OTHERWISE EXIT HOSPITAL TO THE STREET OR SHELTER. DESIGNATED CASE MANAGEMENT OFFERS EVIDENCE BASED PRACTICES LIKE HARM REDUCTION AND MOTIVATIONAL INTERVIEWING. CASE MANAGEMENT'S MAIN FUNCTION IS TO ASSIST WOMEN IN FINDING HOUSING AFTER THEY EXIT THE PROGRAM. SINCE THE BEGINNING OF THE FUNDING PROVIDED FROM PROVIDENCE, VOA'S RESPITE PROGRAM PROVIDED CARED AND SERVICES TO 33 WOMEN REFERRED BY PROVIDENCE. 82% OF THESE WOMEN WERE CONNECTED TO PRIMARY CARE PROVIDERS, 61% WERE CONNECTED TO A PRIMARY CARE PHYSICIAN AND 54% WERE HOUSED. HEALTH JUSTICE INITIATIVE - A MEDICAL LEGAL PARTNERSHIP WITH A $140,000 GRANT FROM PROVIDENCE SACRED HEART MED, THE HEALTH JUSTICE INITIATIVE-MEDICAL LEGAL PARTNERSHIP ALLOWED NORTHWEST JUSTICE PROJECT (NJP) TO CONTINUE THE HEALTH JUSTICE INITIATIVE (HJI) IN SPOKANE. AS OF 2022, THE INITIATIVE WAS STILL THE FIRST AND ONLY MEDICAL-LEGAL-PARTNERSHIP SERVING EASTERN WASHINGTON. THE GOAL OF THE INITIATIVE IS TO IMPROVE HEALTH OUTCOMES BY ADDRESSING UNDERLYING CIVIL LEGAL NEEDS NEGATIVELY IMPACTING HEALTH RESULTING IN LOWER CARE COSTS AND IMPROVED OUTCOMES. NJP PROVIDED DIRECT LEGAL SERVICES, TRAINED PARTNERS, MADE APPROPRIATE REFERRALS TO PRIVATE ATTORNEYS AND SPECIFIC TEAMS WITHING NJP. THIS FACILITATED SYSTEMATIC CHANGE THAT IMPROVED COMMUNITY HEALTH. THE HEALTH JUSTICE INITIATIVE RECEIVED AND HANDLED 364 REFERRALS IN 2022 (A TEAM OF TWO ATTORNEYS AND ONE LEGAL ASSISTANT). IN ADDITION, HJI OPERATED TWO CLINICS ON THE SPOKANE INDIAN RESERVATION: GENERAL LEGAL NEEDS AT THE TRIBAL COURT AND A TRIBAL WILLS CLINIC FOR ELDER TRIBAL MEMBERS. BOTH CLINICS WERE VERY SUCCESSFUL WITH HIGH TURNOUT AND MEANINGFUL OUTCOMES. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): | EMERGENCY DEPARTMENT DIVERSION SERVICES KEY FUNDING WAS PROVIDED TO SPOKANE TREATMENT AND RECOVERY SERVICES (STARS) TO PROVIDE PROVIDENCE WITH A DEDICATED EMERGENCY DEPARTMENT (ED) DIVERSION TEAM MADE UP OF CARE COORDINATORS AND BEHAVIORAL HEALTH TECHNICIANS. THIS TEAM RESPONDED WHEN INDIVIDUALS PRESENTED AT THE ED WITH NON-EMERGENT BIOMEDICAL ISSUES AND SCREENED FOR BEHAVIORAL HEALTH CONCERNS THAT WOULD BE BETTER TREATED AT A LOWER LEVEL OF CARE SPECIFIC TO MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT OR TRIAGE SERVICES. SECURE TRANSPORTATION WAS ALSO PROVIDED. IN 2022, DIVERSION SERVICES WERE PROVIDED SEVEN DAYS A WEEK WITH A TOTAL OF 928 REFERRALS. 54% (501 PEOPLE) WERE DIVERTED TO WITHDRAW MANAGEMENT AND/OR TREATMENT SERVICES. DIVERSION SERVICES ALSO INCLUDED WRAP-AROUND SERVICES WITH SCREENING, EXTENSIVE CASE MANAGEMENT, NAVIGATING BARRIERS, ADVOCACY, AND RESERVED BEDS FOR PATIENTS. PATIENT NAVIGATOR PROGRAM IN 2022 CHAS HEALTH PARTNERED WITH PROVIDENCE TO IMPLEMENT THE PATIENT NAVIGATION PROGRAM. THE GOAL OF THIS PROGRAM WAS TO SUPPORT PATIENTS DISCHARGED FROM SPOKANE'S PROVIDENCE SACRED HEART MEDICAL CENTER (SHMC) OR PROVIDENCE HOLY FAMILY (HF) EMERGENCY DEPARTMENTS, AS WELL AS PATIENTS TRANSITIONING FROM INPATIENT TO OUTPATIENT CARE. THIS HAS BEEN A SUCCESSFUL MODEL THAT HAS REDUCED INAPPROPRIATE ED UTILIZATION AND INCREASED PATIENTS' CONNECTIONS TO PRIMARY CARE. FROM 1/1/2022 TO 8/31/2022, CHAS HEALTH CARE COORDINATORS PROVIDED SERVICES TO 2,513 PATIENTS WHO PRESENTED AT BOTH HOSPITAL EMERGENCY DEPARTMENTS. THIRTY DAYS PRIOR TO THE INTERVENTION, THESE PATIENTS HAD GENERATED 5,407 ED VISITS AND ONLY 959 PRIMARY CARE PROVIDER VISITS. THE PATIENT NAVIGATOR INTERVENTION DEMONSTRATES A 62% REDUCTION IN ED VISITS AND A 51% INCREASE IN PRIMARY CARE PROVIDER VISITS OVER THE FOLLOWING 30 DAYS. FURTHERMORE, OVER A QUARTER, 26.9% OF PATIENTS WHO SUCCESSFULLY ENGAGED IN CHAS PRIMARY CARE AFTER THEIR ED COORDINATOR INTERACTION HAD EITHER NEVER VISITED A CHAS PRIMARY CARE CLINIC OR HAD NOT BEEN SEEN IN THE LAST 18 MONTHS. 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 DEPARTMENT OF LEGAL AFFAIRS. 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 AND COMPLIANCE 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, REVISED IN 2023, 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 RECUSED 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 JUNE 2023. |
| 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 169,535,095. MANAGEMENT AND GENERAL EXPENSES 145,097,343. FUNDRAISING EXPENSES 65,397. TOTAL EXPENSES 314,697,835. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 3,053,877. MANAGEMENT AND GENERAL EXPENSES 2,613,674. FUNDRAISING EXPENSES 1,178. TOTAL EXPENSES 5,668,729. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 167,959,943. MANAGEMENT AND GENERAL EXPENSES 143,749,242. FUNDRAISING EXPENSES 64,790. TOTAL EXPENSES 311,773,975. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 86,997,853. MANAGEMENT AND GENERAL EXPENSES 74,457,488. FUNDRAISING EXPENSES 33,559. TOTAL EXPENSES 161,488,900. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 394,115,183. MANAGEMENT AND GENERAL EXPENSES 337,305,181. FUNDRAISING EXPENSES 152,028. TOTAL EXPENSES 731,572,392. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 139,027,424. MANAGEMENT AND GENERAL EXPENSES 118,987,221. FUNDRAISING EXPENSES 53,629. TOTAL EXPENSES 258,068,274. |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -540,602,515. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -28,699,914. CHANGE IN INVESTMENT IN JOINT VENTURE 36,657,577. OTHER CHANGES IN NET ASSETS 12,794,753. NON-OPERATING LOSS ON DISAFFILIATION 3,398,319,881. INVESTMENT IN CORPORATE SUBSIDIARIES 200,365,011. |
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