4A (Expenses $ 3830641714 including grants of $ 7858509) (Revenue $ 4445999765)
SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ALSO PURSUE 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 HOSITAL PRESBYTERIAN IN ORANGE COUNTY, CA.- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN SEATTLE, WA.2021 WAS AN EXTRAORDINARY 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.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, 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 OREGON CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2021, WE FOCUSED ON ADDRESSING ACCESS TO CARE, IMPROVING BEHAVIORAL HEALTH, REDUCING AND CARING FOR CHRONIC CONDITIONS AND HEALTH-RELATED SOCIAL DETERMINANTS TO HELP PEOPLE GAIN STABLE HOUSING, NUTRITIOUS FOOD, LIVING-WAGE JOBS AND DEPENDABLE TRANSPORTATION.PARTNERING TO PROVIDE HOUSING AND ADDRESS HOMELESSNESSIN 2021, PROVIDENCE WORKED TO ADDRESS HOUSING INSTABILITY AND HOMELESSNESS BY PROVIDING OVER $600,000 IN DIRECT SUPPORT TO COMMUNITY PARTNERS. PROVIDENCE EMPLOYED SEVERAL HOUSING TACTICS INCLUDING PROJECT TURNKEY, HEALTHY HOUSING INITIATIVE, WORKFORCE HOUSING, AND PERMANENT SUPPORTIVE HOUSING.PROVIDENCE PARTNERED WITH CATHOLIC CHARITIES IN PORTLAND TO DEVELOP A 27 UNIT TRANSITIONAL HOUSING FACILITY FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THIS IS ONE OF SEVERAL HEALTHY HOUSING INITIATIVE PROJECTS.PROVIDENCE CONTINUED FUNDING A HOUSING COALITION WITH GORGE AREA GOVERNMENT OFFICIALS, SOCIAL SERVICES AND HEALTH PARTNERS. WITH COMMUNITY PARTNERS, PROVIDENCE HELPED SUPPORT AN EVENING WINTER SHELTER AND A DAY SHELTER, AND FUNDED OUTREACH AND SERVICES FOR UNSHELTERED INDIVIDUALS. THE GOAL IS TO CONTINUE INCREASING HOUSING ACCESS IN HOOD RIVER COUNTY.IN MEDFORD, PROVIDENCE PARTNERED WITH ROGUE RETREAT AND THE CITY OF MEDFORD TO INCREASE EMERGENCY AND TRANSITIONAL HOUSING FOR PEOPLE IN NEED. FUNDING HELPED REFURBISH ROOMS AT A LOCAL REPURPOSED MOTEL THROUGH PROJECT TURNKEY. PROVIDENCE ALSO PARTNERED WITH ROGUE RETREAT TO SUPPORT THE URBAN CAMPGROUND, PROVIDING SHELTER AND HEALTH SERVICES FOR COMMUNITY MEMBERS WHO WOULD OTHERWISE BE LIVING ON THE STREETS.ADMINISTERING COVID-19 VACCINATIONS IN BIPOC COMMUNITIESPROVIDENCE EMPLOYED A COMMUNITY-WIDE PARTNERSHIP MODEL TO HELP DEPLOY VACCINATION CLINIC OPTIONS THAT MORE ADEQUATELY SERVED PORTLAND'S COMMUNITIES OF COLOR. COMMUNITY ORGANIZATIONS, MANY OF THEM FAITH-BASED, OWNED THE SPACES, RECRUITED VOLUNTEERS, AND PROMOTED THE CLINICS TO COMMUNITY MEMBERS WHILE MEDICAL TEAMS INTERNATIONAL (MTI) ADMINISTERED VACCINES. A HUGE SUCCESS LED TO OVER 21 PARTNERSHIPS, 54 CLINICS HELD, AND OVER 2,800 VACCINES GIVEN. A SIMILAR INITIATIVE TARGETING BIPOC COMMUNITIES WAS INITIATED BY THE PROVIDENCE MEDICAL GROUP USING A SIMILAR COMMUNITY OUTREACH MODEL, PROVIDING OVER 25,000 VACCINATIONS ACROSS THE REGION.FURTHERMORE, THE PROMOTORES DE SALUD PROGRAM HELPED SUPPORT COVID-RELATED EFFORTS. PROMOTORES ARE VOLUNTEERS TRAINED AS COMMUNITY HEALTH WORKERS OFFERING FREE, BILINGUAL HEALTH SCREENINGS, CONNECTION TO RESOURCES, AND REGULAR GROUP SUPPORT. DURING THE PANDEMIC, 500+ PEOPLE WERE CONNECTED TO RAPID RESPONSE RESOURCES AND 5,000+ PEOPLE WERE CONNECTED TO COVID-19 TESTING AND VACCINATION.SUPPORTING BLACK-LED ORGANIZATIONS SERVING THE BLACK COMMUNITYPROVIDENCE CONTINUED PARTNERING WITH PORTLAND OPPORTUNITIES AND INDUSTRIALIZATION CENTER (POIC) AND ROSEMARY ANDERSON HIGH SCHOOL TO HELP CONTINUE A MOBILE OUTREACH PROGRAM FOR BLACK STUDENTS, FAMILIES AND WORKER-TRAINEES DURING THE PANDEMIC. WITH PROVIDENCE FUNDS, THE POIC AND RAHS COLLABORATION WAS ABLE TO PROVIDE FOOD, SCHOOL SUPPLIES AND HYGIENE ITEMS, AND DO EMOTIONAL HEALTH CHECKS TO EASE SOCIAL ISOLATION FOR STUDENTS AND FAMILIES.PROVIDENCE HELPED FUND THE BLACK PARENT INITIATIVE TO SUPPORT THE FIRST 1,000 DAYS PROGRAM, WHICH INCLUDES ESSENTIAL PRENATAL AND POSTPARTUM MATERNAL SERVICES FOR BLACK MOTHERS, AND OTHER FAMILY RESOURCES. THE SACRED ROOTS DOULA AND LACTATION SERVICES FOLLOWED BY THE TOGETHER WE CAN HOME VISITING PROGRAM HAVE HELPED IMPROVE BIRTH OUTCOMES AND THE ACHIEVEMENT OF CHILD DEVELOPMENT MILESTONES.SUPPORTING FOOD SECURITY FOR SENIORS, LOW INCOME FAMILIES, AND YOUTHWITH SOCIAL DISTANCING KEEPING MANY OLDER ADULTS AT HOME, PROVIDENCE PARTNERED WITH HOOD RIVER VALLEY ADULT CENTER AND MEALS ON WHEELS TO PROVIDE NUTRITIOUS FOOD FOR HOMEBOUND SENIORS. PROVIDENCE ALSO HELPED ESTABLISH A GROCERY DELIVERY PROGRAM SO SENIORS COULD RECEIVE FOOD WITHOUT NEEDING TO LEAVE HOME. ADDITIONALLY, PROVIDENCE SUPPORTED HOOD RIVER VALLEY ADULT CENTER TO RENOVATE THEIR COMMERCIAL KITCHEN TO INCREASE COOKING CAPACITY, FOOD SAFETY STANDARDS, AND DISTRIBUTION.IN 2021, PROVIDENCE GAVE GRANTS TOTALING OVER $350,000 TO COMMUNITY PARTNERS ADDRESSING FOOD INSECURITY FOR SENIORS, LOW INCOME FAMILIES, AND YOUTH. KEY PROGRAMS FOCUSED ON IMPROVING FOOD DISTRIBUTION, PROVIDING FREE COMMUNITY-SUPPORTED AGRICULTURE (CSA) BOXES, AND INCREASING ACCESS TO HEALTHY FOOD FOR STUDENTS. INVESTING IN LOCAL FARMS AND FOOD DISTRIBUTORS SUPPORTS THE LOCAL ECONOMY THROUGH FINANCIAL PLANNING AND STABILIZATION AND ALSO HELPS PROVIDE FRESH PRODUCE TO LOW-INCOME FAMILIES.ADDRESSING ESSENTIAL SOCIAL NEEDSTHE PROVIDENCE COMMUNITY RESOURCE DESK CONTINUED HELPING PEOPLE ADDRESS UNMET SOCIAL NEEDS IN 2021 BY CONNECTING THEM WITH ESSENTIAL SERVICES, INCLUDING UNEMPLOYMENT RESOURCES, FOOD DELIVERIES AND RENTAL ASSISTANCE DURING THE COVID-19 PANDEMIC. IN 2021, 5,202 INDIVIDUALS WERE SERVED WHICH BENEFITTED 10,176 PERSONS. OVER 50% OF CLIENTS HAD MEDICAID INSURANCE OR WERE UNINSURED, 25% HAD AN INCOME LESS THAN 50% THE FEDERAL POVERTY LIMIT, AND 50% IDENTIFIED AS A PERSON OF COLOR.HELPING VULNERABLE PATIENTS GET CAREWITH A COMMITMENT TO REMOVING BARRIERS TO CARE FOR LOW-INCOME PATIENTS, PROVIDENCE FUNDED THE PATIENT SUPPORT PROGRAM AT ALL EIGHT PROVIDENCE OREGON HOSPITALS. SUPPORT INCLUDED HELPING PATIENTS GET TREATMENT WITHOUT WORRYING ABOUT BASIC NEEDS AND HELPING PATIENTS SAFELY TRANSITION HOME. THE PROGRAM SERVED 8,704 CLIENTS IN 2021, INCLUDING CARE FOR PREGNANT PATIENTS, HEART PATIENTS, AND VULNERABLE SENIORS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/OREGON

PROVIDENCE NEWBERG MEDICAL CENTER (6)
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 NEWBERG MEDICAL CENTER (6)
PART V, SECTION B, LINE 5: IN THE MOST RECENT CHNA, PROVIDENCE NEWBERG MEDICAL CENTER (PNMC) TOOK INTO ACCOUNT INPUT FROM MANY INDIVIDUALS AND ORGANIZATIONS. THROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. ACROSS THE YAMHILL COUNTY COMMUNITY, INFORMATION COLLECTED INCLUDES PUBLIC HEALTH STATUS INDICATORS RELATED TO HEALTH BEHAVIORS, HOSPITAL DISCHARGE AND UTILIZATION DATA, HOSPITAL MORTALITY/MORBIDITY, AND EMERGENCY DEPARTMENT SPECIFIC PRIMARY DIAGNOSES.IN ADDITION, 2 SEPARATE LISTENING SESSIONS WERE HELD INVOLVING THOSE IN UNDERSERVED COMMUNITIES ALONG WITH 10 STAKEHOLDER INTERVIEWS WITH ORGANIZATIONAL AND COMMUNITY LEADERS IN AUGUST 2019. A MAILED COMMUNITY HEALTH SURVEY WAS CONDUCTED, BETWEEN MAY- JULY 2019, USING AN ADDRESS-BASED RANDOM-SAMPLING OF YAMHILL COUNTY RESIDENTS, YIELDING 118 RESPONSES. EFFORT WAS MADE TO GAIN INPUT FROM MEDICALLY UNDERSERVED COMMUNITIES WHO ARE LOW-INCOME AND REPRESENT A DIVERSE SAMPLING OF THE YAMHILL COUNTY POPULATION.RECRUITMENT EFFORTS TOOK INTO SPECIAL CONSIDERATION THE NEEDS AND BARRIERS TO PARTICIPATION FOR LOW-INCOME INDIVIDUALS. ONE SESSION WAS HELD IN SPANISH AND TRANSCRIBED TO SOLICIT INPUT FROM THE LOCAL LATINO POPULATION. INCENTIVES, INCLUDING CHILDCARE, WERE PROVIDED TO ENSURE ACTIVE PARTICIPATION AND ENGAGEMENT.KEY STAKEHOLDERS WERE ASKED TO REPRESENT THEIR ORGANIZATIONS AND CLIENTS. THESE INDIVIDUALS INCLUDED THE DIRECTOR OF LUTHERAN FAMILY SERVICES, THE SUPERINTENDENT OF NEWBERG SCHOOLS, THE MAYOR, THE YCAP DIRECTOR, DIRECTOR OF THE NEWBERG BEHAVIORAL HEALTH COALITION, LEAD PROMOTORA FOR YAMHILL COUNTY, PROVIDERS AT CAPITAL DENTAL AND THE ORAL HEALTH COALITION AND A REPRESENTATIVE OF FAMILY MEDICINE NEWBERG. SEVERAL OF THESE INDIVIDUALS AND OTHER PUBLIC EMPLOYEES REPRESENTING HIGH-NEEDS COMMUNITIES ACTIVELY PARTICIPATE ON PROVIDENCE'S YAMHILL SERVICE AREA ADVISORY COUNCIL. THEY WERE THEREFORE NOT ALL INTERVIEWED SEPARATELY.

PROVIDENCE NEWBERG MEDICAL CENTER (6)
PART V, SECTION B, LINE 11: PROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2019 CHNA RESULTED IN A NEW COMMUNITY HEALTH IMPROVEMENT PLAN ADOPTED IN MAY, 2020, WHICH HAS GUIDED THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2021. THE KEY IDENTIFIED NEEDS LISTED IN THE FACILITY'S CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: ACCESS TO PREVENTIVE AND PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH. THESE CATEGORIES INCLUDE BASIC NEEDS, SUCH AS FOOD SECURITY, STABLE HOUSING, AND TRANSPORTATION. ALTHOUGH A CHIP WAS PRODUCED IN 2020, A REVISED CHIP WAS COMPLETED IN 2021 TO BETTER ACCOUNT FOR UNPRECEDENTED EVENTS IMPACTING OREGON INCLUDING THE COVID-19 PANDEMIC, WILDFIRES, AND CIVIL UNREST RELATED TO SOCIAL JUSTICE ISSUES.ACCESS TO CARESOME SPECIFIC EXAMPLES OF ACTIVITIES TAKEN IN 2021 INCLUDE THE CONTINUATION OF THE PARISH HEALTH PROMOTERS (PROMOTORES) PROGRAM, PROVIDING CULTURALLY COMPETENT TRAINING AND OUTREACH TO THE SPANISH-SPEAKING POPULATION. THE PROGRAM HAS INCREASED TO OVER 150 INDIVIDUALS SERVING AS TRAINED COMMUNITY HEALTH WORKERS ACROSS SEVERAL COUNTIES, AND ORGANIZED CHRONIC CONDITIONS MANAGEMENT COURSES, ACTIVITY PROGRAMS, AND HEALTH FAIRS. THE PROGRAM CONTINUED TO PARTNER WITH PROVIDENCE'S TELEHEALTH PROGRAM, INCREASING ACCESS TO PREVENTIVE AND PRIMARY CARE TO THE SPANISH SPEAKING POPULATION IN YAMHILL COUNTY. TWO DEDICATED PROMOTORES PROGRAM SPECIALISTS ARE FUNDED THROUGH COMMUNITY BENEFIT IN OUR COMMUNITY HEALTH DIVISION, PROVIDING THE PROGRAM MANAGEMENT NEEDED TO RUN THE DAY-TO-DAY OPERATIONS. PROVIDENCE SUPPORTED MULTIPLE PROMOTORES-RELATED INITIATIVES DELIVERED THROUGH SAN MARTIN DE PORRES CATHOLIC CHURCH, INCLUDING MENTAL HEALTH WORKSHOPS, LEAD PLANNING OF TELEHEALTH CLINICS, IMMIGRATION WORKSHOPS AND THE CAPACITATION OF A NEW PROMOTORES COHORT FROM YAMHILL COUNTY.THE PACIFIC UNIVERSITY WAS PROVIDED WITH TWO SEPARATE GRANTS IN 2021, ONE TO PROVIDE LATINX EMOTIONAL HEALTH TRAINING THROUGH CHARLAS AND ANOTHER TO PROMOTE THE SMILE EVERYWHERE PREVENTIVE ORAL HEALTH CARE PROGRAM IN YAMHILL COUNTY. CHARLAS IN SPANISH SIMPLY MEANS TO CHAT OR TALK. THESE FORUMS ARE BEING PILOTED IN YAMHILL'S LATINX COMMUNITY TO PROVIDE A MORE OPEN DIALOGUE SURROUNDING MENTAL AND EMOTIONAL HEALTH ISSUES, LED BY THE TRUSTED PROMOTORES PRACTICING IN THE YAMHILL SERVICE AREA.CHRONIC CONDITIONSPNMC DIRECTLY PROVIDED DIABETES EDUCATION CLASSES, STAFF TIME AT COMMUNITY EVENTS, SUPPORT GROUPS, VOLUNTEER PROGRAMS THROUGH COMMUNITY CONNECTIONS, CAREGIVER SUPPORT AND TRAINING PROGRAMS, MEDICATION ASSISTANCE, PATIENT SUPPORT FOR SAFE AND SECURE DISCHARGE FOR THE FIRST THIRTY DAYS IN PARTNERSHIP WITH PROJECT ACCESS NOW, AN ATHLETIC TRAINER FOR THE LOCAL HIGH SCHOOL, AND PROVIDED SPORTS PHYSICALS FOR STUDENTS WHO COULD OTHERWISE NOT AFFORD THEM. PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE. PNMC PROVIDES EXTERNSHIP AND SUPERVISION FOR REHABILITATION AND NURSING STUDENTS, AND PROVIDENCE LEADERSHIP CONTINUES TO BE EXTENSIVELY ENGAGED ON THE BOARD OF THE YAMHILL COMMUNITY CARE ORGANIZATION. MORE INFORMATION REGARDING THE RESULTS OF THESE PARTNERSHIPS IS AVAILABLE IN THE FULL CHNA.SOCIAL DETERMINANTS OF HEALTHPROVIDENCE DIRECTLY SUPPORTED THE YAMHILL COMMUNITY ACTION PARTNERSHIP (YCAP) TO CONTINUE OPERATING THEIR ANYDOOR YAMHILL RAPID RESOLUTION PROGRAM. THIS PROGRAM PROVIDES RAPID RESOLUTION SUPPORTS FOR PERSONS COMING IN THROUGH THEIR COORDINATED ENTRY SYSTEM. YCAP'S COORDINATED ENTRY SYSTEM, ANYDOOR YAMHILL, SERVES THE ENTIRE COUNTY AND IS THE BEST POINT OF ACCESS FOR ASSISTANCE FOR ANYONE WHO IS UNHOUSED. BEHAVIORAL HEALTHPROVIDENCE DIRECTLY SUPPORTED THE COMMUNITY WELLNESS COLLECTIVE (CMC) TO OPERATE THEIR WELLNESS CENTER AND HARVEST HOUSE. PROVIDENCE'S INVESTMENT CONTRIBUTED TO CMC CONTINUING SERVICES FOR YOUTH WITHIN THE YOUTH OUTREACH PROGRAM AND TO EXPAND PEER GROUPS AT THE NEWBERG HIGH SCHOOL WELLNESS CENTER WHEN ANXIETIES IN THE DISTRICT WERE HIGH FOR MARGINALIZED YOUTH. THESE SERVICES WERE ESPECIALLY HELPFUL TO YOUTH EXPERIENCING HOMELESSNESS. COVID-19PROVIDENCE PARTNERED WITH UNIDOS BRIDGING COMMUNITY, PROVIDING A $20,000 GRANT TO SUPPORT COVID-19 EDUCATION AND VACCINATION IN THE LATINX COMMUNITY. EFFORTS INCLUDED SHARING EVIDENCE-BASED COVID INFORMATION IN SPANISH AND PROVIDING COVID VACCINATIONS AT TRUSTED LOCATIONS WITH FLEXIBLE HOURS TO ACCOMMODATE FARMWORKERS' SCHEDULES. PROVIDENCE'S SUPPORT HELPED UNIDOS SERVE 13,707 PEOPLE IN 2021. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE STRIVE TO CARE FOR OUR COMMUNITIES EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL OF NEEDS INDEPENDENTLY, AND WE WILL FOCUS OUR EFFORTS ON ADDRESSING THE PRIORITIES. YAMHILL COUNTY PUBLIC HEALTH'S CHIP IDENTIFIES TOBACCO AND VAPING AS ONE OF THEIR FOUR CHIP PRIORITIES, WHILE THE YAMHILL COMMUNITY CARE'S CHIP ADDRESSES ORAL HEALTH INSURANCE BENEFITS AND TOBACCO CESSATION.

PROVIDENCE NEWBERG MEDICAL CENTER (6)
PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: PROVIDENCE PORTLAND MEDICAL CENTER, - FACILITY 2: PROVIDENCE ST. VINCENT MEDICAL CENTER, - FACILITY 3: PROVIDENCE MILWAUKIE HOSPITAL, - FACILITY 4: PROVIDENCE HOOD RIVER MEM. HOSPITAL, - FACILITY 5: PROVIDENCE SEASIDE HOSPITAL, - FACILITY 7: PROVIDENCE MEDFORD MEDICAL CENTER, - FACILITY 8: PROVIDENCE WILLAMETTE FALLS MED. CTR.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 3J:
PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 5:
PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERPROVIDENCE PORTLAND MEDICAL CENTER (PPMC), PROVIDENCE ST. VINCENT MEDICAL CENTER (PSVMC), PROVIDENCE WILLAMETTE FALLS HOSPITAL (PWFH) AND PROVIDENCE MILWAUKIE MEDICAL CENTER (PMMC) ARE PARTICIPATING MEMBERS OF THE HEALTHY COLUMBIA WILLAMETTE COLLABORATIVE (HCWC). CONSISTING OF SEVEN HOSPITAL SYSTEMS, FOUR COUNTY HEALTH DEPARTMENTS AND ONE COORDINATED CARE ORGANIZATION, THE HCWC REGION COVERS CLARK COUNTY AND CLACKAMAS, MULTNOMAH, AND WASHINGTON COUNTIES IN OREGON.THIS UNIQUE PUBLIC/PRIVATE PARTNERSHIP SERVES AS A PLATFORM FOR COLLABORATION AROUND HEALTH NEEDS ASSESSMENTS. HCWC HAS BEEN CONVENING SINCE 2012 AND PRODUCED ITS FIRST COLLABORATIVE CHNA IN 2013, ANOTHER IN 2016 AND THIS THIRD CYCLE IN 2019. THE COLLABORATIVE MODEL ALLOWS FOR A MORE COMPREHENSIVE VIEW OF COMMUNITY NEEDS, INFORMS PRIORITIES FOR HCWC MEMBER ORGANIZATION IMPROVEMENT PLANS, AND SUPPORTS A SHARED UNDERSTANDING FOR HCWC STAKEHOLDERS AND PARTNERS WHO COORDINATE ON HOW TO BEST MEET COMMUNITY HEALTH NEEDS. HCWC TOOK INTO ACCOUNT SUBSTANTIAL INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS PUBLIC HEALTH OFFICIALS. REPRESENTATIVES FROM EACH MEMBER ORGANIZATION MEET MONTHLY AS A LEADERSHIP GROUP AND FORMED MULTIPLE WORKGROUPS TO INCLUDE MULTIPLE DATA SOURCES AND PERSPECTIVES. HCWC USED A MIXED METHODS APPROACH FOR THE CHNA. HCWC PRIORITIZED COMMUNITY VOICE AND INPUT IN THIS ASSESSMENT (QUALITATIVE DATA), WHILE ALSO INCLUDING DATA FROM PUBLIC HEALTH SURVEYS, HOSPITALS, AND OTHER SOURCES (QUANTITATIVE DATA). HCWC USED A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL TO GUIDE THE NEEDS ASSESSMENT. THE MAPP MODEL IS AN ITERATIVE PROCESS COMBINING HEALTH DATA AND COMMUNITY INPUT TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. WORKGROUPS INCLUDED COMMUNICATIONS, STAKEHOLDER ENGAGEMENT AND DATA WITH SPECIFIC PARTICIPANTS REFERENCED IN APPENDIX A OF THE CHNA. IN OCTOBER THROUGH DECEMBER 2018, HCWC HOSTED 18 LISTENING SESSIONS ACROSS THE QUAD-COUNTY REGION. THESE EVENTS WERE DESIGNED TO BRING TOGETHER COMMUNITY MEMBERS TO PROVIDE FEEDBACK ON THEIR LIVED EXPERIENCE. PARTICIPANTS INCLUDED BUT NOT LIMITED TO PERSONS FROM THE FOLLOWING PRIORITY POPULATIONS: ELDERLY LOW-INCOME, YOUTH OF COLOR, PERSONS IN THE MILITARY, RURAL, PACIFIC ISLANDER POPULATION, LGBTQ HOMELESS YOUTH, AND HISPANIC/LATINX.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALTHE COLUMBIA GORGE REGIONAL HEALTH ASSESSMENT INCLUDED WORKING GROUP MEMBERS FROM PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY STAKEHOLDERS. ADDITIONALLY, THE HEALTH ASSESSMENT INCLUDED INPUT THROUGH PROVIDER SURVEYS, CCO-MEMBER FEEDBACK, MAIL AND HAND-FIELDED SURVEYS TO COMMUNITY MEMBERS THROUGH THE SUMMER OF 2019. MORE INFORMATION IS AVAILABLE IN THE FULL DOCUMENT. PHRMH'S ADVISORY COUNCIL INCLUDES A SUB-COMMITTEE THAT INCLUDES PUBLIC HEALTH DEPTS., SCHOOLS, COUNTY PREVENTION DEPT, COUNTY MENTAL HEALTH, COMMUNITY HEALTH WORKERS FOCUSED ON THE LATINO POPULATION, HEALTH LITERACY EXPERTS, AND MORE. THE WORK OF THE CHNA WAS SHAPED BY THE COMMUNITY ADVISORY COUNCIL, WHOSE VOTING MEMBERS ARE OVER 50% PEOPLE ON MEDICAID.PROVIDENCE SEASIDE HOSPITALIN THE MOST RECENT CHNA, PROVIDENCE SEASIDE HOSPITAL (PSH) TOOK INTO ACCOUNT INPUT FROM MANY INDIVIDUALS AND ORGANIZATIONS BETWEEN DECEMBER 2018 THROUGH AUGUST 2019. THROUGH A MIXED METHODS APPROACH EMPLOYING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. ACROSS THE NORTH COAST COMMUNITY IN CLATSOP COUNTY, INFORMATION DATA COLLECTED INCLUDES: PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY, AND MORTALITY DATA, HOSPITAL DISCHARGE AND UTILIZATION DATA, AND EMERGENCY DEPARTMENT SPECIFIC PRIMARY DIAGNOSES.TWO LARGE-SCALE METHODS WERE EMPLOYED TO GAIN MORE DIVERSE AND DIRECT COMMUNITY REPRESENTATION. A MAILED COMMUNITY HEALTH SURVEY WAS CONDUCTED USING AN ADDRESS-BASED RANDOM-SAMPLING OF CLATSOP COUNTY RESIDENTS, YIELDING 160 RESPONSES. EFFORT WAS MADE TO ADVANCE INPUT FROM MEDICALLY UNDERSERVED COMMUNITIES WHO ARE LOW-INCOME AND REPRESENT A DIVERSE SAMPLING OF THE CLATSOP COUNTY POPULATION. A COMMUNITY-WIDE EFFORT WAS ACCOMPLISHED IN THE IMPLEMENTATION OF A MICRO-NARRATIVE STORY COLLECTION PROCESS, INCLUDING OVER 1,200 NORTH COAST RESIDENTS.FURTHER COMMUNITY INPUT WAS RECEIVED THROUGH 6 SEMI-STRUCTURED KEY STAKEHOLDER INTERVIEWS HELD WITH ORGANIZATIONAL AND COMMUNITY LEADERS. KEY STAKEHOLDERS WERE ASKED TO REPRESENT THEIR ORGANIZATIONS AND CLIENTS AND INCLUDED THE PARKS AND RECREATION DIRECTOR, THE ED OF NORTHWEST SENIOR AND DISABILITY SERVICES, INTERIM ED CLATSOP CAP, COO OF THE REGIONAL FOOD BANK, INTERIM ED LOWER COLUMBIA HISPANIC COUNCIL, CEO AND DEVELOPMENT DIRECTOR HELPING HANDS.PROVIDENCE MEDFORD MEDICAL CENTERPROVIDENCE MEDFORD MEDICAL CENTER (PMMC) IS A MEMBER OF JEFFERSON REGIONAL HEALTH ALLIANCE (JRHA), A COLLABORATION OF REGIONAL COMMUNITY LEADERS LEARNING AND WORKING TOGETHER TO IMPROVE THE HEALTH CARE RESOURCES OF SOUTHERN OREGONIANS IN 2019. THE COLLABORATIVE INCLUDES ALLCARE HEALTH, ASANTE, JACKSON COUNTY PUBLIC HEALTH, JACKSON CARE CONNECT, OREGON STATE UNIVERSITY EXTENSION SERVICE, PRIMARY HEALTH AND PROVIDENCE HEALTH & SERVICES.THE JRHA CHNA AIMS TO IDENTIFY THE HEALTH-RELATED NEEDS AND STRENGTHS OF JACKSON AND JOSEPHINE COUNTIES THROUGH A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, WHICH DEFINES HEALTH IN THE BROADEST SENSE AND RECOGNIZES NUMEROUS FACTORS FROM EMPLOYMENT TO HOUSING TO ACCESS TO CARE THAT HAVE AN IMPACT ON THE COMMUNITY'S HEALTH. SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM EXISTING DATA SOURCES, SUCH AS THE U.S. CENSUS, OREGON HEALTH AUTHORITY, AND BOTH JACKSON AND JOSEPHINE COUNTY PUBLIC HEALTH, AMONG OTHERS. IN ADDITION TO AN ONLINE AND PAPER COMMUNITY SURVEY THAT ENGAGED OVER 1,100 RESIDENTS, APPROXIMATELY 170 INDIVIDUALS FROM MULTI-SECTOR ORGANIZATIONS, RESIDENTS, AND COMMUNITY STAKEHOLDERS PARTICIPATED IN COMMUNITY FORUMS, FOCUS GROUPS AND INTERVIEWS TO GATHER FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS.ALTHOUGH THE 2018 JRHA CHNA FOR JACKSON AND JOSEPHINE COUNTIES WAS PRODUCED A YEAR EARLIER THAN PMMC REQUIRED, ADDITIONAL UPDATED DATA WAS INCLUDED AS APPROPRIATE THROUGH A SUPPLEMENTAL 2019 COMMUNITY HEALTH SURVEY CONDUCTED BY PROVIDENCE'S CORE GROUP.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 6A:
PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITAL, PROVIDENCE PORTLAND MEDICAL CENTER, PROVIDENCE ST. VINCENT MEDICAL CENTER, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER, ADVENTIST HEALTH PORTLAND, KAISER PERMANENTE SUNNYSIDE AND WESTSIDE HOSPITALS, LEGACY HEALTH, OREGON HEALTH & SCIENCE UNIVERSITY (OHSU), PEACEHEALTH SOUTHWEST MEDICAL CENTER AND TUALITY HEALTHCARE (AN OHSU PARTNER).PROVIDENCE HOOD RIVER MEMORIAL HOSPITALTHE COLLABORATIVE ASSESSMENT INCLUDED SEVERAL HOSPITAL PARTNERS BESIDES PHRMH: MID-COLUMBIA MEDICAL CENTER, KLICKITAT VALLEY HEALTH, AND SKYLINE HOSPITAL. AS IN THE PREVIOUS CHNA, PROVIDENCE WAS AN ACTIVE PARTICIPANT IN THAT PROCESS, AS WELL AS PRODUCING A STAND-ALONE EXECUTIVE SUMMARY SPECIFIC TO THE PHRMH SERVICE AREA.PROVIDENCE SEASIDE HOSPITALPSH WAS AN ACTIVE PARTICIPANT IN THE DEVELOPMENT OF THE COLUMBIA PACIFIC CCO CHNA WHICH INCLUDED COLUMBIA MEMORIAL HOSPITAL. THE RESULTS OF THE COLUMBIA PACIFIC CCO CHNA WERE USED AS A REFERENCE DOCUMENT IN THE PSH CHNA.PROVIDENCE MEDFORD MEDICAL CENTERPMMC AND ASANTE HOSPITAL ACTIVELY WORKED TOGETHER IN THE JRHA CHNA PROCESS.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 6B:
PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERHEALTH AND HUMAN SERVICES CLACKAMAS COUNTY, CLARK COUNTY PUBLIC HEALTH, MULTNOMAH COUNTY PUBLIC HEALTH, WASHINGTON COUNTY PUBLIC HEALTH DIVISION, HEALTH SHARE OF OREGON.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALTHE COLUMBIA GORGE HEALTH COUNCIL PRODUCED A REGIONAL HEALTH NEEDS ASSESSMENT. PROVIDENCE WAS AN ACTIVE PARTICIPANT IN THAT PROCESS, AS WELL AS PRODUCING A STAND-ALONE EXECUTIVE SUMMARY SPECIFIC TO THE PHRMH SERVICE AREA. THE COLLABORATIVE ASSESSMENT INCLUDED: COLUMBIA GORGE HEALTH COUNCIL, FOUR RIVERS EARLY LEARNING HUB, HOOD RIVER COUNTY HEALTH DEPARTMENT, KLICKITAT PUBLIC HEALTH, MID-COLUMBIA CENTER FOR LIVING, NORTH CENTRAL PUBLIC HEALTH DISTRICT, ONE COMMUNITY HEALTH, PACIFICSOURCE COMMUNITY SOLUTIONS, SKAMANIA COUNTY HEALTH DEPARTMENT, UNITED WAY OF THE COLUMBIA GORGE, EASTERN OREGON COORDINATED CARE ORGANIZATION AND ADVANTAGE DENTAL.PROVIDENCE SEASIDE HOSPITALPSH WAS AN ACTIVE PARTICIPANT IN THE DEVELOPMENT OF THE COLUMBIA PACIFIC CCO CHNA WHICH INCLUDED CLATSOP COUNTY HEALTH DEPARTMENT, CLATSOP BEHAVIORAL HEALTH, COLUMBIA COMMUNITY BEHAVIORAL HEALTH, COLUMBIA COUNTY HEALTH DEPARTMENT, TILLAMOOK COUNTY HEALTH DEPARTMENT.PROVIDENCE MEDFORD MEDICAL CENTERTHE JRHA COLLABORATIVE INCLUDES ALLCARE HEALTH, JACKSON COUNTY PUBLIC HEALTH, JACKSON CARE CONNECT, OREGON STATE UNIVERSITY EXTENSION SERVICE, PRIMARY HEALTH AND REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS INCLUDING ADDICTIONS RECOVERY CENTER, LA CLINICA, ROGUE COMMUNITY HEALTH AND SEVERAL OTHERS.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 11:
"PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2019 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2020, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2021. THE KEY IDENTIFIED NEEDS FROM THE 2019 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: ACCESS TO PREVENTIVE AND PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE USE, CHRONIC CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH AND WELLBEING. THESE CATEGORIES INCLUDE BASIC NEEDS, SUCH AS FOOD SECURITY, STABLE HOUSING, AND TRANSPORTATION. ALTHOUGH A CHIP WAS PRODUCED IN 2020, A REVISED CHIP WAS COMPLETED IN 2021 TO BETTER ACCOUNT FOR UNPRECEDENTED EVENTS IMPACTING OREGON INCLUDING THE COVID-19 PANDEMIC, WILDFIRES, AND CIVIL UNREST RELATED TO SOCIAL JUSTICE ISSUES.ACCESS TO CAREPROVIDENCE PARTICIPATED IN SEVERAL COMMUNITY-BASED ACTIVITIES, INCLUDING CONTINUING COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND PROJECT ACCESS NOW AROUND HEALTHCARE OUTREACH AND ENROLLMENT FOR HEALTH INSURANCE, AND ENSURING ENGAGEMENT OF LOCAL VOLUNTEER PROVIDERS TO PROVIDE NECESSARY CARE FOR THE REMAINING UN- AND UNDERINSURED. THESE PROJECT ACCESS NOW PROGRAMS HAVE BEEN IN PLACE FOR APPROXIMATELY 12 YEARS AND CONTINUE TO EXHIBIT EXCELLENT OUTCOMES. PROVIDENCE HEALTH PLAN CONTINUED TO PARTICIPATE IN JOINT FUNDING INITIATIVES AND PROVIDED ADMINISTRATIVE SUPPORT FOR PROJECT ACCESS NOW'S PHARMACY BRIDGE PROGRAM, ASSISTING WITH PHARMACEUTICAL AND MEDICATION CLAIMS. PROJECT ACCESS NOW ALSO CONTINUED TO BE FUNDED FOR THE PATIENT SUPPORT PROGRAM (FORMERLY SAFE AND SECURE DISCHARGE), PREMIUM SUPPORT, AND OTHER TRI-COUNTY PROJECTS.PROVIDENCE ALSO PROVIDES PLACEMENT AND SUPERVISION FOR RESIDENCY PROGRAMS, NURSING PROGRAMS, PHYSICAL THERAPY, PHARMACY AND COMMUNITY PARAMEDIC TRAINING. ADDITIONALLY, PROVIDENCE CONTINUED ITS COMMITMENT TO THE PARISH HEALTH PROMOTER PROGRAM (PROMOTORES), WHICH PROVIDES CULTURALLY COMPETENT TRAINING AND CARE FOR SPANISH-SPEAKING COMMUNITY MEMBERS THROUGH OUTREACH AND EDUCATION, INCLUDING HOSTING TELEHEALTH EVENTS TO IMPROVE ACCESS TO PREVENTIVE CARE. PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE.IN ADDITION TO OUR ONGOING COMMITMENT TO IMPROVE OUTCOMES THAT ADDRESS COMMUNITY NEEDS, ALL FOUR PORTLAND-AREA HOSPITALS ARE COMMITTED TO RESPONDING TO THE IMPACTS OF THE COVID-19 PANDEMIC. WHILE THE COMMUNITY HEALTH IMPROVEMENT PLAN WAS INTENDED TO POSITIVELY INFLUENCE COMMUNITY NEEDS WITH MULTI-YEAR INTERVENTIONS AND STRATEGIES, WE ALSO SAW A NEED IN 2020 TO ADDRESS IMMEDIATE COMMUNITY NEEDS CAUSED OR EXACERBATED BY COVID-19.PROVIDENCE ACTIVELY ENGAGED IN COVID-19 RESPONSE AND PRIORITIZED EQUITY-FOCUSED APPROACHES IN A VARIETY OF WAYS, INCLUDING INVESTING ADDITIONAL FUNDS INTO THE COMMUNITY, SUPPORTING CULTURALLY RESPONSIVE ORGANIZATIONS, FUNDING LOCAL COVID-19 TESTING EFFORTS, PROVIDING PERSONAL PROTECTIVE EQUIPMENT TO FARMWORKERS AND CANNERY WORKERS, AND PROVIDING COVID-19 VACCINES. LOCALLY, PROVIDENCE FURTHER RESPONDED TO IMMEDIATE NEEDS QUICKLY.WE RECOGNIZE THE COVID-19 PANDEMIC IS NOT OVER, AND THE AFTERMATH WILL BE EXPERIENCED FOR MANY YEARS. WE WILL CONTINUE WORKING COLLABORATIVELY WITH OUR COMMUNITIES TO RESPOND TO THE ONGOING IMPACTS OF COVID-19 FROM HEALTH AND SOCIAL PERSPECTIVES.SOCIAL DETERMINANTS OF HEALTHIN AN ACTIVE PARTNERSHIP WITH IMPACT NW, PROVIDENCE CONTINUES TO CO-LOCATE STAFF THROUGH THE COMMUNITY RESOURCE DESK (CRD) PROGRAM. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS). STARTED IN 2015 AT TWO HIGH-NEED CLINIC LOCATIONS IN EAST PORTLAND, THE PROGRAM EXPANDED TO WESTERN WASHINGTON COUNTY IN 2016 AND FURTHER TO CLACKAMAS COUNTY IN 2017 AND TO CLARK COUNTY IN 2019. IN 2021, 5,202 INDIVIDUALS WERE SERVED WHICH BENEFITTED 10,176 PERSONS. OVER 50% OF CLIENTS HAD MEDICAID INSURANCE OR WERE UNINSURED, 25% HAD AN INCOME LESS THAN 50% THE FEDERAL POVERTY LIMIT, AND 50% IDENTIFIED AS A PERSON OF COLOR.THE $24 MILLION, MULTI-YEAR HOUSING INITIATIVE WITH PORTLAND'S CENTRAL CITY CONCERN CONTINUED THROUGH 2021 IN PARTNERSHIP WITH SEVERAL OTHER HEALTHCARE SYSTEMS TO BUILD OVER 380 UNITS OF NEW, AFFORDABLE HOUSING THROUGH A MULTI-MILLION DOLLAR STRATEGIC INVESTMENT. FIVE HEALTH SYSTEMS CONTRIBUTED FUNDING TO SUPPORT THREE NEW HOUSING DEVELOPMENTS, INCLUDING THOSE FOCUSED ON COMMUNITIES OF COLOR THAT HAVE BEEN DISPLACED, THOSE THAT PROVIDE RECUPERATIVE CARE AND SUPPORTIVE RECOVERY HOUSING, AND AN INTEGRATED CLINIC SETTING AT THE NEW EASTSIDE INTEGRATED HOUSING & SERVICES LOCATION. IT'S FINAL BUILDING, THE BLACKBURN CENTER, WAS COMPLETED AND OPENED IN 2019. PROVIDENCE IS A FOUNDING MEMBER OF THE REGIONAL SUPPORTIVE HOUSING IMPACT FUND (RSHIF), ESTABLISHED TO CREATE A FLEXIBLE FUNDING POOL TO LEVERAGE AND ENHANCE EXISTING COMMUNITY FUNDING EFFORTS IN THE HOUSING SPACE.CHRONIC CONDITIONSPROVIDENCE CONTINUES TO OPERATE ITS COMMUNITY TEACHING KITCHEN AND FOOD PHARMACY AT ITS WILLAMETTE FALLS HOSPITAL CAMPUS FOR INDIVIDUALS DIAGNOSED WITH FOOD-RELATED CHRONIC CONDITIONS WHO MAY NOT HAVE ACCESS TO HEALTHY, AFFORDABLE FOOD, INCLUDING COOKING CLASSES, NAVIGATION SERVICES, AND DIETITIAN CONSULTATIONS. OTHER FOOD SECURITY RELATED PROGRAMS SUPPORTED BY PROVIDENCE COMMUNITY BENEFIT INCLUDE PARTNERS FOR A HUNGER FREE OREGON AND MEALS ON WHEELS (MOW). THROUGH PROVIDENCE'S SUPPORT THE MOW PROGRAM THEY WERE ABLE TO EXPAND THE CAPACITY OF THE DOWNTOWN PORTLAND ELM COURT SITE, SERVING OVER 100,000 MEALS A YEAR TO VERY LOW-INCOME SENIORS, PEOPLE WITH DISABILITIES AND HELPING TO ADDRESS SOCIAL ISOLATION.ORAL HEALTH CONTINUES TO BE AN AREA OF CONCENTRATION FOR OUR COMMUNITY BENEFIT FUNDING WITH A PRIMARY PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL, FUNDING MOBILE DENTAL SERVICES FOR COMMUNITY MEMBERS WHO ARE UN- OR UNDER-INSURED. BESIDES CONTRIBUTING DIRECT FUNDING OF THE DENTAL VANS, PROVIDENCE ALSO PROVIDES A PROGRAM MANAGER AND COORDINATOR AS IN-KIND STAFF TO SUPPORT THE PROGRAM. THE MTI MOBILE DENTAL SERVICES MODEL IS ONE OF VERY FEW ORAL HEALTH OPTIONS FOR UNDERSERVED POPULATIONS AND CONTINUES TO ACT AS A CRITICAL SAFETY NET RESOURCE. ADDITIONALLY, PROVIDENCE PARTNERS WITH THE PACIFIC UNIVERSITY SCHOOL OF DENTAL HYGIENE IN ITS ""SMILE EVERYWHERE"" CAMPAIGN TO PROMOTE PREVENTIVE ORAL HEALTH CARE IN THE UNINSURED LATINX POPULATION.BEHAVIORAL HEALTHPROVIDENCE CONTINUED TO SUPPORT COMMUNITY PARTNERS IN IMPLEMENTING PROGRAMS ADDRESSING MENTAL HEALTH AND SUBSTANCE USE, FOR EXAMPLE, NAMI MULTNOMAH AND LINES FOR LIFE. PROVIDENCE IS DIRECTLY PARTNERING WITH NAMI MULTNOMAH TO IMPLEMENT A PROGRAM IN THE EMERGENCY DEPARTMENT THAT PROVIDES MENTAL HEALTH SUPPORT AND NAVIGATION TO PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT IN PSYCHIATRIC DISTRESS. PATIENTS ARE IMMEDIATELY ASSIGNED A PEER SUPPORT SPECIALIST WHO PROVIDES EDUCATION AND SUPPORT FOR FINDING APPROPRIATE RESOURCES. SEPARATELY, PROVIDENCE PROVIDED SUPPORT TO LINES FOR LIFE TO IMPLEMENT A NEIGHBORHOOD EMPOWERMENT PROGRAM FOCUSED ON INCREASING AWARENESS OF MENTAL HEALTH WITHIN THE LATINX COMMUNITY. A SERIES OF COMMUNITY CONVERSATIONS HAS INCREASED ENGAGEMENT WITH THE LATINX COMMUNITY.PROVIDENCE CONTINUES TO OPERATE THE BETTER OUTCOMES THRU BRIDGES (BOB) PROGRAM FOCUSING ON SERVING SOME OF OUR COMMUNITY'S MOST VULNERABLE AND UNDERSERVED PEOPLE. BOB'S GOAL IS TO EMPOWER INDIVIDUALS ON THEIR JOURNEY TOWARD BETTER WELL-BEING BY ENGAGING WITH COMPASSION, DIGNITY AND INTEGRITY. USING OUR OWN COLLABORATIVE COMMUNITY APPROACH MODEL OF CARE, THE BOB TEAM WALKS ALONGSIDE CLIENTS TO HELP EASE THEIR WAY, LITERALLY AND FIGURATIVELY MEETING CLIENTS WHERE THEY ARE AT. WE ARE ALWAYS FOCUSED ON WORKING COLLABORATIVELY WITH OUR COMMUNITY PARTNERS AND DEVELOPING INCLUSIVE RELATIONSHIPS THAT SERVE ENTIRE COMMUNITIES IN WHICH WE WORK."

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 24:
IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.

PART V, SECTION B, LINE 7A:
"PROVIDENCE NEWBERG MEDICAL CENTER (6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON"" TAB.PART V, SECTION B, LINE 7A:PHS - OREGON (GROUP A - 1-5 & 7-8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON"" TAB."

PART V, SECTION B, LINE 7B:
PHS - OREGON (GROUP A - 1-3 & 8)HTTPS://COMAGINE.ORG/PROGRAM/HCWC/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTPROVIDENCE HOOD RIVER MEM. HOSPITALHTTPS://WWW.CGHEALTHCOUNCIL.ORG/CHA-CHIPPROVIDENCE SEASIDE HOSPITALHTTPS://WWW.COLPACHEALTH.ORG/DOCS/DEFAULT-SOURCE/CHIP-DOCUMENTS/CPCCO_RHA_RHIP_7-19.PDF?SFVRSN=0PROVIDENCE MEDFORD MEDICAL CENTERHTTPS://JEFFERSONREGIONALHEALTHALLIANCE.ORG/ALLINFORHEALTH/2018-COMMUNITY-HEALTH-ASSESSMENT/

PART V, SECTION B, LINE 10:
"PHS - OREGON (GROUP A - 1-5 & 7-8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON"" TAB.PART V, SECTION B, LINE 10:PROVIDENCE NEWBERG MEDICAL CENTER (6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON"" TAB."

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 11 CONTINUATION:
PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE STRIVE TO CARE FOR OUR COMMUNITIES EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY. FOR EXAMPLE, WE SIMPLY WILL NOT HAVE ENOUGH RESOURCES TO SOLVE THE HOUSING CRISIS IN THE PORTLAND METRO AREA. HOWEVER, BY SELECTING SPECIFIC STRATEGIES SUCH AS NAVIGATION TO HOUSING SERVICES AND WORKING WITH OTHER FOUNDATIONS AND HEALTH SYSTEMS TO COLLABORATIVELY FUND SUPPORTIVE SERVICES, WE BELIEVE WE CAN MAKE AN IMPACT. IN ADDITION, THERE ARE TWO NEW ELEMENTS TO MENTAL HEALTH/WELLBEING & SUBSTANCE USE DISORDERS ON THE CHNA THIS CYCLE: SOCIAL ISOLATION AND YOUTH PREVENTION. WE WILL DEDICATE TIME TO EXPLORE AND BUILD STRATEGIES TO ADDRESS THESE CRUCIAL NEEDS IN THE FIRST YEAR OF THIS CHIP CYCLE.WE SEE THE INTERCONNECTEDNESS OF NEEDS ACROSS OUR COMMUNITY AND ARE CONFIDENT THESE NEEDS WILL BE ADDRESSED. FOR INSTANCE, OUR PARTNERSHIP WITHIN THE PORTLAND METRO AREA NOT ONLY OFFERS HEALTHY MEALS TO ADDRESS FOOD INSECURITY, BUT ALSO AN AVENUE FOR SENIORS EXPERIENCING SOCIAL ISOLATION TO CONNECT WITH ONE ANOTHER. IN ADDITION, THERE ARE TWO NEW ELEMENTS TO MENTAL HEALTH/WELL-BEING & SUBSTANCE USE DISORDERS ON THE CHNA THIS CYCLE: SOCIAL ISOLATION AND YOUTH PREVENTION. WE WILL DEDICATE TIME TO EXPLORE AND BUILD STRATEGIES TO ADDRESS THESE CRUCIAL NEEDS IN THE FIRST YEAR OF THIS CHIP CYCLE. HOWEVER, DUE TO THE STRENGTH OF THE PARTNERSHIPS IN OUR COMMUNITY WE BELIEVE THESE NEEDS WILL BE ADDRESSED IN OTHER WAYS. FOR INSTANCE, OUR PARTNERSHIP WITH MEALS ON WHEELS PEOPLE IN THE PORTLAND METRO AREA NOT ONLY OFFERS HEALTHY MEALS TO ADDRESS FOOD INSECURITY, BUT ALSO AN AVENUE FOR SENIORS EXPERIENCING SOCIAL ISOLATION TO CONNECT WITH ONE ANOTHER.PROVIDENCE PORTLAND MEDICAL CENTER (PPMC), PROVIDENCE ST. VINCENT MEDICAL CENTER (PSVMC), PROVIDENCE WILLAMETTE FALLS HOSPITAL (PWFH) AND PROVIDENCE MILWAUKIE MEDICAL CENTER (PMMC) WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2019 CHNA RESULTED IN A NEW COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2020, WHICH HAS GUIDED THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2021. THE KEY IDENTIFIED NEEDS LISTED IN THE FACILITY'S CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: SOCIAL DETERMINANTS OF HEALTH RESULTING FROM POVERTY AND INEQUITY; CHRONIC HEALTH CONDITIONS; COMMUNITY MENTAL HEALTH/WELL-BEING AND SUBSTANCE USE DISORDERS; AND ACCESS TO HEALTH SERVICES. THESE CATEGORIES INCLUDE BASIC NEEDS, SUCH AS FOOD SECURITY, STABLE HOUSING, AND TRANSPORTATION. ALTHOUGH A CHIP WAS PRODUCED IN 2020, A REVISED CHIP WAS COMPLETED IN 2021 TO BETTER ACCOUNT FOR UNPRECEDENTED EVENTS IMPACTING OREGON INCLUDING THE COVID-19 PANDEMIC, WILDFIRES, AND CIVIL UNREST RELATED TO SOCIAL JUSTICE ISSUES.SOME SPECIFIC EXAMPLES OF ACTIVITIES TAKEN IN 2021 INCLUDE CONTINUED FUNDING FOR A COMMUNITY-BASED COLLECTIVE IMPACT HEALTH SPECIALIST, WHOSE POSITION AT THE UNITED WAY OF THE COLUMBIA GORGE HAS BEEN EXCLUSIVELY SUPPORTED BY PROVIDENCE. THIS POSITION SERVES AS A GRANT-WRITER FOR COMMUNITY AT-LARGE PROJECTS ADDRESSING CHNA IDENTIFIED NEEDS, ASSISTING TO PROCURE MILLIONS IN GRANT FUNDING FOR THE GORGE REGION SINCE 2014. THIS GRANT WRITING SUPPORT MODEL WAS RECOGNIZED BY THE ROBERT WOOD JOHNSON FOUNDATION IN THE CULTURE OF HEALTH PRIZE AND HELPED TO BRING BLUE ZONES TO THE GORGE. PROVIDENCE REMAINS AN ACTIVE PARTICIPANT IN ENROLLMENT ASSISTANCE FOR HEALTH INSURANCE, PROVIDING ACCESS TO CARE REGARDLESS OF ABILITY TO PAY, INCREASING CARE FOR PATIENTS AND COMMUNITY MEMBERS EXPERIENCING DISABILITIES OR CHRONIC CONDITIONS THROUGH THE VOLUNTEERS IN ACTION PROGRAM, PALLIATIVE CARE PROGRAMS AND SPECIFIC OUTREACH TO THE LATINX COMMUNITY, MAINTAINING A RURAL HEALTH RESIDENCY PROGRAM TO INCREASE PROVIDER EDUCATION AND ACCESS TO CARE IN RURAL AREAS, DIABETES EDUCATION PROGRAMS, MEDICATION ASSISTANCE PROGRAMS, AND CONTINUES TO BE AN ACTIVE PARTNER WITH THE REGIONAL CCO, DCO, AND MENTAL HEALTH PROVIDERS.ADDITIONALLY, PROVIDENCE HAS ENGAGED WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL CHNA AND THE SUBSEQUENT CHIP. THERE WAS AN EXTENSIVE LIST OF NEEDS AND ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS AND THE ORGANIZATION IS UNABLE TO ADDRESS ALL OF THEM DURING THIS CYCLE DUE TO FUNDING AND RESOURCE AVAILABILITY. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON SUCH ISSUES, AND PH&S-OR WILL BE AN ENGAGED PARTNER WITH OTHER COMMUNITY LED COLLABORATIVE EFFORTS.IN ADDITION TO OUR ONGOING COMMITMENT TO IMPROVE OUTCOMES THAT ADDRESS COMMUNITY NEEDS, PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL COMMITTED TO RESPONDING TO THE IMPACTS OF THE COVID-19 PANDEMIC. WHILE THE COMMUNITY HEALTH IMPROVEMENT PLAN WAS INTENDED TO POSITIVELY INFLUENCE COMMUNITY NEEDS WITH MULTI-YEAR INTERVENTIONS AND STRATEGIES, WE ALSO SAW A NEED IN 2021 TO ADDRESS IMMEDIATE COMMUNITY NEEDS CAUSED OR EXACERBATED BY COVID-19.PROVIDENCE ACTIVELY ENGAGED IN COVID-19 RESPONSE AND PRIORITIZED EQUITY-FOCUSED APPROACHES IN A VARIETY OF WAYS, INCLUDING INVESTING ADDITIONAL FUNDS INTO THE COMMUNITY, SUPPORTING CULTURALLY RESPONSIVE ORGANIZATIONS, FUNDING LOCAL COVID-19 TESTING EFFORTS, PROVIDING PERSONAL PROTECTIVE EQUIPMENT TO FARMWORKERS AND CANNERY WORKERS, AND PROVIDING COVID-19 VACCINES. LOCALLY, PROVIDENCE HOOD RIVER MEDICAL CENTER FURTHER RESPONDED TO THE LOCAL IMMEDIATE NEEDS QUICKLY.WE RECOGNIZE THE COVID-19 PANDEMIC IS NOT OVER, AND THE AFTERMATH WILL BE EXPERIENCED FOR MANY YEARS. WE WILL CONTINUE WORKING COLLABORATIVELY WITH OUR COMMUNITIES TO QUICKLY RESPOND TO THE ONGOING IMPACTS OF COVID-19.SOCIAL DETERMINANTS OF HEALTHIN 2021, A PROVIDENCE COMMUNITY HEALTH GRANT HELPED THE MID-COLUMBIA COMMUNITY ACTION COUNCIL CONVENE THE MID-COLUMBIA HOUSELESS COLLABORATIVE WITH THE GOAL OF PREVENTING AND ENDING HOUSELESSNESS IN THE GORGE. THE FUNDING WAS INSTRUMENTAL IN LAUNCHING THE COLLABORATIVE AND HELPING THE GROUP ADVOCATE FOR ADDITIONAL OREGON STATE LEGISLATURE FUNDING TO SUPPORT THE STRATEGIC PLAN FOR HOUSING SOLUTIONS.WITH SOCIAL DISTANCING KEEPING MANY OLDER ADULTS AT HOME, PROVIDENCE PARTNERED WITH HOOD RIVER VALLEY ADULT CENTER AND MEALS ON WHEELS TO PROVIDE NUTRITIOUS FOOD FOR HOMEBOUND SENIORS. PROVIDENCE ALSO HELPED ESTABLISH A GROCERY DELIVERY PROGRAM SO SENIORS COULD RECEIVE FOOD WITHOUT NEEDING TO LEAVE HOME. ADDITIONALLY, PROVIDENCE SUPPORTED HOOD RIVER VALLEY ADULT CENTER TO RENOVATE THEIR COMMERCIAL KITCHEN TO INCREASE COOKING CAPACITY, FOOD SAFETY STANDARDS, AND DISTRIBUTION.BEHAVIORAL HEALTHPROVIDENCE SUPPORTED THE COLUMBIA GORGE HEALTH COUNCIL TO CONVENE A COLLECTIVE OF LOCAL ORGANIZATIONS WITH THE GOAL OF GENERATING A COMMUNITY BEHAVIORAL HEALTH VISION. THIS VISION WILL INCLUDE A STRATEGY TO FILL GAPS IN BEHAVIORAL HEALTH CARE, ADDRESS DISPARITIES IN CARE FOR UNDERSERVED POPULATIONS, AND IDENTIFY BARRIERS TO ACCESSING CARE FOR SPANISH-SPEAKING COMMUNITY MEMBERS. 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 CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. HOWEVER, DUE TO THE STRENGTH OF THE PARTNERSHIPS IN OUR COMMUNITY WE BELIEVE THESE NEEDS WILL NOT BE OVERLOOKED COMMUNITY-WIDE. WE SEE THE INTERCONNECTEDNESS OF COMMUNITY NEEDS ACROSS OUR COMMUNITY. AS PREVIOUSLY DESCRIBED, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS BROADLY COLLABORATIVE. ALL OF THE COMMUNITY NEEDS WERE IDENTIFIED AND PRIORITIZED TOGETHER. HOWEVER, PHRMH WAS THE FIRST OF THE COHORT OF ORGANIZATIONS TO COMPLETE ITS COMMUNITY HEALTH IMPROVEMENT PLAN; THEREFORE, THE FIRST TO DECLARE THE FOCUS OF ITS INITIATIVES. THIS ACTION CLEARLY DEFINES WHICH NEEDS REMAIN UNADDRESSED, SO THAT OUR PARTNER ORGANIZATIONS CAN ALLOCATE THEIR ENERGY AND RESOURCES ACCORDINGLY. THE OTHER ORGANIZATIONS COULD THEN JOIN IN PHRMH EFFORTS OR SPREAD OUT TO ADDRESS OTHER NEEDS SURFACED THROUGH THE COLLABORATIVE CHNA.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 11 CONTINUATION:
PROVIDENCE SEASIDE HOSPITALPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2019 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2020, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2021. THE KEY IDENTIFIED NEEDS FROM THE 2019 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: ACCESS TO PREVENTIVE AND PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE USE, CHRONIC CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH AND WELLBEING. THESE CATEGORIES INCLUDE BASIC NEEDS, SUCH AS FOOD SECURITY, STABLE HOUSING, AND TRANSPORTATION. ALTHOUGH A CHIP WAS PRODUCED IN 2020, A REVISED CHIP WAS COMPLETED IN 2021 TO BETTER ACCOUNT FOR UNPRECEDENTED EVENTS IMPACTING OREGON INCLUDING THE COVID-19 PANDEMIC, WILDFIRES, AND CIVIL UNREST RELATED TO SOCIAL JUSTICE ISSUES.ACCESS TO CAREPROVIDENCE CONTINUED ITS LONGSTANDING PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL TO PROVIDE MOBILE DENTAL SERVICES IN CLATSOP COUNTY, ACTUALLY EXPANDING THE ORAL HEALTH ACCESS EACH YEAR THROUGH OFFERING MORE CLINICS. PSH EXECUTIVES CONTINUE TO BE ENGAGED WITH COLUMBIA PACIFIC CCO, HELPING TO CRAFT STRATEGIES FOR QUALITY AND ACCESS TO ALL PEOPLE WITHIN THE SERVICE AREA. PROVIDENCE WAS ABLE TO PROVIDE FUNDING TO CLATSOP COMMUNITY ACTION, ALLOWING IT TO LEVERAGE THIS GRANT TO APPLY FOR FEDERAL HOUSING GRANTS REQUIRING MATCHING FUNDS WHICH INCLUDED THE; CHRONICALLY HOMELESS FAMILIES GRANT, HOMELESS SINGLE INDIVIDUALS GRANT, HOME YOUTH GRANT AND PEOPLE FLEEING DOMESTIC VIOLENCE GRANT. HOUSING AND HOMELESSNESSPROVIDENCE HELPED FUND THE CLATSOP COMMUNITY ACTION (CCA) HOUSING ASSISTANCE PROGRAM IN 2021. THE PROGRAM HELPED HUNDREDS OF THE COMMUNITY'S MOST VULNERABLE PEOPLE THROUGH RENTAL ASSISTANCE AND OTHER SUPPORT SERVICES. WITH CLATSOP COUNTY'S RATE OF HOMELESSNESS MORE THAN SIX TIMES HIGHER THAN THE REST OF OREGON, CCA WORKS TO SECURE AND MAINTAIN HOUSING FOR UNSHELTERED POPULATIONS OR THOSE AT RISK OF BECOMING HOMELESS.SOCIAL DETERMINANTS OF HEALTHWE HAVE CONTINUED THE COMMITMENT TO THE COMMUNITY RESOURCE DESK PARTNERSHIP WITH CLATSOP COMMUNITY ACTION, CO-LOCATING STAFF ON THE PROVIDENCE SEASIDE HOSPITAL CAMPUS. THE 1.0 FTE COMMUNITY RESOURCE SPECIALIST, EMPLOYED BY CCA, PROVIDES SOCIAL SUPPORT AND SAFETY NET SERVICES THROUGH THE COMMUNITY RESOURCE DESK. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS).CHRONIC CONDITIONSPROVIDENCE DIRECTLY PROVIDED DIABETES EDUCATION CLASSES, STAFF TIME AT COMMUNITY EVENTS, SUPPORT GROUPS, ASTHMA AND COPD EDUCATION, VOLUNTEER PROGRAMS THROUGH COMMUNITY CONNECTIONS, AN EARLY CHILDHOOD CLINIC, CAREGIVER SUPPORT AND TRAINING PROGRAMS, MEDICATION ASSISTANCE, PATIENT SUPPORT FOR SAFE AND SECURE DISCHARGE FOR THE FIRST THIRTY DAYS, AND PROVIDES SPORTS PHYSICALS FOR STUDENTS WHO COULD OTHERWISE NOT AFFORD THEM. PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE.BEHAVIORAL HEALTHPROVIDENCE DIRECTLY SUPPORTED THE BEACON CLUBHOUSE, A PROJECT OF NAMI OREGON, FOCUSED ON OFFERING A SAFE, RESTORATIVE, AND NON-CLINICAL ENVIRONMENT FOR INDIVIDUALS NAVIGATING MENTAL ILLNESS. BEACON CLUBHOUSE IS THE ONLY CLUBHOUSE ON THE OREGON COAST AND KEY SERVICES OFFERED INCLUDE A CULINARY UNITS, WELLNESS UNIT, RESOURCES UNIT, ART UNIT, AND ENVIRONMENTAL SERVICES UNIT. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON ADDITIONAL ISSUES, AND PH&S-OR IS AN ENGAGED PARTNER WITH OTHER COMMUNITY LED COLLABORATIVE EFFORTS THAT ARE WORKING TO ADDRESS OTHER NEEDS IDENTIFIED.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 CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE CARE FOR OUR COMMUNITY EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY, AND SOME OF THE AREAS IDENTIFIED IN OUR CHNA MAY BE OUT OF SCOPE FOR US. HOWEVER, WE ARE CONFIDENT THESE NEEDS WILL ALSO BE ADDRESSED BY OTHER IN THE COMMUNITY. FOR EXAMPLE, WE WILL CONTINUE TO SUPPORT ORGANIZATIONS ADDRESSING HOUSING, INCLUDING TRANSITIONAL HOUSING WITH HELPING HANDS RE-ENTRY OUTREACH AND SUPPORTIVE HOUSING WITH CLATSOP COMMUNITY ACTION, ALTHOUGH WE WILL NOT BE FOCUSING ON ALL ASPECTS OF HOUSING. COLUMBIA PACIFIC CCO HAS PLEDGED TO INVEST IN AREAS RELATED TO HOUSING, AND WE WILL CONTINUE TO LEVERAGE OUR LONG-STANDING PARTNERSHIPS, AS WELL AS OUR CLOSE RELATIONSHIP WITH THE CCO, TO DEVELOP COMMUNITY-WIDE STRATEGIES TO ADDRESS HOUSING SHORTAGES. THIS WILL ALLOW PROVIDENCE TO FOCUS ON ADDRESSING OTHER SOCIAL DETERMINANT NEEDS, SUCH AS FOOD INSECURITY, TRANSPORTATION AND SOCIAL ISOLATION. IN A SMALL COMMUNITY, SUCH AS CLATSOP COUNTY, WE RECOGNIZE THE IMPORTANCE OF NOT DUPLICATING EFFORTS IN SPECIFIC AREAS OF NEED AT THE POTENTIAL EXPENSE OF OTHERS. THUS, WE WILL CONTINUE TO COLLABORATE WITH CRITICAL PARTNERS ACROSS OUR COMMUNITY THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. WE WILL ALSO CONTINUE TO EXPLORE OPPORTUNITIES FOR US TO COLLABORATE ON EFFORTS FOCUSED ON AREAS INCLUDING CHRONIC CONDITION MANAGEMENT AND PREVENTION, AS WELL AS SUBSTANCE USE DISORDER TREATMENT THROUGH PARTNERSHIPS WITH ORGANIZATIONS LIKE CODA, WHO HAS ONLY BEEN PRESENT IN CLATSOP COUNTY SINCE JANUARY 2020.PROVIDENCE MEDFORD MEDICAL CENTERPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2019 CHNA RESULTED IN A NEW COMMUNITY HEALTH IMPROVEMENT PLAN ADOPTED IN MAY, 2020, WHICH HAS GUIDED THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2021. THE KEY IDENTIFIED NEEDS LISTED IN THE FACILITY'S CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: ACCESS TO PREVENTIVE AND PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE USE, CHRONIC CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH. THESE CATEGORIES INCLUDE BASIC NEEDS, SUCH AS FOOD SECURITY, STABLE HOUSING, AND TRANSPORTATION. ALTHOUGH A CHIP WAS PRODUCED IN 2020, A REVISED CHIP WAS COMPLETED IN 2021 TO BETTER ACCOUNT FOR UNPRECEDENTED EVENTS IMPACTING OREGON INCLUDING THE COVID-19 PANDEMIC, WILDFIRES, AND CIVIL UNREST RELATED TO SOCIAL JUSTICE ISSUES.SOCIAL DETERMINANTS OF HEALTHIN AN ACTIVE PARTNERSHIP WITH ACCESS (COMMUNITY ACTION AGENCY IN JACKSON COUNTY), PROVIDENCE OPENED THE MEDFORD LOCATION OF THE COMMUNITY RESOURCE DESK (CRD) PROGRAM. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS). PROVIDENCE PARTNERED WITH ROGUE RETREAT AND THE CITY OF MEDFORD TO INCREASE EMERGENCY AND TRANSITIONAL HOUSING FOR PEOPLE IN NEED. FUNDING HELPED REFURBISH ROOMS AT A LOCAL REPURPOSED MOTEL THROUGH PROJECT TURNKEY. PROVIDENCE ALSO PARTNERED WITH ROGUE RETREAT TO SUPPORT THE URBAN CAMPGROUND, PROVIDING SHELTER AND HEALTH SERVICES FOR COMMUNITY MEMBERS WHO WOULD OTHERWISE BE LIVING ON THE STREETS.IN RESPONSE TO THE COMBINED TRAUMAS OF THE ALMEDA FIRE AND COVID PANDEMIC, IN 2021 PROVIDENCE SUPPORTED THE ROGUE VALLEY FARM TO FAMILIES FREE PRODUCE BOX PROGRAM. FOR THREE MONTHS, MORE THAN 150 PRIMARILY LATINX HOUSEHOLDS (TOTALING MORE THAN 1,000 INDIVIDUALS) FROM THE PHOENIX-TALENT SCHOOL DISTRICT RECEIVED WEEKLY BOXES OF FRESH ORGANIC PRODUCE AND OTHER FOOD STAPLES.

PHS - OREGON (GROUP A - 1-5 & 7-8) PART V, SECTION B, LINE 11 CONTINUATION:
PROVIDENCE MEDFORD MEDICAL CENTERCHRONIC CONDITIONSAS IN PREVIOUS YEARS, PROVIDENCE EXECUTIVES WERE EXTENSIVELY ENGAGED WITH THE LOCAL CCO BOARDS TO CONTINUE ENSURING CARE FOR THOSE ELIGIBLE FOR MEDICAID. ADDITIONALLY, PROVIDENCE DIRECTLY PROVIDED FREE AND LOW-COST SUPPORT GROUPS AND CANCER SCREENINGS, COMMUNITY EDUCATION AROUND PHYSICAL AND OCCUPATIONAL THERAPY, ENSURING EMERGENCY DEPARTMENT PHYSICIANS WERE AVAILABLE WHEN NEEDED, SUBSIDIZED EXPENSES OF GUEST HOUSING FOR FAMILY MEMBERS, PROVIDED ATHLETIC TRAINERS AND FREE SPORTS PHYSICALS FOR STUDENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM, PARTICIPATED AND FUNDED THE JEFFERSON HEALTH INFORMATION EXCHANGE, EXECUTIVE SUPPORT FOR AND ENGAGEMENT IN THE JEFFERSON REGIONAL HEALTH ALLIANCE, SUPPORT FOR COURT APPOINTED SPECIAL ADVOCATES, AND PROVIDED HEALTH PROFESSIONALS TRAINING (PHYSICAL AND OCCUPATIONAL THERAPY, NURSING, AND LAB TECH, AMONGST OTHERS). PROVIDENCE PROVIDES SUBSIDIZED DIABETES EDUCATION FOR PATIENTS LIVING WITH DIABETES AS WELL AS THOSE AT RISK OF DEVELOPING DIABETES (PRE-DIABETES). PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE, AS WELL AS PROVIDING MEDICATION ASSISTANCE AND OTHER BASIC SUPPORT TO ALLOW FOR SAFE AND SECURE DISCHARGE FOR THE FIRST THIRTY DAYS. FURTHERMORE, PROVIDENCE IS ACTIVELY WORKING TO INTEGRATE AND IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCREASE ACCESS TO PRIMARY CARE, AND IMPROVE PROTOCOLS AND PATIENT ENGAGEMENT IN MANAGING AND PREVENTING CHRONIC CONDITIONS. ADDITIONAL INFORMATION ABOUT THESE INTERNAL EFFORTS IS AVAILABLE IN THE CHNA.COVID-19IN ADDITION TO OUR ONGOING COMMITMENT TO IMPROVE OUTCOMES THAT ADDRESS COMMUNITY NEEDS, PROVIDENCE COMMITTED TO RESPONDING TO THE IMPACTS OF THE COVID-19 PANDEMIC. WHILE THE COMMUNITY HEALTH IMPROVEMENT PLAN WAS INTENDED TO POSITIVELY INFLUENCE COMMUNITY NEEDS WITH MULTI-YEAR INTERVENTIONS AND STRATEGIES, WE ALSO SAW A NEED IN 2021 TO ADDRESS IMMEDIATE COMMUNITY NEEDS CAUSED OR EXACERBATED BY COVID-19. TO HELP SUPPORT COVID-19 VACCINATION EFFORTS FOR HIGH-RISK POPULATIONS, PROVIDENCE AWARDED A $65,000 GRANT TO LA CLINICA, A FEDERALLY QUALIFIED HEALTH CENTER. LA CLINICAL WAS ABLE TO OFFER VACCINATIONS TO THE LOCAL LATINX COMMUNITY, WITH A SPECIAL FOCUS ON AGRICULTURAL WORKERS. THROUGH A PATIENT-CENTERED AND TRAUMA-INFORMED APPROACH, LA CLINICA PROVIDED OUTREACH AND SERVICES IN A CULTURALLY APPROPRIATE MANNER.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 CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE CARE FOR OUR COMMUNITY EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY, AND SOME OF THE AREAS IDENTIFIED IN OUR CHNA MAY BE OUT OF SCOPE FOR US. HOWEVER, WE ARE CONFIDENT THESE NEEDS WILL ALSO BE ADDRESSED BY OTHER IN THE COMMUNITY. PMMC WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. THE FOLLOWING COMMUNITY HEALTH NEED IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AT THIS TIME: - TRANSPORTATION: DUE TO RESOURCE CONSTRAINTS, AND A RELATIVE LACK OF EXPERTISE IN THIS AREA, PMMC WILL NOT DIRECTLY ADDRESS COMMUNITY TRANSPORTATION NEEDS. THROUGH THE COMMUNITY RESOURCE DESK, PMMC CONNECTS COMMUNITY MEMBERS TO ORGANIZATIONS SUCH AS TRANSLINK AND AGING AND DISABILITY RESOURCE CONNECTION OF OREGON (ADRC), TO ADDRESSING TRANSPORTATION NEEDS IN JACKSON COUNTY.

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 6A:
PROVIDENCE OREGON PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/OREGON

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:
"REPORTING GROUP APROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERWORKFORCE DEVELOPMENT: PROVIDENCE SUPPORTED COMMUNITY EDUCATION HEALTH FAIRS; AN OPPORTUNITY OFFERED TO HIGH SCHOOL STUDENTS WHO ARE ATTEMPTING TO DISCERN A CAREER PATH. THE GROUPS SERVED DURING THE HEALTH FAIRS ARE A COMBINATION OF HIGH-ACHIEVING STUDENTS AND THOSE STRUGGLING WITH SCHOOL. THE HEALTH FAIR IS AN ATTEMPT TO ATTRACT STUDENTS TO CAREERS IN HEALTH CARE, (OTHER THAN DOCTORS AND NURSES), AND TO INTERVENE OR PROVIDE DIRECTION TO STRUGGLING STUDENTS TOWARD A HEALTH CAREER PATH.PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL: COMMUNITY SUPPORT:DEDICATED TO SERVING SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT, PROVIDENCE SUPPORTED HELPING HANDS AGAINST VIOLENCE TO RAISE AWARENESS THROUGH EDUCATION AND OUTREACH. HELPING HANDS IS A NON-PROFIT ORGANIZATION PROVIDING SAFE SHELTER AND ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT. PROVIDENCE'S DIRECT SUPPORT WENT TOWARDS THE SAFETY OF THEIR SHELTER FACILITY. ADDITIONALLY, PROVIDENCE IS COORDINATING WITH HELPING HANDS STAFF TO MAKE ""HOUSE CALLS"" AVAILABLE FOR THEIR CLIENTS WHO ARE OFTEN UNABLE OR AFRAID TO SEEK NEEDED HEALTH CARE OUTSIDE OF THE FACILITY.PROVIDENCE SEASIDE HOSPITAL:ECONOMIC DEVELOPMENT:PROVIDENCE PROVIDED DIRECT SUPPORT TO CLATSOP ECONOMIC DEVELOPMENT RESOURCES (CEDR), WHICH HAS A FOCUS ON SUPPORTING MINORITY OWNED BUSINESSES. CEDR IS THE REGIONAL ECONOMIC DEVELOPMENT ORGANIZATION FOR CLATSOP COUNTY AND IS THE ""ONE STOP"" BUSINESS RESOURCE IN THE REGION FOR BUSINESS RECRUITMENT, RETENTION AND EXPANSION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY:IN KEEPING WITH OUR STRONG COMMITMENT TO PARTNER WITH LOCAL ORGANIZATIONS, PROVIDENCE SUPPORTED THE CLATSOP COUNTY DEPARTMENT OF PUBLIC HEALTH WHICH IS FOCUSED ON PROVIDING INFORMATION AND SERVICES TO RESIDENTS THAT IMPROVE THE COMMUNITY'S HEALTH. TO HELP SUPPORT PUBLIC HEALTH, PROVIDENCE IS A KEY PARTNER IN ENSURING ESSENTIAL, ACCURATE HEALTH INFORMATION IS COMMUNICATED TO THE COMMUNITY AND HELPS IMPROVE HEALTH AND QUALITY OF LIFE FOR THOSE WHO ARE POOR, MARGINALIZED AND VULNERABLE. WORKFORCE DEVELOPMENT: PROVIDENCE PROVIDED SUPPORT TO THE AMERICAN ASSOCIATION OF UNIVERSITY WOMEN (AAUW) WHICH IS A NATIONWIDE NETWORK OF MORE THAN 170,000 MEMBERS AND SUPPORTERS, 1,000 BRANCHES, AND 800 COLLEGE/UNIVERSITY INSTITUTION PARTNERS. FOR OVER 130 YEARS, AAUW MEMBERS EXAMINE AND TAKE POSITIONS ON FUNDAMENTAL ISSUES OF THE DAY - EDUCATIONAL, SOCIAL, ECONOMIC, AND POLITICAL. PROVIDENCE SUPPORTED THE WOMEN INTERESTED IN GOING TO SCHOOL (WINGS) CONFERENCE WHICH WAS DESIGNED TO HELP WOMEN IN UNDERSERVED SOCIOECONOMIC GROUPS EXPLORE EDUCATIONAL AND CAREER OPPORTUNITIES.PART II, COMMUNITY BUILDING ACTIVITIESPROVIDENCE NEWBERG MEDICAL CENTER (6):COMMUNITY SUPPORT:PROVIDENCE IS DEDICATED TO SERVING THE POOR AND VULNERABLE IN OUR COMMUNITIES AND PARTNERING WITH ORGANIZATIONS THAT SERVE THESE POPULATIONS IN NEED. PROVIDENCE'S MISSION AND SPIRITUAL CARE TEAM PARTICIPATED IN NUMEROUS COMMUNITY EVENTS AND PROGRAMS FOCUSED ON RAISING AWARENESS OF IMPORTANT HEALTH ISSUES, SOCIAL JUSTICE, AND ACCESSING SOCIAL SERVICES. FURTHERMORE, PROVIDENCE PROVIDED DIRECT SUPPORT TO HARVEST HOUSE, A SHELTER OPERATED BY THE YAMHILL COMMUNITY ACTION PARTNERSHIP THAT PRIDES ITSELF ON ""FEELING LIKE A HOME."" THE KEY POPULATIONS SERVED AT THE SHELTER INCLUDE MARRIED COUPLES WITH CHILDREN, SINGLE PARENTS, AND SINGLE WOMEN. WORKFORCE DEVELOPMENT:PROVIDENCE IS AN ONGOING SUPPORTER AND PARTNER TO LOCAL HIGH SCHOOLS AND STRIVES TO PROVIDE OPPORTUNITIES AND EDUCATION TO STUDENTS TRYING TO FIND A CAREER. THROUGH A DONATION TO THE YAMHILL SERVICE AREA SCHOOL DISTRICT, PROVIDENCE DONATED SCHOLARSHIPS TO GRADUATING HIGH SCHOOL SENIORS PURSUING A CAREER IN HEALTHCARE. IN ADDITION TO PROVIDING SCHOLARSHIPS, PROVIDENCE STAFF WORKED WITH PUBLIC SCHOOLS ON GATHERING AND REVIEWING APPLICATIONS AND CHOOSING RECIPIENTS FOR HEALTH CAREER SCHOLARSHIPS BASED ON NEED, LIKELIHOOD OF SUCCESS, AND RECOMMENDATIONS."

PART III, LINE 4:
AS A RESULT OF ADOPTING ASU 2014-09, 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 7, REPORTS FILED WITH STATES
OR,CA,MT,AK,TX,WA

PART VI, LINE 2:
NEEDS ASSESSMENT:REPORTING GROUP APROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERAS HEALTH CARE CONTINUES TO EVOLVE AND SYSTEMS OF CARE BECOME MORE COMPLEX, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH MANY COMMUNITY ORGANIZATIONS, WE ARE COMMITTED TO ADDRESSING THE MOST PRESSING HEALTH NEEDS IN OUR COMMUNITY.THE HCWC CHNA IS AN EVALUATION OF THE COMMUNITY'S KEY HEALTH INDICATORS OF THE COMMUNITY. DATA WAS AGGREGATED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES AND MANAGED BY THE DATA WORKGROUP PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLY FOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THAT HAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLE CONTEXT AND INFORMATION FOR THE ASSESSMENT.PRIMARY DATA WAS COLLECTED THROUGH SEVERAL METHODS INCLUDING:- TOWN HALLS 4 TOWN HALLS WERE CONDUCTED, ONE IN EACH COUNTY, BRINGING TOGETHER COMMUNITY LEADERS AND REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THE RESULTS WERE USED TO INFORM THE STRUCTURE AND CONTENT OF LISTENING SESSIONS.- LISTENING SESSIONS HCWC WORKED WITH CBOS TO HOST 18 LISTENING SESSIONS FROM OCTOBER THROUGH DECEMBER 2018. EVENTS WERE DESIGNED TO BRING TOGETHER COMMUNITY MEMBERS TO SHARE LIVED EXPERIENCES THROUGH FACILITATED GROUP SESSIONS. SEVERAL WERE HELD IN SPANISH AND COMMUNITY ENGAGEMENT ACTIVITIES THAT INCLUDED TOWN HALLS LISTENING SESSIONS, LITERATURE REVIEW, AND A COMMUNITY HEALTH SURVEY.ACROSS THE HCWC REGION, SECONDARY DATA AGGREGATED AND UTILIZED INCLUDED COUNTY PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY, AND MORTALITY; HOSPITAL UTILIZATION/DISCHARGES AND CCO DATA FOR THE UNINSURED AND MEMBERS OF THE OREGON HEALTH PLAN.HCWC MEMBER ORGANIZATIONS ARE COMMITTED TO ADDRESSING HEALTH DISPARITIES AND INEQUITIES. THE 2019 HCWC CHNA INCLUDES DATA ON REGIONAL DISPARITIES AND TAKEN STRIDES TO MAKE SURE DIVERSE COMMUNITY PERSPECTIVES ARE INCLUDED - NOT ONLY ABOUT WHAT THE NEEDS ARE, BUT HOW THEY CAN BE ADDRESSED. HCWC RECOGNIZES THAT INCLUDING PEOPLE AFFECTED BY HEALTH INEQUITIES IN THE ASSESSMENT AND PLANNING PROCESS IS A KEY STRATEGY TO ENSURE HEALTH IMPROVEMENT ACTIVITIES WILL BE SUCCESSFUL.HCWC ALIGNS THE EFFORTS OF HOSPITALS, PUBLIC HEALTH, CCOS, AND THE RESIDENTS OF THE COMMUNITIES THEY SERVE TO DEVELOP A SHARED COMMUNITY HEALTH NEEDS ASSESSMENT ACROSS THE FOUR-COUNTY REGION. HCWC AIMS TO ELIMINATE DUPLICATIVE EFFORTS, PRIORITIZE NEEDS, AND ENABLE COLLABORATIVE EFFORTS TO IMPLEMENT AND TRACK IMPROVEMENT ACTIVITIES ACROSS THE FOUR-COUNTY REGION.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALIN THE COLUMBIA GORGE REGION, PHRMH IS A FOUNDING MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL, A PUBLIC-PRIVATE PARTNERSHIP BRINGING TOGETHER SEVENTEEN ORGANIZATIONS INCLUDING FOUR HOSPITALS, SEVEN COUNTIES, THE COORDINATED CARE ORGANIZATION, SEVERAL SOCIAL SERVICE AGENCIES AND A DENTAL PROVIDER, TO PRODUCE A SHARED REGIONAL NEEDS ASSESSMENT.RESPONDING TO THE NUMBER OF NEEDS IDENTIFIED IN THE 2019 CHNA, PROVIDENCE DEVELOPED FOUR TOPIC CATEGORIES: SOCIAL DETERMINANTS OF HEALTH RESULTING FROM POVERTY AND INEQUITY; CHRONIC HEALTH CONDITIONS; COMMUNITY MENTAL HEALTH/WELL-BEING AND SUBSTANCE USE DISORDERS; AND ACCESS TO HEALTH SERVICES. THESE FINDINGS ARE GUIDING DEVELOPMENT OF COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS FOR SOME OF THE MOST VULNERABLE GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. OUR WORK IS ALSO INFORMED BY POPULATION DEMOGRAPHICS, WHICH CONTINUES TO DEMONSTRATE DIVERSIFICATION, PARTICULARLY IN THE LATINX COMMUNITIES.ACROSS THE COLUMBIA GORGE REGION, INFORMATION COLLECTED INCLUDES: COUNTY PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS; MORBIDITY AND MORTALITY; HOSPITAL UTILIZATION DATA; A COMMUNITY HEALTH SURVEY WITH OVER 820 RESPONSES.ADDITIONALLY, PHRMH SUPPORTS AND ENGAGES LOCAL COMMUNITY-BASED ORGANIZATIONS WHEN OTHER ASSESSMENTS ARE CONDUCTED. FOR EXAMPLE, PARTNER ORGANIZATIONS HAVE ASSESSED LOCAL NEEDS IN HOUSING, FOOD INSECURITY, EQUITY, AND BEHAVIORAL HEALTH.

PART VI, LINE 3:
COMMUNICATION TO THE PUBLIC:REPORTING GROUP A & PROVIDENCE NEWBERG MEDICAL CENTERPROVIDENCE 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.

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COMMUNITY INFORMATION:REPORTING GROUP APROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERTHE PORTLAND SERVICE AREA FOR PROVIDENCE IN OREGON INCLUDES PRIMARILY CLACKAMAS, MULTNOMAH, AND WASHINGTON COUNTIES. CLACKAMAS COUNTY:IN 2019, THE POPULATION OF CLACKAMAS COUNTY IS NEARLY 420,000, WHICH REPRESENTS SLIGHTLY OVER 11 PERCENT GROWTH SINCE 2010. CLACKAMAS COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING MORE THAN 8 PERCENT BETWEEN 2015 AND 2019.AMONG CLACKAMAS COUNTY RESIDENTS IN 2019, 81.1 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 9.0 PERCENT WERE HISPANIC OR LATINO, 5.2 PERCENT ASIAN OR PACIFIC ISLANDER, 1.2 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.1 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, AND NEARLY 4 PERCENT IDENTIFIED AS TWO OR MORE RACES.IN 2019, THE MEDIAN HOUSEHOLD INCOME FOR CLACKAMAS COUNTY WAS $80,484, AND THE PER CAPITA INCOME WAS $41,492. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($62,818 AND $33,763, RESPECTIVELY). CLACKAMAS COUNTY IS HOME TO SOME OF THE WEALTHIEST AREAS IN OREGON, SUCH AS LAKE OSWEGO, AS WELL AS MORE RURAL AREAS SUCH AS ESTACADA. MULTNOMAH COUNTY:IN 2019, THE POPULATION OF MULTNOMAH COUNTY IS OVER 812,000, WHICH REPRESENTS ALMOST AN 11 PERCENT GROWTH SINCE 2010. MULTNOMAH COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING NEARLY 13.8 PERCENT BETWEEN 2015 AND 2019. AMONG MULTNOMAH COUNTY RESIDENTS IN 2019, 69.1 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 12.0 PERCENT WERE HISPANIC OR LATINO, 8.8 PERCENT ASIAN OR PACIFIC ISLANDER, 6.0 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.4 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, AND 4.7 PERCENT IDENTIFIED AS TWO OR MORE RACES.IN 2019, THE MEDIAN HOUSEHOLD INCOME FOR MULTNOMAH COUNTY WAS $69,176, AND THE PER CAPITA INCOME WAS $39,245. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($62,818 AND $33,763, RESPECTIVELY).WASHINGTON COUNTY:IN 2019, THE POPULATION OF WASHINGTON COUNTY WAS OVER 601,000, WHICH REPRESENTS A 13.5 PERCENT GROWTH SINCE 2010. WASHINGTON COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING NEARLY 18 PERCENT BETWEEN 2015 AND 2019. AMONG WASHINGTON COUNTY RESIDENTS IN 2019, 64.6 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 17.1 PERCENT WERE HISPANIC OR LATINO, 12.2 PERCENT ASIAN OR PACIFIC ISLANDER, 2.5 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.1% WERE ALASKA NATIVE OR AMERICAN INDIAN, AND 4.5 PERCENT IDENTIFIED AS TWO OR MORE RACES.IN 2019, THE MEDIAN HOUSEHOLD INCOME FOR WASHINGTON COUNTY WAS $82,215, AND THE PER CAPITA INCOME WAS $39,679. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($62,818 AND $33,763, RESPECTIVELY).PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL:PHRMH PRIMARILY SERVES HOOD RIVER COUNTY IN OREGON. PROVIDENCE HAS THREE HOSPITALS SERVING NEIGHBORING MULTNOMAH AND CLACKAMAS COUNTIES AND FOUR ADDITIONAL HOSPITALS AROUND THE STATE.THE REGIONAL COMMUNITY HEALTH ASSESSMENT COVERED HOOD RIVER, WASCO, SHERMAN, GILLIAM, AND WHEELER COUNTIES IN OREGON AS WELL AS KLICKITAT AND SKAMANIA COUNTIES IN WASHINGTON. THIS IS A COMBINED GEOGRAPHY OF 10,284 SQUARE MILES AND HOME TO A POPULATION OF APPROXIMATELY 88,000 INDIVIDUALS. AS OF 2019, THE TOTAL POPULATION OF HOOD RIVER COUNTY (PHRMH PRIMARY SERVICE AREA) WAS 23,382.NEARLY 32 PERCENT OF THE HOOD RIVER COUNTY POPULATION IDENTIFIES WITH HISPANIC ETHNICITY, 63 PERCENT IDENTIFY THEIR RACE AS WHITE NOT HISPANIC OR LATINO, 1.8 PERCENT ASIAN, AND 2.6 PERCENT AS TWO OR MORE RACES.IN 2019 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR HOOD RIVER COUNTY WAS $65,679, AND THE PER CAPITA INCOME WAS $34,926. THESE NUMBERS ARE HIGHER THAN THE STATE OF OREGON AS A WHOLE ($62,818 AND $33,763, RESPECTIVELY).DATA SOURCE: U.S. CENSUS BUREAU QUICKFACTS: HOOD RIVER COUNTY, OREGON.PROVIDENCE SEASIDE HOSPITAL:INITIALLY HOME TO THE CHINOOK, CLATSOP, AND KATHLAMET TRIBES, CLATSOP COUNTY HAS HELD AN IMPORTANT ROLE IN THE HISTORY OF OREGON AND THE PACIFIC NORTHWEST. THE COLUMBIA RIVER, WITH WASHINGTON STATE ON ITS NORTHERN BANKS AND OREGON TO ITS SOUTH, FEEDS IN TO THE PACIFIC OCEAN HERE. ASTORIA, A MAJOR PORT CITY, WAS ONCE A FUR TRADING POST AND SERVED AS LEWIS & CLARK'S END POINT TO THEIR JOURNEY ACROSS THE COUNTRY. AMERICAN FARMERS BEGAN SETTLING THE AREA IN 1840, AND SHORTLY AFTER THAT, THE TIMBER INDUSTRY BEGAN AND THE HUME BROTHERS OPENED THE FIRST OF MANY FISH CANNERIES.2019 POPULATION ESTIMATES FROM THE US CENSUS DEPARTMENT SHOW 40,224 COUNTY RESIDENTS, REPRESENTING 8.6 PERCENT GROWTH SINCE 2010. APPROXIMATELY 23.4 PERCENT OF THE COUNTY'S POPULATION IS AT OR ABOVE AGE 65, WHICH IS CONSIDERABLY ABOVE OREGON'S AVERAGE OF 18.2 PERCENT.IN 2019 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR CLATSOP COUNTY WAS $54,886. THIS IS CONSIDERABLY LOWER THAN THE MEDIAN INCOME FOR THE STATE OF OREGON ($62,818).DATA SOURCE: U.S. CENSUS BUREAU QUICK FACTS: CLATSOP COUNTY, OREGON.PROVIDENCE MEDFORD MEDICAL CENTER:PMMC PRIMARILY SERVES JACKSON COUNTY IN SOUTHERN OREGON. MEDFORD (POP 83,072) IS THE PRIMARY URBAN CENTER IN AN OTHERWISE RURAL OREGON COUNTY COVERING 2,804 SQUARE MILES. THE SECONDARY SERVICE AREA INCLUDES JOSEPHINE COUNTY AND SURROUNDING AREA IS KNOWN FOR ITS AGRICULTURE, ROGUE RIVER, AND THE ANNUAL SHAKESPEARE FESTIVAL IN ASHLAND.AS OF 2019, JACKSON COUNTY IS HOME TO APPROXIMATELY 221,000 RESIDENTS. THE AREA'S MEDIAN HOUSEHOLD INCOME IS $53,412 AND THE 2019 PER CAPITA INCOME WAS $30,250, LOWER THAN THE STATE OF OREGON AS A WHOLE ($62,818 AND $33,763, RESPECTIVELY).JACKSON AND JOSEPHINE COUNTIES ARE EXPERIENCING POPULATION GROWTH, ESPECIALLY AMONG THE HISPANIC/LATINO POPULATION. THE VAST MAJORITY OF JACKSON COUNTY RESIDENTS (80.1 PERCENT) IDENTIFY AS WHITE NON-HISPANIC. THE SECOND LARGEST POPULATION GROUP IN JACKSON COUNTY IS INDIVIDUALS WHO IDENTIFY AS HISPANIC/LATINO, MAKING UP 13.5 PERCENT OF THE POPULATION. COMPARED TO OREGON OVERALL, THE REGION HAS A HIGHER PROPORTION OF RESIDENTS WHO IDENTIFY AS WHITE AND THOSE WHO ARE AGED 65 AND OVER.DATA SOURCE: U.S. CENSUS BUREAU QUICKFACTS: MEDFORD CITY, OREGON. OTHER HOSPITALS IN SERVICE AREA:1) ADVENTIST MEDICAL CENTER2) ADVENTIST TILLAMOOK MEDICAL CENTER3) ASANTE ROGUE REGIONAL MEDICAL CENTER4) COLUMBIA MEMORIAL HOSPITAL5) HILLSBORO MEDICAL CENTER6) KAISER SUNNYSIDE7) KAISER WESTSIDE MEDICAL CENTER8) LEGACY EMANUEL MEDICAL CENTER9) LEGACY GOOD SAMARITAN MEDICAL CENTER10) LEGACY MERIDIAN PARK MEDICAL CENTER11) OREGON HEALTH & SCIENCE UNIVERSITY12) SHRINERS HOSPITAL FOR CHILDREN PORTLAND13) SKYLINE HOSPITAL COMMUNITY INFORMATION:PROVIDENCE NEWBERG MEDICAL CENTER (6):PNMC PRIMARILY SERVES RESIDENTS OF YAMHILL COUNTY. CITIES INCLUDE SHERWOOD, NEWBERG, DUNDEE, DAYTON, AND LAFAYETTE, WITH SOME PATIENTS TRAVELING FROM MCMINNVILLE. GIVEN THE GEOGRAPHY OF THE AREA, ALL OF YAMHILL COUNTY IS CONSIDERED THE PRIMARY SERVICE AREA FOR PNMC. THE SECONDARY SERVICE AREA INCLUDES BORDERING ZIP CODES OF NEARBY WASHINGTON COUNTY.2019 POPULATION ESTIMATES FROM THE US CENSUS DEPARTMENT SHOW 107,100 COUNTY RESIDENTS, REPRESENTING SLIGHTLY LESS THAN 10 PERCENT GROWTH SINCE 2010. APPROXIMATELY 17.8 PERCENT OF THE COUNTY'S POPULATION IS AT OR ABOVE AGE 65, WHICH IS SLIGHTLY ABOVE THE NATIONAL AVERAGE.IN 2019 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR YAMHILL COUNTY WAS $63,902. THIS IS SLIGHTLY HIGHER THAN THE MEDIAN INCOME FOR THE STATE OF OREGON ($62,818). DATA SOURCE: U.S. CENSUS BUREAU QUICK FACTS: YAMHILL COUNTY, OREGON.OTHER HOSPITAL IN SERVICE AREA:1) WILLAMETTE VALLEY MEDICAL CENTER

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COMMUNITY HEALTH PROMOTION:REPORTING GROUP A & PROVIDENCE NEWBERG MEDICAL CENTERAS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET.HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOST HUMAN AND INTIMATE NEEDS OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. PROVIDENCE'S EXECUTIVES ARE ENGAGED ON MANY LOCAL AREA BOARDS, INCLUDING CCO LEADERSHIP, AND SOCIAL SERVICE ORGANIZATIONS. CAREGIVERS (EMPLOYEES) ARE DEEPLY COMMITTED TO THE MISSION AND MANY VOLUNTEER THEIR TIME AT NON-PROFIT AND SOCIAL SERVICE AGENCIES. IN EACH SERVICE AREA, PH&S OREGON HAS A SERVICE AREA ADVISORY COUNCIL MADE UP OF COMMUNITY LEADERS, PRIMARY CARE PROVIDERS, AND HOSPITAL LEADERSHIP. THIS ADVISORY COUNCIL HAS SEVERAL RESPONSIBILITIES, INCLUDING OVERSIGHT AND APPROVAL OF THE NEEDS ASSESSMENT, IMPROVEMENT PLANS, MISSION INTEGRATION, AND COMMUNITY BENEFIT INVESTMENTS. THE SERVICE AREA ADVISORY COUNCIL INCLUDES REPRESENTATION FROM BEHAVIORAL HEALTH PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, FIRE & RESCUE, SCHOOLS, PRIMARY CARE PROVIDERS, SPECIALTY PROVIDERS, AND PRIVATE CITIZENS. THE ADVISORY COUNCIL REPORTS TO THE OREGON COMMUNITY MINISTRY BOARD FOR PROVIDENCE HEALTH & SERVICES, AND INCLUDES SEVERAL SUB-COMMITTEES. ONE SUCH SUB-COMMITTEE IS THE COMMUNITY BENEFIT SUB-COMMITTEE, WHICH MEETS SEVERAL TIMES OVER THE COURSE OF THE YEAR TO DETERMINE PRIORITY FUNDING AREAS, SOLICIT AND REVIEW APPLICATIONS FOR FUNDING FROM LOCAL NON-PROFIT ORGANIZATIONS WORKING TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, AND MAKE FUNDING RECOMMENDATIONS TO THE FULL COUNCIL.

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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. - KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA. - SWEDISH HEALTH SERVICES IN SEATTLE, WA. 2021 WAS AN EXTRAORDINARY 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.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT

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PROVIDENCE SEASIDE HOSPITALTHE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. INFORMATION FOR THIS ASSESSMENT COMES FROM BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLY FOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THAT HAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLE CONTEXT AND INFORMATION FOR THE ASSESSMENT.PRIMARY DATA:IT INCLUDES A COMMUNITY HEALTHY SURVEY, KEY STAKEHOLDER INTERVIEWS, COMMUNITY LISTENING SESSIONS AND HOSPITAL UTILIZATION DATA.- COMMUNITY HEALTH SURVEY - THIS WAS A 43-QUESTION SURVEY BASED ON NATIONALLY VALIDATED TOOLS, THAT WAS MAILED TO 1,000 RESIDENTIAL ADDRESSES IN CLATSOP COUNTY DURING SPRING 2019, ADMINISTERED BY THE CENTER FOR OUTCOMES RESEARCH AND EDUCATION (CORE).- KEY STAKEHOLDER INTERVIEWS - A SERIES OF INTERVIEWS OCCURRED IN AUGUST 2019 WITH INDIVIDUALS WHO HAVE PARTICULAR EXPERTISE OR PERSPECTIVE IN THE HEALTH OF CLATSOP COUNTY RESIDENTS.- MICRONARRATIVES - PSH WORKED WITH THE COLUMBIA PACIFIC CCO, TO COLLECT FIRSTHAND STORIES USING A MICRO-NARRATIVE RESEARCH APPROACH CALLED SENSEMAKER. A CORE TEAM OF CPCCO STAFF, COMMUNITY ADVISORY COUNCIL MEMBERS, COMMUNITY PARTNERS, AND VOLUNTEERS (INCLUDING CPCCO HEALTH PLAN MEMBERS) PREPARED A SURVEY ADDRESSING THE REGION'S UNIQUE NEEDS. MORE THAN 1,200 MICRO-NARRATIVES FROM CLATSOP, COLUMBIA, AND TILLAMOOK COUNTY RESIDENTS WERE COLLECTED AND ANALYZED. EACH NARRATIVE DESCRIBED A PERSONAL, UNIQUE EXPERIENCE RELATED TO HEALTH AND WELL-BEING. RESULTS WERE REVIEWED IN A WORKSHOP AND INCLUDED THE PRESENTATION OF STATISTICALLY SIGNIFICANT FINDINGS, ALLOWING COMMON THEMES TO BE IDENTIFIED.- HOSPITAL UTILIZATION DATA - AN IMPORTANT INDICATOR OF A COMMUNITY'S HEALTH IS ITS ACCESS TO APPROPRIATE LEVELS OF CARE. THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) DEFINED A LIST OF CONDITIONS AND DIAGNOSTIC CODES THAT SHOULD NOT RESULT IN AN EMERGENCY DEPARTMENT VISIT WITH APPROPRIATE ACCESS TO PRIMARY CARE. WE LOOKED AT INFORMATION FOR EMERGENCY DEPARTMENT UTILIZATION FOR THESE CONDITIONS AMONGST INDIVIDUALS IDENTIFIED AS UNINSURED, MEDICAID, OR DUAL ELIGIBLE (MEDICARE AND MEDICAID) OVER A ONE-YEAR PERIOD FROM MAY 2018 THROUGH APRIL 2019.SECONDARY DATA:THIS IS INFORMATION THAT HAS BEEN COLLECTED OR REPORTED FROM OTHER SOURCES OR FOR DIFFERENT REASONS OTHER THAN THE NEEDS ASSESSMENT. THIS INCLUDES COLUMBIA PACIFIC CCO 2019 HEALTH NEEDS ASSESSMENT, OREGON DEPARTMENT OF EDUCATION REPORTS, COUNTY HEALTH RANKINGS, THE OREGON HEALTHY TEENS SURVEY REPORT AND THE ANNIE E. CASEY KIDS COUNT DATA BOOK.OTHER HOSPITAL IN SERVICE AREA:1) WILLAMETTE VALLEY MEDICAL CENTERPROVIDENCE MEDFORD MEDICAL CENTERPMMC IS A MEMBER OF THE JRHA, A COLLABORATION OF REGIONAL COMMUNITY LEADERS LEARNING AND WORKING TOGETHER TO IMPROVE THE HEALTH CARE RESOURCES OF SOUTHERN OREGONIANS. THE COLLABORATIVE INCLUDES ALLCARE HEALTH, ASANTE, JACKSON COUNTY PUBLIC HEALTH, JACKSON CARE CONNECT, OREGON STATE UNIVERSITY EXTENSION SERVICE, PRIMARY HEALTH AND PROVIDENCE HEALTH & SERVICES. THE JRHA CHNA INCLUDES PRIMARY DATA FROM SURVEY RESPONSES, FOCUS GROUPS, INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY FORUMS AND SECONDARY DATA INCLUDING HOSPITAL UTILIZATION, PUBLIC HEALTH DATA, AND OTHER PUBLIC DATA SETS.RESPONDING TO THE NUMBER OF NEEDS IDENTIFIED IN THE 2019 CHNA, PROVIDENCE DEVELOPED FOUR TOPIC CATEGORIES: SOCIAL DETERMINANTS OF HEALTH RESULTING FROM POVERTY AND INEQUITY; CHRONIC HEALTH CONDITIONS; COMMUNITY MENTAL HEALTH/WELL-BEING AND SUBSTANCE USE DISORDERS; AND ACCESS TO HEALTH SERVICES. THESE FINDINGS ARE GUIDING DEVELOPMENT OF COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS FOR SOME OF THE MOST VULNERABLE GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. OUR WORK IS ALSO INFORMED BY POPULATION DEMOGRAPHICS, WHICH CONTINUES TO DEMONSTRATE DIVERSIFICATION, PARTICULARLY IN THE LATINX COMMUNITIES.NEEDS ASSESSMENT:PROVIDENCE NEWBERG MEDICAL CENTER (6):THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. INFORMATION FOR THIS ASSESSMENT COMES FROM BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLY FOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THAT HAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLE CONTEXT AND INFORMATION FOR THE ASSESSMENT.PRIMARY DATA:IT INCLUDES A COMMUNITY HEALTHY SURVEY, KEY STAKEHOLDER INTERVIEWS, COMMUNITY LISTENING SESSIONS AND HOSPITAL UTILIZATION DATA.- COMMUNITY HEALTH SURVEY - THIS WAS A 43-QUESTION SURVEY BASED ON NATIONALLY VALIDATED TOOLS, THAT WAS MAILED TO 1,000 RESIDENTIAL ADDRESSES IN YAMHILL COUNTY IN SPRING 2019, ADMINISTERED BY THE CENTER FOR OUTCOMES RESEARCH AND EDUCATION (CORE). - KEY STAKEHOLDER INTERVIEWS - A SERIES OF INTERVIEWS OCCURRED IN AUGUST 2019 WITH INDIVIDUALS WHO HAVE PARTICULAR EXPERTISE OR PERSPECTIVE IN THE HEALTH OF YAMHILL COUNTY RESIDENTS. - COMMUNITY LISTENING SESSIONS - THIS WAS A STRUCTURED DIALOGUE WITH PARTICIPANTS REPRESENTING YAMHILL COUNTY'S LATINO COMMUNITY (HELD IN SPANISH). BASED UPON SURVEY RESPONSE AND OTHER INFORMATION AVAILABLE, PROVIDENCE WANTED TO BETTER UNDERSTAND THE NEEDS OF THIS PARTICULAR COMMUNITY.- HOSPITAL UTILIZATION DATA - AN IMPORTANT INDICATOR OF A COMMUNITY'S HEALTH IS ITS ACCESS TO APPROPRIATE LEVELS OF CARE. THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) DEFINED A LIST OF CONDITIONS AND DIAGNOSTIC CODES THAT SHOULD NOT RESULT IN AN EMERGENCY DEPARTMENT VISIT WITH APPROPRIATE ACCESS TO PRIMARY CARE. WE LOOKED AT INFORMATION FOR EMERGENCY DEPARTMENT UTILIZATION FOR THESE CONDITIONS AMONGST INDIVIDUALS IDENTIFIED AS UNINSURED, MEDICAID, OR DUAL ELIGIBLE (MEDICARE AND MEDICAID) OVER A ONE-YEAR PERIOD FROM MAY 2018 THROUGH APRIL 2019.SECONDARY DATA:THIS IS INFORMATION THAT HAS BEEN COLLECTED OR REPORTED FROM OTHER SOURCES OR FOR DIFFERENT REASONS OTHER THAN THE NEEDS ASSESSMENT. THIS INCLUDES YAMHILL COUNTY COMMUNITY CARE 2019 HEALTH NEEDS ASSESSMENT, OREGON DEPARTMENT OF EDUCATION REPORTS, COUNTY HEALTH RANKINGS, THE OREGON HEALTHY TEENS SURVEY REPORT AND THE ANNIE E. CASEY KIDS COUNT DATA BOOK.