4A (Expenses $ 675985094 including grants of $ 2842187) (Revenue $ 795670792)
"SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE 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 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 SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-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 ACCOMPLISHMENTSKADLEC PARTNERS WITH GRACE CLINIC TO COVER UNMET NEEDS. GRACE CLINIC PROVIDES FREE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO THOSE WHO ARE UNINSURED. KADLEC SUPPORTS GRACE CLINIC THROUGH COMMUNITY BENEFIT FUNDING, EQUIPMENT DONATIONS, AND VOLUNTEER INVOLVEMENT BY CAREGIVERS. ONE OF KADLEC'S RECENT CONTRIBUTIONS WAS EQUIPMENT FOR CARDIAC STRESS TESTS. IN 2021, GRACE CLINIC SERVED 5,099 PATIENTS. COMMUNITY BENEFIT $54,159.KADLEC SUPPORTED THE ""STAYING C.A.L.M.: OVERCOMING MENTAL HEALTH ISSUES AND STEREOTYPES"" SOCIAL IMPACT INITIATIVE OF MISS TRI-CITIES OUTSTANDING TEEN, KAIYA BATES. WITH KADLEC SUPPORT, SHE ACCOMPLISHED HER GOAL OF HAVING A CALM KIT IN EVERY ELEMENTARY SCHOOL CLASSROOM IN PASCO SCHOOL DISTRICT SERVING AN ESTIMATED 5,600 STUDENTS. COMMUNITY BENEFIT $10,944.KADLEC'S COMMUNITY HEALTH DEPARTMENT INCLUDES A RESOURCE LENDING LIBRARY, SUPPORT GROUPS, EDUCATIONAL PROGRAMS, HEALTHY AGES, AND CATCH (COORDINATED APPROACH TO CHILD HEALTH). SUPPORT GROUPS INCLUDE THOSE FOR PEOPLE LIVING WITH NEUROLOGICAL DISORDERS AND CHRONIC CONDITIONS AND FOR FAMILY CAREGIVERS. EDUCATIONAL PROGRAMS IN 2021 INCLUDED ADULT AND YOUTH MENTAL HEALTH FIRST AID; QUESTION, PERSUADE, REFER; LIVING WELL WITH CHRONIC PAIN, PRESERVING THE BRAIN, ADVANCED CARE PLANNING, COVID & YOUR HEART, POSITIVE PHYSICAL APPROACH NORMAL VS NOT NORMAL AGING, METHYL/TETRA/HYDRO/FOLATE/ REDUCTASE (MTHFR), BUILDING RESILIENCE, LANGUAGE MATTERS, MAKING IT HEALTHY, COVID & STROKE, 10 WARNING SIGNS, LOW VISION, UNDERSTANDING GRIEF, COMPASSION FATIGUE, UNDERSTANDING DEMENTIA, UNDERSTANDING AND RESPONDING TO DEMENTIA BEHAVIOR, CAREGIVER CONFERENCE, EFFECTIVE COMMUNICATION, AND BUILDING A BETTER BODY IMAGE THROUGH THE HOLIDAYS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS. 5,669 PERSONS SERVED. COMMUNITY BENEFIT $304,353.THE UNPAID COST OF MEDICAID CARE FOR 37,193 PERSONS WAS $47,582,812."

PART V, SECTION B, LINE 3E:
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PART V, SECTION B, LINE 5:
THE 2019 CHNA WAS COMPLETED IN COLLABORATION WITH THE BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE AND BENTON FRANKLIN HEALTH DISTRICT. THE COLLABORATIVE ALSO INCLUDED REPRESENTATIVES FROM TRIOS HEALTH, LOURDES HEALTH, AND PROSSER MEMORIAL HEALTH. THE CHNA STEERING COMMITTEE RECOGNIZED THE VALUE IN HAVING COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS PARTICIPATE IN THE CHNA PROCESS AND SHARE THEIR PERSPECTIVES. AS THE PEOPLE WHO LIVE AND WORK IN THE COUNTIES, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY. TO GATHER COMMUNITY INPUT, LISTENING SESSIONS WERE CONDUCTED WITH COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS WERE INTERVIEWED AND SURVEYED. TEN LISTENING SESSIONS WERE COMPLETED BETWEEN APRIL 12, 2019 THROUGH MAY 30, 2019, IN ENGLISH AND SPANISH, WITH A TOTAL OF 96 COMMUNITY MEMBERS. (SEE APPENDIX 4 OF CHNA PG. 8 FOR DETAILED INFORMATION). PARTICIPANTS SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE HEALTH-RELATED NEEDS OF THE COMMUNITY, AND THE ASSETS THAT CURRENTLY HELP THE COMMUNITY BE HEALTHY. SURVEYS WERE COMPLETED BY 256 STAKEHOLDERS. THEY WERE ASKED TO IDENTIFY THEIR TOP FIVE HEALTH-RELATED COMMUNITY NEEDS. STAKEHOLDERS PRIORITIZED ONE HEALTH-RELATED NEED SUBSTANTIALLY ABOVE THE OTHERS: BEHAVIORAL HEALTH CHALLENGES, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER. TWO ADDITIONAL NEEDS WERE GIVEN HIGH PRIORITY AND TIED FOR IMPORTANCE: ACCESS TO BEHAVIORAL HEALTH SERVICES AND HOMELESSNESS/HOUSING INSTABILITY. THESE TOP THREE NEEDS MIRROR THOSE OF THE STAKEHOLDERS WHO WERE INTERVIEWED. THE STEERING COMMITTEE COMPLETED 16 COMMUNITY STAKEHOLDER INTERVIEWS, INCLUDING 40 STAKEHOLDERS WHO ARE PEOPLE INVESTED IN THE WELL-BEING OF THE COMMUNITY WITH FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. STAKEHOLDERS WERE ASKED TO RANK UNMET HEALTH-RELATED COMMUNITY NEEDS. FOR THOSE NEEDS, STAKEHOLDERS SHARED WHICH POPULATIONS ARE MOST AFFECTED, GAPS IN COMMUNITY SERVICES TO ADDRESS THE NEEDS, AND BARRIERS TO SERVICES. STAKEHOLDERS WERE SELECTED BY MEMBERS OF CHNA STEERING COMMITTEE BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. THE STEERING COMMITTEE AIMED TO ENGAGE STAKEHOLDERS FROM HOSPITALS, SOCIAL SERVICE AGENCIES, CLINICS, AND GOVERNMENT TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEE APPENDIX 4, PG. 16-17 OF CHNA FOR DETAILED INFORMATION)THROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. BENTON AND FRANKLIN COUNTIES, LOCATED IN SOUTH-CENTRAL WASHINGTON, HAVE A TOTAL POPULATION OF APPROXIMATELY 290,000 PEOPLE WITH 77% WHITE, 22.5% HISPANIC, 3% ASIAN, 2.5% MULTI-RACE, 1.5% BLACK, AND 0.5% AMERICAN INDIAN/ALASKA NATIVE. APPROXIMATELY 41,000 PEOPLE LIVING IN THE BI-COUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. INFORMATION COLLECTED INCLUDES PUBLIC HEALTH STATUS INDICATORS RELATED TO OBESITY, PHYSICAL HEALTH, SUICIDE AND MENTAL HEALTH, SEXUAL AND REPRODUCTIVE HEALTH, VIOLENCE AND COMMUNITY SAFETY, SUBSTANCE ABUSE, HOMELESSNESS AND POVERTY, ACCESS TO HEALTH CARE AND AGING ISSUES. COMMUNITY INPUT WAS GATHERED MAY THROUGH JULY OF 2019. LISTENING SESSIONS WERE HELD WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. STAKEHOLDER INTERVIEWS AND SURVEYS WERE CONDUCTED WITH PEOPLE WHO SERVE THESE POPULATIONS.STAKEHOLDERS INCLUDED (ORGANIZED BY ORGANIZATION, NAME)-ALZHEIMER'S ASSOCIATION, JOAN ACRE AND JOEL LOIACONO-BENTON-FRANKLIN HEALTH DISTRICT, CARLA PROCK, JAMES DAWSON-BENTON FRANKLIN RECOVERY COALITION, MICHELE GERBER-CHAPLAIN HEALTH CARE, GARY CASTILLO, TOM ADAMS-COLUMBIA BASIN VETERANS CENTER-COMMUNITIES IN SCHOOLS OF BENTON-FRANKLIN-DOMESTIC VIOLENCE SERVICES, DEBORAH CULVERHOUSE, ZAC SCHILEIKA-GRACE CLINIC, AVONTE JACKSON, CONNIE RODE, KATHY BRAULT, MARK BRAULT-KADLEC COMMUNITY HEALTH PROGRAMS, CHATERINE MANDERBACK, COREY WAKELEY, EDNA FELIX, KAREN HAYES, MEGAN FULLMER-LOURDES HEALTH, BETHANY HALE, CAMERON FORDMEIR, DEANNA PTERILLI-MY FRIEND'S PLACE, HEATHER SHINDEHITE, SIENNA SKEELS-PARENTS AND FRIENDS OF LESBIANS AND GAYS (PFLAG), CARLY COBURN, JEFFREY ROBINSON-PLANNED PARENTHOOD GREATER WASHINGTON AND IDAHO, SUSAN SISSON, CRISTAL ALATORRE, MARISOL LISTER- SUPPORT, ADVOCACY AND RESOURCES CENTER, DESIREE REYNOLDS, JODEE GARRETSON, ROSANNA HERRERA- TRI-CITIES FOOD BANK, FRANCES-ANN HIEMSTRA, HOWARD RICKARD

PART V, SECTION B, LINE 6A:
TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH

PART V, SECTION B, LINE 6B:
ADVERSE CHILDHOOD EXPERIENCES (ACES) COLLABORATIVEAGING AND LONG-TERM CAREALZHEIMER'S ASSOCIATIONAMISTAD ELEMENTARYA NEW START IN LIFE (ANSIL)BEHAVIORAL HEALTH COMMITTEEBEN FRANKLIN TRANSITBENTON-FRANKLIN COMMUNITY HEALTH ALLIANCEBENTON-FRANKLIN EARLY LEARNING ALLIANCE (BFELA)BENTON-FRANKLIN HEALTH DISTRICTBENTON-FRANKLIN RECOVERY COALITIONBENTON-FRANKLIN YOUTH SUICIDE PREVENTION COALITIONBOYS AND GIRS CLUB OF BENTON AND FRANKLIN COUNTIESCHAPLAINCY HEALTHCARECOLUMBIA BASIN COLLEGE (CBC)COLUMBIA BASIN VETERAN'S CENTERCOMMUNITY IN SCHOOLS BENTON-FRANKLINDOMESTIC VIOLENCE SERVICES OF BENTON AND FRANKLIN COUNTIES (DVS)EDUCATIONAL SERVICE DISTRICT 123 (ESD123)EMERGENCY MEDICAL SERVICES (EMS)GRACE CLINICHUMAN SERVICES COALITIONLAW ENFORCEMENT/POLICE CHIEFSLOWER VALLEY KIWANISMY FRIEND'S PLACE; SAFE HARBORPARENTS AND FAMILIES OF LESBIANS AND GAYS (PFLAG)PEOPLE FOR PEOPLE; 2-1-1PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO (PPGWNI)PROSSER SCHOOL DISTRICTPROSSER THRIVE COALITIONSENIOR LIFE RESOURCES; MEALS ON WHEELSSUPPORT, RESOURCE, AND ADVOCACY CENTER (SARC)TIERRA VIDATRI-CITIES CANCER CENTERTRI-CITIES COMMUNITY HEALTH (TCCH)TRI-CITIES FOOD BANKTRI-CITIES RESIDENTIAL SERVICES (TCRS)TRI-CITY REGIONAL CHAMBER OF COMMERCELOURDES MOBILE OUTREACH TEAMTRI-CITY UNION GOSPEL MISSIONUNITED WAY OF BENTON AND FRANKLIN COUNTIESVINTAGE AT RICHLANDWASHINGTON STATE TRI-CITIES (WSUTC)WORLD RELIEFYOU MEDICAL

PART V, SECTION B, LINE 7A:
"HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE ""WASHINGTON"" TAB."

PART V, SECTION B, LINE 10A:
"HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE ""WASHINGTON"" TAB."

PART V, SECTION B, LINE 11:
THE SIGNIFICANT NEEDS IDENTIFIED ADDRESSED IN 2021 BY KADLEC REGIONAL MEDICAL CENTER WERE THE FOLLOWING: 1) BEHAVIORAL HEALTH CHALLENGES, 2) ACCESS AND COST OF HEALTH CARE, 3) SOCIAL DETERMINANTS OF HEALTH (SDOH), AND 4) OBESITY/MAINTAINING HEALHTY WEIGHT.PRIORITY 1: BEHAVIORAL HEALTH CHALLENGESONE STRATEGY UTIILIZED TO ADDRESS BEHAVIORAL HEALTH CHALLENGES IN 2021 WAS BY COMPLETING SUICIDE RISK ASSESSMENTS IN THE EMERGENCY DEPARTMENT (ED) ON PATIENTS PRESENTING WITH MENTAL HEALTH AS CHIEF COMPLAINT AND THOSE WITH DIAGNOSTIC TRIGGERS. IN JANUARY OF 2021, 67% OF SCREENINGS COMPLETED IN MEDICAL CENTER ED, INCREASING TO 72.9% IN DECEMBER OF 2021. IN JANUARY OF 2021, 77.6% OF SCREENINGS COMPLETED IN FREE STANDING EMERGENCY DEPARTMENT (FSED), INCREASING TO 84.4% IN DECEMBER OF 2021. ANOTHER STRATEGY WAS TO PROVIDE COMMUNITY EDUCATION PROGRAMS IN MENTAL HEALTH AND SUICIDE AWARENESS AND PREVENTION. PROGRAMS INCLUDED YOUTH AND ADULT MENTAL HEALTH FIRST AID (MHFA) TRAINIGS; QUESTION, PERSUADE, REFER (QPR); BUILDING RESILIENCY; LANGUAGE MATTERS; UNDERSTANDING GRIEF; AND COMPASSION FATIGUE. 554 COMMUNTIY MEMBERS PARTICIPATED IN THESE TRAININGS IN 2021. ANOTHER STRATEGY TO ADDRESS THIS NEED WAS THE INTEGRATION OF BEHAVIORAL HEALTH IN PRIMARY CARE. THERE ARE THREE SOCIAL WORKERS EMBEDDED IN THREE DIFFERENT CLINICS. WHILE NOT AN ACTIVE PARTICIPANT IN THE EFFORTS AND PROGRESS TOWARDS THE GOAL OF ESTABLISHING A DETOX AND RECOVERY CENTER IN BENTON OR FRANKLIN COUNTY, KADLEC SUPPORTED THE EFFORT BY STAYING INFORMED OF THE PROGRESS AND BY PROVIDING THE FORUM FOR IT TO BE PRESENTED AND DISCUSSED AT KADLEC POPULATION HEALTH COMMUNITY COLLABORATIVE COMMITTEE MEETINGS AND COMMUNITIY HEALTH COUNCIL MEETINGS. EFFORTS CONTINUED IN 2021 WITH BENTON COUNTY OFFICIALS TAKING THE LEAD.PRIORITY 2: ACCESS AND COST OF ALL HEALTH CAREACCESS AND COST OF HEALTH CARE IS BEING ADDRESSED BY CONTINUING PROVIDER RECRUITING EFFORTS; EXPANDING TELEMEDICINE SERVICES, INCLUDING TELEPSYCH; IMPLEMENTING A MEDICATION ASSISTANCE PROGRAM (MAP); IMPLEMENTING A DIVERSITY, EQUITY AND INCLUSION (DEI) PROGRAM, AND PROVIDING MEDICARE EDUCATION TO THOSE TURNING 65 AND OTHERS FOR FINANCIAL PLANNING. IN 2021, THE FOLLOWING PROVIDERS JOINED KADLEC PROVIDING CARE IN KADLEC CLINICS: AN INTERNAL MEDICINE PHYSICIAN, A FAMILY MEDICINE PHYSICIAN, A FAMILY MEDICINE FACULTY WITH THE RESIDENCY PROGRAM, AND TWO PRIMARY CARE NURSE PRACTICTIONERS. KADLEC DEVELOPED A STRATEGY TO RETAIN KADLEC FAMILY MEDICINE RESIDENCY PROGRAM RESIDENTS AND TO RECRUIT ADDITIONAL PRIMARY CARE PHYSICIANS TO KADLEC. THE STRATEGY ENABLED KADLEC TO SIGN SEVEN PRIMARY CARE PHYSICIANS TO JOIN KADLEC IN 2022. IN 2021, 37,260 TELEMEDICINE VISTIS WERE PROVIDED TO PATIENTS IN THE REGION. THE KADLEC MEDICATION ASSISTANCE PROGRAM SERVED 161 PEOPLE IN 2021. IN AUGUST OF 2021, ANNA FRANKLIN STARTED IN HER NEW ROLE AS THE REGION'S EXECUTIVE DIRECTOR OF DIVERSITY, EQUITY AND INCLUSION (DEI). DEI INITIATIVES ARE BEING APPROACHED AT THE SYSTEM AND REGIONAL LEVELS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS.PRIORITY 3: SOCIAL DETERMINANTS OF HEALTHCOMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ) MODEL IS A STRATEGY WE ARE STRIVING TO IMPLEMENT TO ADDRESS HOMELESSNESS. SEVERAL MEETINGS WERE HELD WITH THE BENTON COUNTY HUMAN SERVICES MANAGER TO ASCERTAIN INTEREST IN BFZ. A BFZ PRESENTATION TO THE BENTON AND FRANKLIN COUNTIES HOUSING CONTINUUM OF CARE TASK FORCED WAS SCHEDULED IN 2021 AND RESCHEDULED FOR 2022. KADLEC'S COMMUNITY RESOURCE DESK (CRD) PROGRAM CONNECTS COMMUNITY MEMBERS WITH RESOURCES AND SERVICES TO ADDRESS SDOH, SUCH AS HOUSING, FOOD BANKS, TRANSPORTATION, UTILITIES, AND MORE.PRIORITY 4: OBESITY/MAINTAINING HEALTHY WEIGHTTHE STRATEGY TO ADDRESS OBESITY AND MAINTAIN HEALTHY WEIGHT IS TO IMPLEMENT THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) PROGRAM IN PARTNERSHIP WITH SCHOOLS AND PROGRAMS. BOYS AND GIRLS CLUB AND TWENTY-FIRST CENTURY PROGRAM STAFF WERE TRAINED IN CATCH. STAFF SHORTAGES AND TURNOVER CREATED OBSTACLES TO CATCH IMPLEMENTATION. NUTRITION EDUCATION UTILIZING MY PLATE AND OTHER RESOUCES WAS PROVIDED TO 103 MIDDLE SCHOOL STUDENTS, 27 YOUTH AND PARENTS AT COLUMBIA BASIN RAQUET CLUB (CBRC) AND TEN CHILDREN AT CBRC PRE-SCHOOL.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, AND SOME NEEDS IDENTIFIED IN THE CHNA ARE THE MISSION OF OTHER ORGANIZATIONS. FOR EXAMPLE, ADDRESSING FOOD INSECURITY IS THE MISSION OF SECOND HARVEST, THE COMMUNITY ACTION COALITION, AND LOCAL FOOD BANKS. WHILE ADDRESSING FOOD INSECURITY IS NOT A DIRECT FOCUS OF THE KADLEC CHIP, FOOD INSECURITY IS ADDRESSED IN SEVERAL WAYS. KADLEC ORGANIZES AN ANNUAL FOOD DRIVE TO PROVIDE FOOD FOR THOSE IN NEED. KADLEC'S PROJECT HOMECOMING PROGRAM ADDRESSES THE NUTRITIONAL NEEDS OF PATIENTS WHEN THEY ARE DISCHARGED FROM THE MEDICAL CENTER THROUGH A PARTNERSHIP WITH MEALS ON WHEELS IF THEY WERE DIAGNOSED WITH MALNUTRITION WHILE IN OUR CARE. IN 2021, 426 MEALS WERE PROVIDED TO THE 18 PATIENTS WHO UTILIZED PROJECT HOMECOMING. WHILE POVERTY WILL NOT BE THE DIRECT FOCUS OF CHIP STRATEGIES OUTLINED FOR 2020-2022, KADLEC'S FINANCIAL AID PROGRAM (FAP) PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. POVERTY AND FOOD INSECURITY ARE ADDRESSED THROUGH THE COMMUNITY RESOURCES DESK BY CONNECTING COMMUNITY MEMBERS IN NEED WITH RESOURCES AND SERVICES.

PART V, SECTION B, LINE 16A, FAP WEBSITE:
HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:
HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:
HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 24:
FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

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:
KADLEC (AFFILIATED WITH PROVIDENCE HEALTH & SERVICES - WASHINGTON - 51-0216586) PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON

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:
KADLEC IS PROUD TO SUPPORT COMMUNITY BUILDING ACTIVITIES BY PARTICIPATING IN COMMUNITY COLLABORATIONS THAT ADDRESS HEALTH AND SAFETY ISSUES. KADLEC LEADS THE COMMUNITY HEALTH COUNCIL, PARTICIPATES IN THE HEALTH EQUITY AND ACCESS TEAM, YOUTH SUICIDE PREVENTION COALITION, HUMAN SERVICES COALITION, AND BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE BEHAVIORAL HEALTH COMMITTEE.KADLEC'S EXECUTIVE TEAM MEMBER(S) PARTICIPATED ON THE FOLLOWING BOARDS: BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, TRI-CITIES DIVERSITY & INCLUSION COUNCIL, TRI-CITIES REGIONAL CHAMBER OF COMMERCE, AND TRI-CITY DEVELOPMENT COUNCIL (TRIDEC).

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, 2021.

PART III, LINE 8:
THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.

PART III, LINE 9B:
OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY.

PART VI, LINE 2:
IN ADDITION TO THE CHNA, WE UTILIZE OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS TO UNDERSTAND COMMUNITY NEEDS. WE PARTICIPATE IN COMMUNITY MEETINGS AND HOLD COMMUNITY HEALTH COUNCIL MEETINGS EVERY OTHER MONTH TO BRING COMMUNITY PARTNERS TOGETHER WITH THE GOAL OF UNDERSTANDING COMMUNITY NEEDS AND DEVELOPING COLLABORATIONS TO ADDRESS THEM. WE UTILIZE CURRENT DATA, RELEVANT REPORTS, PUBLIC HEALTH INFORMATION, AND ECONOMIC AND COMMUNITY DEVELOPMENTS TO ESTIMATE COMMUNITY HEALTH NEEDS AND TO ADJUST PROGRAMS AND SERVICES ACCORDINGLY. KADLEC WORKS CLOSELY AND CONSISTENTLY WITH THE BENTON FRANKIN HEALTH DEPARTMENT TO UNDERSTAND AND ADDRESS HEALTH NEEDS.

PART VI, LINE 3:
COMMUNICATION TO THE PUBLIC:KADLEC POSTS 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.KADLEC 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 ASSISTANT POLICIES, KADLEC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.KADLEC SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.

PART VI, LINE 4:
KADLEC REGIONAL MEDICAL CENTER'S SERVICE AREA INCLUDES BENTON AND FRANKLIN COUNTIES AND EXTENDS A 100 MILE RADIUS FROM THE MEDICAL CENTER. BENTON AND FRANKLIN COUNTIES ARE GEOGRAPHICALLY LOCATED ALONG THE CENTRAL PORTION OF THE SOUTHERN EDGE OF WASHINGTON STATE. COMBINED, THE TWO COUNTIES ARE HOME TO ABOUT 299,000 INDIVIDUALS (2018 US CENSUS ESTIMATES), WHICH ACCOUNTS FOR 3.9% OF THE STATE'S POPULATION. EACH OF THE THREE MAIN MUNICIPALITIES THAT MAKE UP THE TRI-CITIES ARE LOCATED WITHIN ONE OF THESE TWO COUNTIES: KENNEWICK AND RICHLAND WITHIN BENTON COUNTY AND PASCO WITHIN FRANKLIN COUNTY. THERE ARE NUMEROUS OTHER SMALLER CITIES WITHIN THIS JURISDICTION INCUDING PROSSER, CONNELL, ELTOPIA, BENTON CITY, WEST RICHLAND, FINLEY, MESA, BASIN CITY, AND KAHLOTUS. THE POPULATION ESTIMATES FOR THE CITIES AND TOWNS WITHIN BENTON AND FRANKLIN COUNTIES IN 2019: - BENTON CITY: 3,520 - CONNELL: 5,500 - KAHLOTUS: 165 - KENNEWICK: 83,670 - MESA: 495 - PASCO: 75,290 - PROSSER: 6,145 - RICHLAND: 56,850 - WEST RICHLAND: 15,340 GIVEN THESE NUMBERS, THE ESTIMATED POPULATION OF RESIDENTS LIVING IN UNINCORPORATED AREAS IN EITHER COUNTY (EX: FINLEY, ELTOPIA, BASIN CITY) IS 43,000 PEOPLE. WHILE THE POPULATION REMAINS PREDOMINANTLY WHITE, THERE IS A SUBSTANTIAL HISPANIC/LATINX POPULATION THAT HAS MORE THAN DOUBLED OVER THE PAST TWO DECADES. RACE: - WHITE: 70% IN BENTON COUNTY, 39% IN FRANKLIN COUNTY- HISPANIC (ANY RACE): 22.5% BENTON COUNTY, 55.5 % FRANKLIN COUNTY- BLACK: 1.5% BENTON COUNTY, 1.5% FRANKLIN COUNTY- AMERICAN INDIAN/ALASKAN NATIVE: .5% BENTON COUNTY, .5% FRANKLIN COUNTY- ASIAN: 3% BENTON COUNTY, 2% FRANKLIN COUNTY- MULTI-RACE: 2.5% BENTON COUNTY, 1.5% FRANKLIN COUNTYAPPROXIMATELY 41,000 PEOPLE LIVING IN THE BICOUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. THE AGE DISTRIBUTION FOR BENTON AND FRANKLIN COUNTIES IS APPROXIMATELY: - 0-17 YEARS: 28% - 18-34 YEARS: 22 % - 35-64 YEARS: 37% - 65+ YEARS: 13%THE REGION IS ALSO CONSIDERED TO BE A HEALTH CARE PROVIDER SHORTAGE AREA FOR PRIMARY CARE PROVIDERS, MENTAL HEALTH PROVIDERS, AND DENTAL PROVIDERS, MEANING THERE ARE NOT ENOUGH PROVIDERS FOR THE POPULATION SIZE, GEOGRAPHIC LOCATION, OR FACILITY TYPE. FRANKLIN COUNTY IS ALSO CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA WHICH THE FEDERAL GOVERNMENT CLASSIFIES AS AN AREA THAT HAS TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. THESE DEFINITIONS AND MORE INFORMATION CAN BE FOUND ON THE WEBSITE FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA).OTHER HOSPITALS IN THE TRI-CITIES AREA INCLUDE: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH.

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KADLEC REGIONAL MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. KADLEC REGIONAL MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.

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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- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA- SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS A YEAR MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT

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