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Swedish Health Services

1801 Lind Ave Sw Attn Tax Dept
Renton, WA 98057
EIN: 910433740
Individual Facility Details: Swedish Issaquah
751 Ne Blakely Drive
Issaquah, WA 98029
3 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count120Medicare provider number500152Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Swedish Health ServicesDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.87%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2011-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 2,824,165,279
      Total amount spent on community benefits
      as % of operating expenses
      $ 222,263,849
      7.87 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 20,146,946
        0.71 %
        Medicaid
        as % of operating expenses
        $ 152,759,900
        5.41 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 19,213,007
        0.68 %
        Subsidized health services
        as % of operating expenses
        $ 5,589,596
        0.20 %
        Research
        as % of operating expenses
        $ 14,902,740
        0.53 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 1,954,132
        0.07 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 7,697,528
        0.27 %
        Community building*
        as % of operating expenses
        $ 36,979
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 36,979
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 4,479
          12.11 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 12,500
          33.80 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 20,000
          54.08 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 0
        0 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 2260534071 including grants of $ 4867921) (Revenue $ 2660484764)
      "SEE SCHEDULE O.AT 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-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.2021 PROGRAM SERVICE ACCOMPLISHMENTSIN 2021, SWEDISH HEALTH SERVICES CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED.SUPPORTING AND EMPOWERING BLACK BIRTHING WOMEN AND PEOPLE THE BLACK BIRTH EMPOWERMENT INITIATIVE (BBEI) AT SWEDISH IS A CURATED PROGRAM DESIGNED FOR THOSE WHO IDENTIFY AS BLACK OR AFRICAN AMERICAN. ITS PURPOSE IS TO CENTER AND UPLIFT THE BLACK BIRTH EXPERIENCE BY PROVIDING CLIENTS THE OPTION TO WORK WITH CULTURALLY COMPETENT, TRAINED DOULAS. BBEI CAREGIVERS WORK TO REDUCE HEALTH DISPARITIES IN THE BLACK COMMUNITY INCLUDING PRENATAL AND POSTPARTUM COMPLICATIONS AND HIGHER RATES OF STILLBIRTHS AND PREGNANCY MORTALITY. ACCORDING TO SAULEIHA AKANGBE, CERTIFIED BIRTH DOULA AND MANAGER, BIRTH EQUITY AND WOMEN'S HEALTH FOR THE SWEDISH DOULA PROGRAM, BBEI WAS CREATED IN DIRECT RESPONSE TO CONCERNS HEARD FROM THE COMMUNITY. ""THERE WAS A CALL FROM OUR COMMUNITY THAT SWEDISH NEEDED TO DO BETTER FOR THE COMMUNITY. THE DOULA PROGRAM, WITH SUPPORT FROM LEADERSHIP, PRIORITIZES THE BLACK DOULA EXPERIENCE AND RESPECTS THE IMPORTANCE OF EMPOWERING AND HONORING THE BLACK BIRTHING EXPERIENCE"", SAYS AKANGBE. THE PROGRAM'S DOULA DIVERSITY SCHOLARSHIP IS A KEY RESOURCE FOR ASPIRING DOULAS OF COLOR AND IT HELPS ADVANCE THE INITIATIVE'S GOALS. THE SCHOLARSHIP COVERS THE COST OF DOULA TRAINING AND CERTIFICATION, A LENDING LIBRARY, AND SHADOWING OPPORTUNITIES. IN 2021, THE PROGRAM RECEIVED COMMUNITY BENEFIT SUPPORT FROM SWEDISH TO PROVIDE SCHOLARSHIPS TO FOUR NEW DOULAS WHO WILL WORK IN THE COMMUNITY. SUPPORTING FAMILIES AND PROMOTING EARLY CHILDHOOD EDUCATIONWHEN REMOTE LEARNING WAS PUT INTO PLACE AS A PANDEMIC SAFETY MEASURE, SCHOOLS SAW A SIGNIFICANT DROP IN KINDERGARTEN READINESS. MANY CHALLENGES RESULTED FROM ONLINE LEARNING, INCLUDING TRAUMA DUE TO THE PANDEMIC. WITH STRONG COMMUNITY SUPPORT, THE TEAM AT DENISE LOUIE EDUCATION CENTER IN SEATTLE WAS ABLE TO CAUTIOUSLY REOPEN ITS DOORS TO IN-PERSON SCHOOLS IN ADDITION TO VIRTUAL CLASSROOMS. ULTIMATELY, THE PANDEMIC HAS CREATED A NEW FRONTIER: PROVIDING QUALITY EARLY CHILDHOOD EDUCATION WHILE SIMULTANEOUSLY ADJUSTING COVID-19 PROTOCOLS TO PROTECT CHILDREN AND FAMILIES.THROUGHOUT 2021, AS COVID-19 GUIDANCE AND PROTOCOLS KEPT EVOLVING, THE CENTER'S TEAM RELIED ON RELATIONSHIPS WITH MANY COMMUNITY PARTNERS TO MEET THE VARIETY OF GROWING NEEDS FACING FAMILIES AND STUDENTS. LONGTIME PARTNER SWEDISH IS PART OF THIS GROUP, AND PROVIDED A COMMUNITY BENEFIT GRANT IN 2021 THAT INCLUDED FUNDS TO PURCHASE REUSABLE AND DISPOSABLE MASKS FOR STUDENTS IN ADDITION TO THERMOMETERS.IN ADDITION TO IMPORTANT EQUIPMENT, SWEDISH'S FUNDING ALSO SUPPORTED DLEC BY PROVIDING VIRTUAL COUNSELING SESSIONS FOR PARENTS AND FUNDING FOR INTERPRETERS IN THE CLASSROOMS WHEN THE OMICRON VARIANT SURGED IN LATE 2021. SESSIONS, WHICH FOCUSED ON LOSS AND GRIEF, WERE HELD IN CHINESE, ENGLISH AND SPANISH. ONGOING PARTNER RELATIONSHIPS ALSO ENABLED DLEC TO ESTABLISH THE FAMILY EMERGENCY FUND IN 2021 TO HELP STRUGGLING FAMILIES WHO WERE BEHIND ON UTILITY BILLS, IN NEED OF GROCERIES, OR SEEKING CAR REPAIRS. ACCESS TO URGENT AND RESTORATIVE DENTAL SERVICES TO UNINSURED VULNERABLE PEOPLE IN DOWNTOWN SEATTLESWEDISH SUPPORTED MEDICAL TEAMS INTERNATIONAL MOBILE HEALTH PROGRAM TO PROVIDE 38 UNFUNDED OR UNDERFUNDED DENTAL CLINICS TO MARGINALIZED POPULATIONS IN SEATTLE TREATING 260 PEOPLE WITH RESTORATIVE AND EMERGENCY DENTAL CARE AND SCREENINGS. THE AVERAGE PATIENT SEEN HAD AN URGENT HEALTH NEED, IS LIVING BELOW THE 200 PERCENT OF THE FEDERAL POVERTY LEVEL AND HAD NO PRIVATE INSURANCE OR VIABLE OPTION FOR FINDING CARE. MOST OF THOSE SEEN ARE DISABLED, ELDERLY, HOMELESS, MIGRANT WORKERS, RECOVERING ADDICTS, VETERANS, IMMIGRANTS, AND REFUGEES. MTI HELD FREE ONE-DAY CLINICS STAFFED BY VOLUNTEER DENTAL AND MEDICAL PROFESSIONALS ON BOARD THE MOBILE CLINIC VEHICLES THIS APPROACH REMOVES TWO OF THE PRIMARY OBSTACLES TO ACCESSING DENTAL CARE: COST AND LOCATION. CLINICS WERE HELD AT VARIOUS SITES THROUGH PARTNERSHIPS WITH LOCAL AGENCIES, PUBLIC SCHOOL DISTRICTS, CHURCHES, AND NONPROFITS.MTI'S APPROACH FOR ITS MOBILE HEATH PROGRAM, CARE & CONNECT, COMBINES URGENT DENTAL CARE WITH HEALTH SCREENING SERVICES AND REFERRALS TO ONGOING PRIMARY CARE, ENSURING PATIENTS RECEIVE HOLISTIC AND CONSISTENT CARE WITH BETTER OUTCOMES. THIS ALSO STRENGTHENS STRATEGIC PARTNERSHIPS WITH ORGANIZATIONS IN MINORITY COMMUNITIES AND BECOMING MORE FULLY INTEGRATED WITHIN THE REGIONAL HEALTH SYSTEM AS A SAFETY NET PROVIDER FOR PEOPLE WHO STRUGGLE WITH HEALTHCARE ACCESS AND ISSUES RELATED TO HEALTH EQUITY. HEALTHY LIVING PROGRAM (HLP) SUPPORTING ASIAN AMERICAN ADULTS AND SENIORSSWEDISH'S SUPPORT OF KIN ON'S HEALTHY LIVING PROGRAM ENABLES ADULTS AND SENIORS (55+) TO STAY PHYSICALLY, MENTALLY, AND SOCIALLY ACTIVE THROUGH FITNESS, HEALTH EDUCATION COGNITIVE DEVELOPMENT AND LIFELONG LEARNING PROGRAMS. IT PROVIDES RESIDENTS OF KING COUNTY, REGARDLESS OF INCOME, CULTURE OR ETHNICITY, ACCESS TO A VARIETY OF FREE OR AFFORDABLE PROGRAMS THAT INCLUDE EXERCISE, EDUCATION, TECHNOLOGY CLASSES, WELLNESS EDUCATION AND HEALTH PROMOTION SEMINARS AND SOCIAL EVENTS. IT ALSO PROVIDES ASIAN COMMUNITIES WITH CULTURALLY RELATED ACTIVITIES THAT MEET THEIR LANGUAGE NEEDS. TO ADAPT TO THE DIVERSITY OF THE COMMUNITY, BILINGUAL VOLUNTEERS ARE ENGAGED TO LEAD THE CLASSES AND PROGRAMS TO ENSURE SENIORS WITH LANGUAGE BARRIERS CAN PARTICIPATE IN COMMUNITY ACTIVITIES WITH CONFIDENCE. THE COVID CRISIS AFFECTED MANY SENIORS, AND IT HAS PROVEN THAT HUMAN CONNECTION IS PARAMOUNT TO THEIR WELLBEING. THE HLP PROGRAM HELPED FULFILL THAT NEED BY ALSO ADDING VIRTUAL OFFERINGS TO ENSURE SENIORS ARE STILL ABLE TO ENJOY PROGRAMS AND STAY IN TOUCH WITH THE OUTSIDE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON/PUGET-SOUND"
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 3E:
      THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THESIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THECHNA.
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 5:
      SWEDISH ISSAQUAH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THOSE CONSULTED INCLUDE THE FOLLOWING:PUBLIC HEALTH - SEATTLE AND KING COUNTY AMY LAURENT, EPIDEMIOLOGIST IIIISSAQUAH SCHOOLS FOUNDATION, CONGREGATIONS FOR THE HOMELESS, ISSAQUAH SCHOOLS CASE MANAGERS, PROVIDENCE MARIANWOOD AND EASTSIDE FRIENDS OF SENIORS ARE SOME ORGANIZATIONS WHO PROVIDED A VOICE FROM COMMUNITY MEMBERS, STUDENTS, FAMILIES AND SENIORS.
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 6A:
      SWEDISH CHERRY HILL, SWEDISH FIRST HILL, SWEDISH BALLARD, SWEDISH EDMONDS, SWEDISH CANCER INSTITUTE
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 6B:
      PUBLIC HEALTH - SEATTLE & KING COUNTY
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 7A:
      HTTP://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 7B:
      HTTPS://KINGCOUNTY.GOV/DEPTS/HEALTH/DATA/COMMUNITY-HEALTH-INDICATORS/~/MEDIA/DEPTS/HEALTH/DATA/DOCUMENTS/2021-2022-JOINT-CHNA-REPORT.ASHX
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 9:
      THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 19, 2022, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 10A:
      HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 11:
      PRIORITIES THAT WILL BE OUR FOCUS - DIABETES AND OBESITY, MENTAL HEALTH/BEHAVIORAL HEALTH, HOMELESSNESS, SUBSTANCE ABUSES, AND COMMUNITY EDUCATION. DIABETES/OBESITY:IN KING COUNTY, 7% OF 10TH GRADERS AND 8% OF ADULTS ON AVERAGE, 7% OF KING COUNTY ADULTS HAVE BEEN DIAGNOSED WITH DIABETES. OVER THE NEXT FEW YEARS, THE DIABETES TEAM WILL EXPAND ITS SERVICES AND HAS IDENTIFIED THE FOLLOWING COMPONENTS THAT WILL CONSTITUTE OUR COMPREHENSIVE PROGRAM:-INCREASE AWARENESS OF INDIVIDUALS WHO ARE AT RISK FOR DEVELOPING PREDIABETES INCLUDING SCREENINGS. IDENTIFY AND ACKNOWLEDGE ADDITIONAL AVENUES FOR IMPROVING KNOWLEDGE TO REDUCE AND PREVENT THE RISK OF DEVELOPING TYPE 2 DIABETES.-BALLARD ADDED IMBEDDED PSYCHIATRIC THERAPIST THAT PARTNERS WITH DIABETES AND BARIATRIC CARE. MENTAL HEALTH/BEHAVIORAL HEALTH:MENTAL ILLNESS IS A COMMON CAUSE OF DISABILITY. MENTAL HEALTH DISORDERS CAN HAVE A SERIOUS IMPACT ON PHYSICAL HEALTH AND ARE ASSOCIATED WITH THE PREVALENCE, PROGRESSION AND OUTCOME OF CHRONIC DISEASES. BALLARD ADDED IMBEDDED PSYCHIATRIC THERAPIST.-IMPLEMENT A NEW PROGRAM THAT PROVIDES MENTAL HEALTH PEER SUPPORT IN SWEDISH EMERGENCY DEPARTMENTS (ED)-MENTAL HEALTH FIRST AID TRAINING HOMELESSNESS:A POINT-IN-TIME COUNT OF HOMELESS PEOPLE IS CONDUCTED EVERY YEAR IN EVERY COUNTY IN THE STATE. THE 2017 POINT-IN TIME COUNT ESTIMATED 11,643 HOMELESS INDIVIDUALS IN KING COUNTY AND 1,066 HOMELESS INDIVIDUALS IN SNOHOMISH COUNTY. 52.9% OF THE HOMELESS IN KING COUNTY, 23.8% OF THE HOMELESS IN KING COUNTY ARE CONSIDERED TO BE CHRONICALLY HOMELESS. TRENDS IN THE HOMELESS POPULATION INDICATE THE HOMELESS POPULATION HAS DECREASED FROM 2006 TO 2017, WHILE HOMELESSNESS HAS RISEN IN KING COUNTY. THE PROPORTION OF UNSHELTERED HOMELESS IN BOTH COUNTIES AND THE STATE HAS RISEN OVER TIME. -DEVELOP ONGOING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND CITY AND COUNTY ENTITIES WHOSE FOCUS IS HOMELESSNESS AND PROVIDING SUPPORT FOR FAMILIES EXPERIENCING HOMELESSNESS IN KING COUNTY SUBSTANCE ABUSE:SMOKING IS A CONTRIBUTING CAUSE TO DISEASE AND DEATH. IT INCREASES THE RISK OF DEVELOPING HEART DISEASE, STROKE AND CANCER. ALCOHOL AND DRUG ABUSE HAS A MAJOR IMPACT ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. THE EFFECTS OF SUBSTANCE ABUSE CONTRIBUTE TO COSTLY SOCIAL, PHYSICAL, MENTAL, AND PUBLIC HEALTH PROBLEMS.-INITIATE A PILOT PROGRAM AT THE BALLARD EMERGENCY DEPARTMENT (ED) TO TRANSITION PATIENTS WITH OPIOID USE DISORDER (OUD) TO A SUBOXONE CLINIC FOR TREATMENT.COMMUNITY EDUCATION: INCREASE OUTREACH AND ENGAGEMENT OPPORTUNITIES FOR COMMUNITIES IN AND AROUND THE BALLARD COMMUNITY. OUTREACH ACTIVITIES TO INCREASE AND IMPROVE AWARENESS AND EDUCATION AMONG THE INCREASING NUMBERS OF FAMILIES AND ADULTS.-PARTNER WITH BALLARD COMMUNITY EVENTS TO PROVIDE HEALTH EDUCATION AND OUTREACH TO THE COMMUNITY. WE WILL SELECT TWO TO THREE EVENTS DURING THE YEAR ADDRESSING ISSUES OF HEART HEALTH, DIABETES PREVENTION, HEALTHY BMI AND EXERCISE.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPTIAL FACILITY CAN ADDRESS ALL HEALTH NEEDS PRESENT IN THE COMMUNITY. HOWEVER, WE ARE COMMITTED TO OUR MISSION THROUGH SWEDISH COMMUNITY BENEFITS GRANTING PROGRAMS AND PARTNERING WITH LIKE-MINDED ORGANIZATIONS IN SERVICE TO OUR COMMUNITY.
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 15E:
      ACCESS TO MULTI LANGUAGE RESOURCES IN THIS WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 16A:
      FAP WEBSITEWWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 16B:
      FAP APPLICATION WEBSITEWWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 16C:
      FAP PLAIN LANGUAGE SUMMARY WEBSITEWWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH ISSAQUAH (4) - PART V, SECTION B, LINE 24:
      FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE BILLED THE GROSS CHARGES.
      PART V, SECTION B
      FACILITY REPORTING GROUP A
      FACILITY REPORTING GROUP A CONSISTS OF:
      - FACILITY 1: SWEDISH FIRST HILL, - FACILITY 2: SWEDISH CHERRY HILL, - FACILITY 3: SWEDISH BALLARD
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - 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.
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 5:
      INPUT WAS TAKEN INTO ACCOUNT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THOSE CONSULTED INCLUDE THE FOLLOWING:DR ARPAN WAGHRAY, IS A GERIATRIC PSYCHIATRIST AND SYSTEM DIRECTOR FOR BEHAVIORAL MEDICINE AT SWEDISH HEALTH SERVICES AND CHIEF MEDICAL OFFICER AT WELL BEING TRUST.MARGUERITE RO, KC PUBLIC HEALTH, PROVIDED A VOICE FROM COMMUNITY MEMBER REGARDING ACCESS AND SOCIAL DETERMINATE OF HEALTH.JEFF WOILCOTT EXECUTIVE DIRECTOR COMMUNITY LUNCH ON CAPITOL HILL COMMUNITY HOT MEAL PROGRAM FOR UNHOUSED AND FOOD INSECURE POPULATION.TAMMY MESSINA MEDICAL TEAMS INTERNATIONAL DEVELOPMENT DIRECTOR AND COMMUNITY OUTREACH ADVISOR.
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 6A:
      SWEDISH EDMONDS, SWEDISH ISSAQUAH, SWEDISH CANCER INSTITUTE
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 6B:
      PUBLIC HEALTH - SEATTLE & KING COUNTY
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 7A:
      HTTP://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 7B:
      HTTPS://KINGCOUNTY.GOV/DEPTS/HEALTH/DATA/COMMUNITY-HEALTH-INDICATORS/~/MEDIA/DEPTS/HEALTH/DATA/DOCUMENTS/2021-2022-JOINT-CHNA-REPORT.ASHX
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 10A:
      HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 11:
      SWEDISH HAS IDENTIFIED 5 SYSTEM WIDE PRIORITIES THAT WILL BE OUR FOCUS:DIABETES AND OBESITY, MENTAL HEALTH/BEHAVIORAL HEALTH, HOMELESSNESS, SUBSTANCE ABUSES, AND COMMUNITY EDUCATION.DIABETES/OBESITY:IN KING COUNTY, 7% OF 10TH GRADERS AND 8% OF ADULTS ON AVERAGE, 7% OF KING COUNTY ADULTS HAVE BEEN DIAGNOSED WITH DIABETES. OVER THE NEXT FEW YEARS, THE DIABETES TEAM WILL EXPAND ITS SERVICES AND HAS IDENTIFIED THE FOLLOWING COMPONENTS THAT WILL CONSTITUTE OUR COMPREHENSIVE PROGRAM: -INCREASE AWARENESS OF INDIVIDUALS WHO ARE AT RISK FOR DEVELOPING PREDIABETES INCLUDING SCREENINGS. IDENTIFY AND ACKNOWLEDGE ADDITIONAL AVENUES FOR IMPROVING KNOWLEDGE TO REDUCE AND PREVENT THE RISK OF DEVELOPING TYPE 2 DIABETES.MENTAL HEALTH/BEHAVIORAL HEALTH:MENTAL ILLNESS IS A COMMON CAUSE OF DISABILITY. MENTAL HEALTH DISORDERS CAN HAVE A SERIOUS IMPACT ON PHYSICAL HEALTH AND ARE ASSOCIATED WITH THE PREVALENCE, PROGRESSION AND OUTCOME OF CHRONIC DISEASES. BALLARD ADDED IMBEDDED PSYCHIATRIC THERAPIST.BALLARD HIGH SCHOOL TEEN CLINIC - MENTAL HEALTH SUPPORT: CLINIC PROVIDER/STAFF UPDATED SCHOOL WEBSITE TO SHOW (IN-PERSON & VIRTUAL) AVAILABLITY WITH THEIR CONTACT INFORMATION; AND LSW THERAPIST, MSW INTERN, AND PARTNERS FROM SOUND MENTAL HEALTH INCLUDING TWO THERAPISTS' WAND TO INTERVENTIONISTS. THESE PRGRAMS RESULTED IN SERVICES PROVIDED BY ABOVE INDIVIDUALS RESULTING IN 2,006 DOCUMENTED ENCOUNTERS IN 2020. -IMPLEMENT A NEW PROGRAM THAT PROVIDES MENTAL HEALTH PEER SUPPORT IN SWEDISH EMERGENCY DEPARTMENTS (ED) MENTAL HEALTH FIRST AID TRAINING.HOMELESSNESS:A POINT-IN-TIME COUNT OF HOMELESS PEOPLE IS CONDUCTED EVERY YEAR IN EVERY COUNTY IN THE STATE. THE 2017 POINT-IN TIME COUNT ESTIMATED 11,643 HOMELESS INDIVIDUALS IN KING COUNTY AND 1,066 HOMELESS INDIVIDUALS IN SNOHOMISH COUNTY. 52.9% OF THE HOMELESS IN KING COUNTY, 23.8% OF THE HOMELESS IN KING COUNTY ARE CONSIDERED TO BE CHRONICALLY HOMELESS. TRENDS IN THE HOMELESS POPULATION INDICATE THE HOMELESS POPULATION HAS DECREASED FROM 2006 TO 2017, WHILE HOMELESSNESS HAS RISEN IN KING COUNTY. THE PROPORTION OF UNSHELTERED HOMELESS IN BOTH COUNTIES AND THE STATE HAS RISEN OVER TIME.-DEVELOP ONGOING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND CITY AND COUNTY ENTITIES WHOSE FOCUS IS HOMELESSNESS AND PROVIDING SUPPORT FOR FAMILIES EXPERIENCING HOMELESSNESS IN KING COUNTY THROUGH SWEDISH'S PROACTIVE INVESTMENT INTITATIVES, A FIVE-YEAR HOUSING PLEDGE AGREEMENT WAS MADE FOR PLYMOUTH HOUSING. THE FIRST MILLION DOLLAR INSTALLMENT WAS PAID IN 2020. ALSO INCLUDED WAS A $5,000 GRANT TO COMMUNITY ROOTS THAT PROVIDED DIRECT RENTAL ASSISTANCE TO 10 HOUSEHOLDS IN KING COUNTY TO PREVENT EVICTION.- ESTABLISHED PARTNERSHIPS WITH HOUSING ADVOCATES IN KING/SNOHOMISHCOUNTIES:NORTH SEATTLE HELPLINE:THROUGH PROVISIONS OF SUPPLEMENTAL SERVICES SUCH AS COMMONLY USED HOUSEHOLD ITEMS AND HYGIENE PRODUCTS, NUTRITIOUS MEALS AND EDUCATION RESOURCES, FOOD DELIVERY FOR HOME BOUND CLIENTS, AND FINANCIAL ASSISTANCE TO INDIVIDUALS SO THAT THEY CAN AVOID EVICTION AND DISRUPTION IN UTILITY SERVICES. A TOTAL OF 77,350 ENCOUNTERS WAS DOCUMENTED FROM JAN - NOV. 2020WEST SEATTLE HELPLINE:A VARIETY OF SERVICES, ASSISTANCE, AND EFFORTS OCCURRED THROUGHOUT 2020 THAT INCLUDES THE FOLLOWING:- $295,958 ALLOCATED TO THE EMERGENCY RENT & UTILITY ASSISTANCE PROGRAM THAT SERVED 1,953 INDIVIDUALS.- DISTRIBUTED OVER 2.57 MILLION POUNDS OF FOOD PROVIDING FOOD TO 74,000 HOUSEHOLDS.- PROVIDED 12,991 PREPACKAGED GROCERIES TO INDIVIDUALS AND 13,048 PACKS OF WEEKEND SUPPLY PREPACKAGED FOODS TO YOUNG STUDENTS.- PROVIDED PARENTS AND FAMILIES WITH $122,840 IN ESSENTIAL INFANT AND SUPPLY NEEDS, WHICH INCLUDED 3,640 BUS VOUCHERS AND OVER $110,000 TO 1,568 RESIDENTS INCLUDING 622 CHILDREN.SUBSTANCE ABUSE AND OPIOID USE DISORDER:SWEDISH-WIDE IMPLEMENTATION OF BEST PRACTICE OUD SCREENING, TREATEMENT, AND REFERRAL FROM THE ED TO A SUBOXONE CLINIC. DRUG ADDICTION - OPIOID USE DISORDERS WITHDRAWAL AND OVERDOSE.- FIRST HILL (LIVE 2019) - 32 ADMINISTRATIONS- CHERRY HILL (LIVE 2019) - 27 ADMINISTRATIONS- BALLARD (LIVE 2019) - 17 ADMINISTRATIONS- ISSAQUAH (LIVE 2019) - 17 ADMINISTRATIONS- MILL CREEK (LIVE 2020) - 2 ADMINISTRATIONS- REDMOND (LIVE 2020) - NO STATS RECORDEDSUBOXONE GUIDELINE ALGORITHM (BEST PRACTICES) AND FOLLOW UP PLAN - BOTHHAVE BEEN APPROVED BY LEADERSHIP AND ARE CURRENTLY IN PLACE AT EACH SWEDISH CAMPUS ED.FOLLOW UP DATA SAMPLE SHOWED FOLLOW RATES EXCEED BENCHMARK NATIONAL AVERAGE OF 50% AT EACH CAMPUS WITH MATURE PROGRAMS 55% (BALLARD AND EDMONDS); FOLLOW UP DATA DIFFICULT WHEN COMMUNITY PARTER TREATMENT OPTIONS PURSUED; AUDIT OF PROCESS METRIC OF PROVIDERS REFERRING PATIENTS TO PLANNED FOLLOW UP APPOINTMENT SHOWED UPTAKE LEVELS EXCEEDING 50% BENCHMARK.- BALLARD CAMPUS HAS OFFERED NARCAN IN ED IN PARTNERHSIP WITH WAS TATE PROGRAM- SWEDISH SUBOXONE PROGRAM POSTER CREATED AND CURRENTLY ON DISPLAY IN EACH CAMPUS EDTHROUGH THE INTEGRATION OF THE WORK WITH ACCOUNTABLE COMMUNITIES OF HEALTH (ACH), THE FOLLOWING WERE ESTABLISHED:- PARTNERSHIP WITH COMMUNITY RESOURCES FOR FOLLOW ON MAT THERAPY (IDEAL OPTIONS, NEIGHBORCARE, CAROLYN DOWNS) FOR MAT THERAPY TO MEET PATIENT NEEDS FOR CARE CONVENIENCE.- COMPASSIONATE APPROACH TO CARE HAS INCREASED ACCESSIBILITY TO CARE ESPECIALLY FOR PATIENTS STRUGGLING THROUGH COMPLEXITIES OF TREATMENT. MULTIPLE EXAMPLES OF PATIENTS PREVIOUSLY MAKING MULTIPLE VISITS TO THE ED TO LEVERAGE THE WARM HANDOFF ROM SWEDISH ED TO MAT THERAPY TO ATTEND CONSISTENT TREATMENT.- THROUGH THE LEADERSHIP OF DR. VANIA RUDOLPH, SWEDISH ADDICTION AND RECOVERY SERVICES HOSTED (2) TWO-DAY NATIONWIDE SUMMITS ON NATIONAL WOMEN ADDICTION AND ADDICTION RECOVER SERVICES.- INNAGURATION FRIDAY BRIDGE CLINIC LED BY DR. VANIA RUDOLPH AND STAFFED BY SWEDISH FAMILY RESIDENCY PROVIDERS WHICH SERVED 14 PATIENTS AT IT'S OPENING ON 12/13/20.- WEBINAR PRESENTED BY DR. VANIA RUDOLPH ON 11/20/20 HOW TO PROVIDE COMPASSIONATE CARE FOR PATIENTS WITH SUBSTANCE ABUSE WS ATTENDED BY 50 PHYSICIANS.- DR. VANIA RUDOLPH SECURED A GRANT AND PRESENTED TREATMENT OF OPIOID USE DISORDER (TOUT)/MEDICATION-ASSISTED TREATMENT (MAT) TRAINING PROGRAM 9/26/20 56 PHYSICIANS FROM THE EMERGENCY DEPARTMENT, ICU AND PRIMARY CARE.- SWEDISH NURSING EDUCATION ROLLED OUT VIRTUAL EDUCATION REGARDING BUPRENORPHINE AND MAT THERAPY FOR OPIOID USE DISORDR. PHENOBARBITAL FOR ALCOHOL WITHDRAWAL.* MULTIDICIPLINARY TEAM CREATED AN EVIDENCE-BASED PRACTICE ALGORITHM USING PHENOBARBITAL FOR TREATMENT OF ALCOHOL WITHDRAWAL SYNDROME (AWS).* SUCCESSFUL PIOLTED AT FIRST HILL WITH 14 PATIENTS. ROLL OUT PLANNED ACROSS UNTIS AND CAMPUSES BY MULTIDISCIPLINARY TEAM.COMMUNITY EDUCATION:INCREASE OUTREACH AND ENGAGEMENT OPPORTUNITIES FOR COMMUNITIES IN AND AROUND THE BALLARD COMMUNITY. OUTREACH ACTIVITIES TO INCREASE AND IMPROVE AWARENESS AND EDUCATION AMONG THE INCREASING NUMBERS OF FAMILIES AND ADULTS.-PARTNER WITH BALLARD COMMUNITY EVENTS TO PROVIDE HEALTH EDUCATION AND OUTREACH TO THE COMMUNITY. WE WILL SELECT TWO TO THREE EVENTS DURING THE YEAR ADDRESSING ISSUES OF HEART HEALTH, DIABETES PREVENTION, HEALTHY BMI AND EXERCISE.
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 15E:
      ACCESS TO MULTI LANGUAGE RESOURCES IN THIS WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 16A:
      FAP WEBSITEHTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 16B:
      FAP APPLICATION WEBSITEHTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 16C:
      FAP PLAIN LANGUAGE SUMMARY WEBSITEHTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
      SWEDISH HEALTH SERVICES (GROUP A - 1-3) - PART V, SECTION B, LINE 24:
      FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE BILLED THE GROSS CHARGES.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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:
      SWEDISH HEALTH SERVICES PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-BENEFITS
      PART I, LINE 7:
      THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
      PART I, LINE 7G:
      NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED
      PART II, COMMUNITY BUILDING ACTIVITIES:
      SWEDISH PARTNERSHIPS:AFTER WE IDENTIFIED NEGATIVE HEALTH TRENDSING OUR COMMUNITIES, SWEDISH LAUNCHED AN INITIATIVE AIMED AT STRENGTHENING PARTNERSHIPS WITH AGENCIES WHOSE MISSIONS IMPROVE THE HEALTH OF OUR COMMUNITY. THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED A SCIENTIFIC APPROACH TO ALLOCATING SPONSORSHIP FUNDS. THE CHNA IDENTIFIED AND PRIORITIZED COMMUNITY NEEDS WHICH IN TURN OFFERED A LITMUS TEST FOR IDENTIFYING PROGRAMS/AGENCIES THAT IMPACT NEGATIVE HEALTH INDICATORS TRENDS. WE INSTITUTED A NEW SIMPLIFIED APPROACH WHERE SPONSORSHIP DOLLARS WOULD BE MATCHED WITH AGENCIES THAT ADDRESS SPECIFIC HEALTH INDICATORS. THESE PARTNERS WERE OFFERED MULTIPLE-YEAR PARTNERSHIPS THROUGH AGREEMENTS THAT FOCUSED LESS ON THE FUNDS AND MORE ABOUT ENGAGEMENT. OUR PARTNERSHIP GROUPS INCLUDE, BUT ARE NOT LIMITED TO: - AMERICAN HEART ASSOCIATION- LIFELONG- MARCH OF DIMES- SOUND GENERATION- AMERICAN CANCER SOCIETY- PLYMOUTH HOUSING- NAMI WASHINGTON- AMERICAN DIABETES ASSOCIATION- NATIONAL MULTIPLE SCLEROSIS SOCIETY- COUNTRY DOCTOR AFTERHOURS CLINIC- SWEDISH COMMUNITY SPECIALTY CLINIC BELOW ARE MORE DETAILS ON OUR UNIQUE PARTNERSHIPS PLEASE SEE LINK: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/SWEDISHAMERICAN HEART ASSOCIATIONTHE AMERICAN HEART ASSOCIATION (AHA) IS DEDICATED TO BUILDING HEALTHIERLIVES FREE OF HEART DISEASE AND STROKE THROUGH CUTTING-EDGE RESEARCH,PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS AND PUBLIC HEALTH. THEPARTNERSHIP WITH SWEDISH HAS ENHANCED OPPORTUNITIES TO EXPAND CPRTRAINING, COMMUNITY PRESENTATIONS OF ITS LIFE'S SIMPLE 7 CARDIOVASCULARPROGRAM AND EXPAND PARTICIPATION IN WALKING AND DIET PROGRAMS OFFERED BYTHE AHA. LIFELONGLIFELONG EMPOWERS PEOPLE LIVING WITH OR AT RISK OF HIV/AIDS AND OTHERCHRONIC CONDITIONS TO LEAD HEALTHIER LIVES. AS A COMMUNITY CARE PROVIDER,SWEDISH HAS PARTNERED WITH THE ORGANIZATION TO HOST CONFERENCES FOCUSED ONPREVENTION, POLICY AND PRACTICE, ALONG WITH FORMING A MEDICAID EXPANSIONWORK GROUP TO UNDERSTAND THE UPCOMING CHALLENGES AND OPPORTUNITIES WITHHEALTH-CARE REFORM IN WASHINGTON. MARCH OF DIMESTHE MARCH OF DIMES WORKS TO IMPROVE THE HEALTH OF BABIES BY PREVENTINGBIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY. LONG RECOGNIZED FORPRENATAL, LABOR AND DELIVERY CARE, SWEDISH STAFF WORKS CLOSELY WITH MARCHOF DIMES TO IMPROVE EDUCATION AND SUPPORT FOR EXPECTING AND NEW PARENTS,ALONG WITH AN ACTIVE INVOLVEMENT IN PUBLIC FUNCTIONS AND FUNDRAISINGACTIVITIES THROUGHOUT THE COMMUNITY. SOUND GENERATIONSENIOR SERVICES PROMOTES POSITIVE AGING FOR OLDER ADULTS THROUGHOUT KINGCOUNTY. THROUGH ITS INTEGRATED SYSTEM OF QUALITY PROGRAMS AND SENIORCENTERS THEY BUILD A JUST SOCIETY WHERE AGING ADULTS AND THOSE WHO CARESFOR THEM CAN LIVE THEIR BEST LIVES. SWEDISH AND SENIOR SERVICESPARTNERSHIP EXTENDS ACCESS TO CARE TO 15 SENIOR HOUSING FACILITIES, CENTERAND COMMUNITY GROUPS IN WAYS TO BUILD HEALTHIER COMMUNITIES. NATIONAL MULTIPLE SCLEROSIS SOCIETYTHE PACIFIC NORTHWEST HAS THE HIGHEST RATES OF MULTIPLE SCLEROSIS IN THEUNITED STATES. MEDICAL PARTNERS ARE CRITICAL TO INCREASING ACCESS TOEDUCATION, EARLY TREATMENT PROTOCOLS AND SCREENING. SWEDISH'S PHYSICIANSPARTICIPATE IN NUMEROUS COMMUNITY EVENTS TO PROVIDE INFORMATION ANDEDUCATION. ITS CHARITY CARE PROGRAM FUNDS CARE FOR UNINSURED PATIENTS ANDTHE SWEDISH MULTIPLE SCLEROSIS CENTER HOSTS REGULAR GROUP SUPPORT MEETINGSWITH INDIVIDUALS IN VARIOUS STAGES OF THE DISEASE. AMERICAN DIABETES ASSOCIATIONDIABETES IS A GROWING CHRONIC ILLNESS ACROSS THE NATION. RESEARCH,EDUCATION AND PRESENTATIVE PROCESS SUPPORTS THE COMBAT OF THIS QUITEDISEASE AMONG YOUTH AND ADULTS. AMERICAN CANCER SOCIETYPARTNERSHIP IN SUPPORT OF SURVIVOR SUPPORT, OUTREACH, EDUCATION ANDCLINICAL PROCEDURE. INTEGRATED MEDICAL AND THERAPIES ALL PATIENT TO LIVELONGER AND HAVE A BETTER QUALITY OF LIFE. NAMI, THE NATIONAL ALLIANCE ON MENTAL ILLNESS WASHINGTON STATE PROVIDES GOVERNANCE, ADVOCACY AND FUNDRAISING SUPPORT FOR THE 19 NAMI AFFILIATE OFFICES, LARGE AND SMALL, THROUGHOUT THE STATE. NAMI'S MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR ALL THOSE AFFECTED BY MENTAL ILLNESS. WE DO THIS BY PROVIDING A STATEWIDE, UNIFYING VOICE OF ADVOCACY AND COORDINATING THE DELIVERY OF EDUCATION, SUPPORT AND RECOVERY. NAMI WASHINGTON TRAINS AFFILIATE VOLUNTEERS TO TEACH AND LEAD NAMI'S PROGRAMSIN THEIR COMMUNITIES PLYMOUTH HOUSINGPLYMOUTH HOUSING'S MISSION IS TO ELIMINATE HOMELESSNESS AND ADDRESS ITS CAUSES BY PRESERVING, DEVELOPING, AND OPERATING SAFE, QUALITY, SUPPORTIVE HOUSING AND BY PROVIDING ADULTS EXPERIENCING HOMELESSNESS WITH OPPORTUNITIES TO STABILIZE AND IMPROVE THEIR LIVES. COUNTRY DOCTOR AND AFTERHOURS CLINIC:HEALTHCARE FOR THE HOMELESS IS A CRITICAL SERVICE FOR SEATTLE GROWINGHOMELESS POPULATION SWEDISH PARTNERS WITH COUNTRY DOCTOR FOR PROVIDEHEALTH SCREENINGS, PRIMARY CARE AND REFERRAL. SWEDISH COMMUNITY SPECIALTY CLINICTO FURTHER SWEDISH'S COMMITMENT TO SERVE THE UNINSURED, WE OPENED THE SWEDISH COMMUNITY SPECIALTY CLINIC AT THE SWEDISH/FIRST HILL CAMPUS IN SEPTEMBER 2010. THE FORMER MOTHER JOSEPH AND GLASER SPECIALTY CLINICS COMBINED AND PARTNERED WITH KING COUNTY PROJECT ACCESS (KCPA) TO PROVIDE EXPANDED SPECIALTY CARE SERVICES TO OUR COMMUNITY. A SPECIALTY DENTAL CLINIC WITH MORE THAN 30 VOLUNTEER ORAL SURGEONS ANDDENTISTS WAS ADDED. THIS PROGRAM WAS DEVELOPED AND FUNDED THROUGH A UNIQUECOLLABORATION BETWEEN SWEDISH, PROJECT ACCESS NORTHWEST, SEATTLE-KINGCOUNTY DENTAL SOCIETY/FOUNDATION AND THE WASHINGTON DENTAL SERVICESFOUNDATION. OUR GOAL IS TO SET A NEW STANDARD IN COMMUNITY HEALTH AND DEMONSTRATE THEIMPORTANCE OF CHARITY CARE TO OUR NONPROFIT MISSION EVEN IN TOUGH ECONOMICTIMES.
      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 2:
      NEEDS ASSESSMENTSWEDISH MEDICAL CENTER IS A MEMBER OF KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) A COLLABORATIVE OF ALL 12 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. HHC MEMBERS JOINED FORCES TO IDENTIFY THE MOST IMPORTANT HEALTH NEEDS IN THE COMMUNITIES THEY SERVE AND TO DEVELOP STRATEGIES THAT ADDRESS THOSE NEEDS. HHC MEMBERS HAVE ALSO WORKED TOGETHER TO INCREASE ACCESS TO HEALTHY FOODS AND BEVERAGES IN THEIR FACILITIES AND TO ADDRESS ACCESS-TO-CARE ISSUES BY ASSISTING WITH ENROLLMENT OF RESIDENTS IN FREE OR LOW-COST HEALTH INSURANCE. USING THE HHC ASSESSMENT AS A FOUNDATION, EACH OF SWEDISH HOSPITALS DEVELOPED ITS OWN CHNA AND IMPLEMENTATION STRATEGY REFLECTING THE FINDINGS FROM THE COLLABORATIVE COMBINED WITH THE FINDINGS OF THE LOCAL COMMUNITY. STAKEHOLDER SURVEYS WERE USED TO GATHER DATA AND OPINIONS FROM PERSON WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES. SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE LINK WAS DISTRIBUTED TO PARTNER ORGANIZATIONS WHO THEN DISTRIBUTED THEM TO COMMUNITY RESIDENTS AND TO LEADERS AND STAFF MEMBERS CARING FOR MEDICALLY UNDERSERVED, LOW-INCOME, IMMIGRANT AND MINORITY POPULATIONS. PAPER COPIES WERE ALSO MADE AVAILABLE TO COMMUNITY MEMBERS.
      PART VI, LINE 3:
      PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESWEDISH HOSPITALS ARE COMMITTED TO THE PROVISION OF HEALTHCARE SERVICES TO ALL PERSONS IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY.EMPLOYEES ARE RESPONSIBLE FOR PROCESSING APPLICATIONS IN A RESPECTFUL AND COURTEOUS MANNER. PROCESSING SHOULD IN NO WAY DISCOURAGE PATIENTS FROM RECEIVING HEALTHCARE OR RESULT IN THE DELAYED PROVISION OF ESSENTIAL HEALTHCARE SERVICES. CHARITY CARE/FINANCIAL ASSISTANCE ARE AVAILABLE TO ANY ELIGIBLE PATIENT WITHOUT REGARD TO RACE, COLOR, SEX, RELIGION, AGE OR NATIONAL ORIGIN. ALL INTERACTIONS WITH PATIENTS MUST RESPECT THE INHERENT WORTH OF ALL PERSONS AND THEIR INDIVIDUAL DIGNITY.PUBLIC NOTICES:OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY IS MADE AVAILABLE VIA WALL POSTERS THAT ARE LOCATED IN REGISTRATION AREAS AND EMERGENCY DEPARTMENTS. LETTER SIZE POSTERS ARE ALSO AVAILABLE IN DEPARTMENTS AND HEALTH RESOURCE CENTERS.BROCHURES ARE AVAILABLE FOR DISSEMINATION OR UPON REQUEST AND ARE AVAILABLE IN SEVERAL LANGUAGES INCLUDING, BUT NOT LIMITED TO, ENGLISH, SPANISH, CHINESE, VIETNAMESE AND KOREAN. BROCHURES, APPLICATIONS AND THE SLIDING SCALE ARE AVAILABLE TO ANY PERSON REQUESTING THE INFORMATION WHETHER IN PERSON, BY MAIL OR BY TELEPHONE.TIMING OF APPLICATION:PATIENTS MAY APPLY FOR CHARITY CARE PRIOR TO SERVICE, AT THE TIME OF SERVICE OR AT ANY POINT IN THE BILLING PROCESS UP TO THE RESOLUTION OF THE ACCOUNT.IDENTIFICATION OF CHARITY CARE CANDIDATES:EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WHO WOULD BENEFIT FROM CHARITY CARE AT THE EARLIEST POINT POSSIBLE. CARE FOR A PATIENT'S WELL-BEING IS AS IMPORTANT AS CARE FOR THEIR MEDICAL NEEDS. IT IS OUR GOAL TO DIMINISH A PATIENT'S WORRY OVER HEALTHCARE BILLS. EMPLOYEES MUST BE ALERT TO INDICATIONS THAT THE PATIENT OR FAMILY HAS CONCERNS ABOUT THEIR ABILITY TO PAY HEALTHCARE BILLS, EVEN IF THE PATIENT DOES NOT SPECIFICALLY ASK ABOUT CHARITY CARE OR FINANCIAL ASSISTANCE.GENERAL APPLICATION PROCESS:ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE CANDIDATE, THE PATIENT WILL BE INTERVIEWED. INTERPRETERS WILL BE OFFERED AND ARRANGED AS APPROPRIATE.
      PART VI, LINE 4:
      COMMUNITY INFORMATIONPOPULATION BY AGEAMONG SWEDISH CAMPUS SERVICE AREAS, ISSAQUAH HAS THE HIGHEST PERCENTAGE OF CHILDREN (22.5%). EDMONDS AND ISSAQUAH SERVICE AREAS INCLUDE PERCENTAGES OF CHILDREN HIGHER THAN THAT OF THE COUNTY (21.1%). EDMONDS HAS THE HIGHEST PERCENTAGE OF SENIORS (14.1%) AMONG SWEDISH HOSPITAL CAMPUSES, WHICH EXCEEDS THE PERCENTAGE OF SENIORS IN THE COUNTY (13.6%). RACE/ETHNICITYAMONG THE SWEDISH CAMPUSES, THE EDMONDS SERVICE AREA HAS THE HIGHEST PERCENTAGE OF RESIDENTS WHO ARE NON-LATINO WHITE (65.2%) AND HISPANIC OR LATINO (9.6%). THE ISSAQUAH SERVICE AREA HAS THE HIGHEST PERCENTAGE OF ASIANS/PACIFIC ISLANDERS (20.3%), AND THE BALLARD SERVICE AREA HAS THE HIGHEST PERCENTAGE OF BLACKS/AFRICAN AMERICANS (7.4%).MEDIAN HOUSEHOLD INCOME AND UNEMPLOYMENT RATEIN THE SWEDISH CAMPUS SERVICE AREAS, THE MEDIAN HOUSEHOLD INCOME RANGES FROM $69,153 IN THE EDMONDS SERVICE AREA TO $93,153 IN THE ISSAQUAH SERVICE AREA. THIS DISPARITY IN INCOME MIGHT INFLUENCE HEALTH OUTCOMES.PERSONAL/HOUSEHOLDS LIVING AT OR BELOW POVERTY LEVELISSAQUAH HAS THE LOWEST RATE OF INDIVIDUALS LIVING IN POVERTY (8.9%) AND THE BALLARD SERVICE AREA HAS THE HIGHEST RATES OF INDIVIDUALS (10.7%) AND CHILDREN LIVING IN POVERTY (2.7%). THE EDMONDS SERVICE AREA HAS THE LOWEST RATE OF HOUSEHOLDS (1.9%), AND SENIORS LIVING IN POVERTY (0.7%).FOR MORE INFORMATION GO TO:HTTPS://WWW.SWEDISH.ORG/~/MEDIA/FILES/PROVIDENCE%20SWEDISH/PDFS/MISSION/2021KINGCOUNTYCHNA.PDFOTHER HOSPITALS IN SERVICE AREAEVERGREENHEALTH, KAISER PERMANENTE, MULTICARE HEALTH SYSTEM, AUBURN MEDICAL CENTER, COVINGTON MEDICAL CENTER, NAVOS OVERLAKE MEDICAL CENTER & CLINICS, SEATTLE CANCER CARE ALLIANCE, UW MEDICINE HARBORVIEW MEDICAL CENTER NORTHWEST HOSPITAL & MEDICAL CENTER UW MEDICAL, CENTER VALLEY MEDICAL CENTER, VIRGINIA MASON FRANCISCAN HEALTH, ST. ANNE HOSPITAL, ST. ELIZABETH HOSPITAL ST. FRANCIS HOSPITAL VIRGINIA MASON MEDICAL CENTER
      PART VI, LINE 5:
      PROMOTION OF COMMUINITY HEALTH:SWEDISH HOSPITALS PROVIDE VITAL COMMUNITY HEALTH SERVICES AND ADDRESS THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. SWEDISH HOSPITALS ARE COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) MEDICAL STAFF2) A ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      WA
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      AFFILIATED HEALTH CARE SYSTEMAT 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-REPORT