Providence Health & Services - Washington

“Classes of members or stockholders providence health & services is the sole corporate member of providence health & services - washington.”

“Classes of persons and the nature of their rights providence health & services - washington has a tiered governance in which the corporate members reserve the right to appoint the providence health & services - washington's governing board. All nominations that come from the providence health & services - washington board as nominations must be approved by providence health & services, as the corporate member.”

“Classes of persons, decisions requiring approval & type of voting rights the following powers reside with the corporate member: 1) to adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) to amend or repeal the articles of incorporation or bylaws. 3) to approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religious significance. 4) to approve the dissolution or liquidation. 5) to approve the annual operating and capital budgets. 6) to appoint the certified public accountants. 7) to approve the closure of any institution or major entity or work of the corporation.”

“Process to review form 990 the form 990 was prepared based on information received from various departments of the organization including the finance team, human resources, payroll, compliance and the department of legal affairs. The organization engaged an outside accounting firm to prepare the return. The return has been reviewed by an officer of the organization. Management presented the returns to the audit and compliance committee, and discussed key disclosures and information included in the form 990. In addition, a copy of the form 990 was distributed to all voting members of the board prior to filing.”

“Process to monitor transactions for conflicts of interest providence takes the issue of conflicts of interest, and independent unconflicted decision-making, very seriously. Providence has a comprehensive conflict of interest policy and interest disclosure policy, revised in 2023, and carefully and thoroughly administers these policies. Board members, sponsors, senior leaders and key core leaders are required to disclose any actual or potential conflict of interest in accordance with the providence conflict of interest policy, and so that the individual satisfies his or her fiduciary obligations to the organization. Disclosures are made annually, as well as any time an actual or potential conflict of interest arises. Providence chief legal officer and/or providence chief risk officer, and/or providence chief compliance officer, review all disclosures. Where appropriate, the ceo and/or the board chair will review conflict of interest situations that involve senior leadership or a board member other than the chair. Providence chief legal officer and/or chief risk officer review matters where conflict is difficult or cannot be readily resolved and present recommendations to the appropriate board committee or the ceo, for discussion and resolution. When appropriate, the individual with the real/potential conflict that is being reviewed may participate in the discussion but is recused from the meeting, and from any final discussion and vote, when a decision is being made on whether a conflict exists, or when the action giving rise to the conflict of interest is decided. Where appropriate, chief risk officer or chief legal officer will provide a plan to manage conflicts and avoid participation by the conflicted individual in the matter giving rise to the conflict of interest. Auditing and monitoring of this process is done periodically. All documentation of conflict of interest disclosures is retained in accordance with organization retention policy.”

“Process for determining compensation it is providence's intention to make financial information accessible and transparent. Although the filing of form 990 provides insight into how providence achieves its mission, delivers its programs and stewards its finances, deciphering the information directly from form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary board, with responsibility for financial oversight associated with fulfillment of the providence mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of providence's legal entities. Providence also maintains a network of community entity boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its senior executives, including all officers. Salaries for senior executives are reviewed at least annually by the executive compensation committee, which is a committee of the providence board consisting only of outside, independent directors. The committee makes sure, at each of its meetings, that no member of the committee has a conflict of interest as to any executive whose compensation is reviewed by the committee. The executive compensation committee retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the united states. Providence is one of the larger health systems in the country, and as such, the board benchmarks executive compensation against other large, not-for-profit health systems that are substantially similar to providence in size and complexity (such as having a similar amount of annual net revenue). Additionally, because providence often looks to general industry for leaders in certain functional areas, providence also takes into consideration general industry market data in these special situations. Base salaries for providence executives are generally targeted to the "median" level of the market data (where half the salaries in the data are lower and half the salaries in the data are higher), as identified by the independent consultant and reviewed with the executive compensation committee. The president/ceo utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the executive compensation committee as a part of the review and approval process. Total compensation is tied closely to performance of the organization and the individual. Performance incentives allow executives to earn additional compensation if they help lead providence in achieving specific organizational goals for furthering providence's operating commitments and strategic objectives. The board of directors conducts a thorough review process to ensure performance incentives are aligned with appropriate market practices. The board's process for setting, reviewing and approving executive compensation fully complies with irs standards (to assure that all compensation is considered reasonable) and reflects best governance practices in the industry. The process was last completed in june 2025.”

“Governing documents, conflict of interest policy & financial statements the organization makes its governing documents and conflict of interest policy available to the public upon request. The providence community benefit reports, financial reports, consolidated audited financial statements, and philanthropy reports are also available on the providence internet site.”

“Providence st. Peter and centralia hospitals serving south puget sound, washington graduate medical and pharmacy education providence st. Peter and centralia hospitals host graduate medical education (gme) and pharmacy residency programs to help expand and strengthen the clinical workforce, creating greater access to care. In 2024, more than 30 physician and pharmacy residents at providence st. Peter and centralia hospitals cared for more than 15,000 patients, the vast majority of which were uninsured or underinsured with limited options for medical care, including in rural, medically underserved areas. Examples of these programs include: - in thurston county, 21 providence st. Peter family medicine residents provided care to unhoused individuals in encampments through rotations in the providence mobile outreach program and an associated parnership with olympic health & recovery services' homeless outreach and stabilization team. - in olympia, wash., residents provided care in the providence st. Peter family medicine adolescent obstetrics teen pregancy clinic. They facilitated 25 sessions of a prenatal care program that incorporated group-based, resident-led education in pregnancy and newborn care and facilitation of peer support, serving adolescent parents, family members, support persons and caregivers. - affiliated with providence centralia hospital, the providence chehalis family medicine rural care training program educates and gives practical experience to providers who are committed to practicing full-spectrum family medicine in rural communities. * in 2024, 10 rural care training program residents provided care for an underserved population by rotating at a med first clinic, identifying patients for providence chehalis family medicine's medication assisted treatment program. Patients then received treatment at chehalis family medicine for substance use/misuse and were linked with a primary care provider at the practice. * these 10 residents also worked directly with participants of the lewis county therapeutic drug court program, which works with adults with significant needs for substance use disorder and/or co-occurring treatment services. Residents helped patients improve their behavioral health and achieve the goals of their treatment plans. Through residency programs hosted at providence st. Peter and centralia hospitals, clinical trainees are adding critical capacity to address health needs in the communities we serve. Nurse navigator program: nurse navigators help improve the overall patient experience and serve as guides throughout one's care journey. At providence st. Peter and centralia hospitals, the nurse navigator program allows patients diagnosed with cancer and their caregivers to focus on getting well. Navigators act as advocates, working directly with patients' care teams and helping patients navigate their treatment. The hospitals' four dedicated navigators support those diagnosed with thoracic, breast, head and neck, gastrointestinal and genitourinary (or urogenital) cancers. In 2024, the nurse navigator program benefited more than 800 patients, including individuals who were uninsured, underinsured, or otherwise unable to pay for care. Some of the services navigators provide include: - consulting with patients and their families to assess medical and emotional needs - coordinating cancer support groups - coordinating supportive care appointments throughout the care journey special care nursery providence st. Peter hospital operates a 13-bed special care nursery dedicated to the health and treatment of babies born prematurely and/or with complex medical conditions. It is one of the only level 2 neonatal care nurseries in the region and serves babies from multiple counties throughout the south puget sound area and southwest washington. The special care nursery helps ensure babies receive around-the-clock attention and treatment tailored to their specific medical needs, provided by a team of dedicated”

“Access to fresh nutrient dense fruits/vegetables: in 2024, providence mount carmel in colville and providence st. Joseph's in chewelah, both located in rural stevens county in washington, continued their partnership with providence northeast washington hunger coalition (newhc). This partnership supports newhc's work to reduce food insecurity and increase access to healthy fresh produce for vulnerable populations in rural northeast county region. In 2024 newhc's farm to food pantry program delivered over 60,000 pounds of locally grown produce to food pantries. Newhc also used staff and volunteers to teach and equip food pantry clients to vegetable garden at no charge in a program called 'grow your own row. The program equipped 392 people in 2024. This program invests in independence, improves lifestyle and contributes to overall human health. Theorganization served 8,880 unduplicated individuals in 2024. Removing barriers of care: providence inland northwest washington supported shades of motherhood network, a spokane-based non-profit dedicated to enhancing the birthing experiences of black birthing individuals and their families. This support went to the organization's community-based doula program. The spokane-based doula program is central to shades of motherhood network's mission of creating a more diverse health care workforce and ensuring culturally competent care for families. The program focuses on recruiting, hiring, training and mentoring doulas from underrepresented communities. With support from providence, the organization was able to provide essential resources such as equipment, certification training and compensation for doulas, ensuring they can continue to offer invaluable support to birthing individuals. In 2024, the community-based doula program provided care to 145 families, significantly improving birth outcomes and offering emotional and physical support during this critical time. Foundations of health, community resilience: providence inland northwest washington proudly partnered with sleep in heavenly peace, a dedicated spokane-based non-profit with a powerful mission: to ensure that no child in our community sleeps on the floor. The 2024 funding support made it possible that a team of volunteers could build and deliver fully furnished twin-sized beds to local families in need. The importance of having a comfortable and safe place to sleep for a child's well-being cannot be overstated. Many families facing poverty or other crises are unable to provide this necessity. At sleep in heavenly peace, the belief is clearevery child deserves a good night's sleep and the opportunity to succeed. This organization is steadfast in its commitment to making this a reality for as many children as possible, building beds for any child between the ages of 3-17 years old without a bed of their own. This program served 181 individuals in 2024. For more information go to: https://shpbeds.org/chapter/wa-spokane/ https://www.providence.org/locations/wa/inhs free and discounted health care - providence community clinic serves the most vulnerable community members: providence community clinic located in downtown spokane, washington continued to serve the most vulnerable community members in 2024. The clinic embodies the providence mission by providing compassionate service to people with unmet health care needs. The providence community clinic operates at a financial loss to the hospital to ensure that care is available to people who are uninsured/under-insured or experiencing chronic homelessness. This clinic cares for more than 1,400 people every year. Transitional respite care: in 2024, providence continued our partnership with catholic charities house of charity and volunteers of america- hope house (voa) in spokane, washington to create a transitional respite care program. This program provides transitional respite to help people experiencing homelessness recover from acute medical issues via 24/7 shelter, meals, transpor”

“Agency & contract labor: program service expenses 88,148,312. Management and general expenses 63,759,751. Fundraising expenses 45,586. Total expenses 151,953,649. Billing & collections: program service expenses 22,709,157. Management and general expenses 16,426,068. Fundraising expenses 11,744. Total expenses 39,146,969. General consulting fees: program service expenses 117,920,930. Management and general expenses 85,294,987. Fundraising expenses 60,983. Total expenses 203,276,900. Medical director & med physician fees: program service expenses 142,689,084. Management and general expenses 103,210,377. Fundraising expenses 73,792. Total expenses 245,973,253. Other patient services: program service expenses 536,084,228. Management and general expenses 387,762,355. Fundraising expenses 277,237. Total expenses 924,123,820. Repairs & maintenance: program service expenses 56,644,860. Management and general expenses 40,972,562. Fundraising expenses 29,294. Total expenses 97,646,716.”

“Other changes in net assets 124,955,710. Investment in corporate subsidiaries 102,850,883. Change in investment in joint venture 57,344,550. Fas 136 - recipient organization adjustment -3,872,715. Net asset transfers between related tax-exempt organizations -124,197,177.”