In 2013, Providence offered $23.3 million in free and discounted care so the uninsured and underinsured could access health care.

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1 southwest Washington 2013 community benefit report In 2013, Providence offered $23.3 million in free and discounted care so the uninsured and underinsured could access health care. This charity care is a part of Providence s total community benefit of $59.2 million.

2 Our calling and our promise Thank you for taking a few moments to review our 2013 Community Benefit Report. More than 126 years ago, the Sisters of Providence started their ministry in Southwest Washington. This report gives a brief overview of how we continue this commitment, providing charity care and needed community health services to all we serve. In 2013, the cost of these services provided by Providence St. Peter Hospital, Providence Centralia Hospital and Providence Medical Group totaled more than $59.2 million, including $23.3 million for charity care. It also includes $25 million to pay for the cost of underfunded government programs such as Medicaid. Together with our community partners such as St. Peter and Centralia Community Ministry and Foundation boards, CHOICE Regional Health Network and the Department of Health in Thurston and Lewis counties we identify the greatest unmet needs. These include: Access to health care: providing charity care for the poor and vulnerable. Behavioral health services: subsidized services such as chemical dependency treatment, psychiatric care and the sexual assault clinic. Primary care capacity: increasing health care educational opportunities, including the family medicine residency program. Cancer support: education and navigation services. Health education: organizing and participating in community health events. It is a blessing to continue to carry out the Mission of the Sisters here in Southwest Washington in service to our community. Thank you to our amazing team of dedicated, talented and compassionate caregivers. Sincerely, Medrice Coluccio, Chief Executive Providence Health & Services, Southwest Washington

3 Our Mission As people of Providence, we reveal God s love for all, especially the poor and vulnerable, through our compassionate service. Creating healthier communities, together The Providence Mission reaches out beyond the walls of care settings to touch lives in the places where relief, comfort and care are needed. Our community benefit spending is about treating not just the patient, but the whole community. Through programs and donations, Providence s community benefit connects families with preventive care to keep them healthy, fills gaps in community services and provides opportunities that bring hope in difficult times. We collaborate with social service and government agencies, charitable foundations, community organizations and many other partners to identify the greatest needs and create solutions together. HEALTH CARE CAREER EDUCATION In 2013, Providence St. Peter Hospital provided $3.25 million in training support of 19 family medicine physicians, other medical education programs and research. Four of the five physicians who graduated from the residency program chose to practice in Southwest Washington. The physicians in the program support the Providence Medical Group - St. Peter Family Medicine Clinic. Of the 7,300 active patients the clinic serves, 42 percent are insured through Medicaid and another 16 percent receive Medicare, neither of which reimburses for the full cost of care. Many other patients do not have any insurance at all. In 2013, the clinic provided 25,900 office visits. Providence also spent more than $1.7 million providing student internships in The Youth Council helped 1,600 high school students with education in nursing, rehab therapies and diagnostic imaging. A total of nearly 40,000 hours were spent working with interns to prepare them for health care careers. BEHAVIORAL HEALTH SERVICES Last year, Providence provided more than $875,000 to support the Providence St. Peter Hospital Sexual Assault Clinic & Child Maltreatment Center. The staff is on call 24 hours a day to provide resources, intervention and medical assessments for victims of sexual and physical abuse. The Providence St. Peter Chemical Dependency Center received nearly $1.8 million in support to improve the quality of life of patients and their families. Last year, the department had more than 1,394 substance abuse inpatients and 11,556 outpatient visits. Providence provided more than $1.23 million in psychiatric services for nearly 5,700 uninsured patient visits in CANCER EDUCATION AND NAVIGATION Breast and lung cancer nurse navigators meet individually with hundreds of patients and family members each year. This service guides patients through the medical maze, including help in understanding the cancer diagnosis and treatment options. Through Cancer 101 and survivorship classes, Providence helps ease the way of more than 300 people with cancer each year. Investment in these free services totals nearly $200,000. COMMUNITY HEALTH EDUCATION Providence coordinates the largest health education event in Lewis County. In 2013, about 2,000 people attended, taking advantage of free cholesterol, blood sugar and blood pressure checks, and free clinical breast exams and mammograms. Providence supports dozens of health education events annually on topics such as heart health, diabetes, stroke awareness and joint pain. Learn more at providence.org/cares.

4 Giving to our communities Unfunded portion of governmentsponsored medical care Free and discounted medical care for patients in need Subsidized services Education and research programs Community health, grants and donations Total cost of care & services donated in 2013 Providence St. Peter Hospital Providence Centralia Hospital Providence Medical Group $10,662,873 $14,755,761 $4,603,455 $5,162,506 $650,668 $35,835,263 $6,046,856 $6,418,577 $0 $0 $236,220 $12,701,653 $8,358,894 $2,118,617 $0 $196,906 $6,873 $10,681,290 Total $25,068,623 $23,292,955 $4,603,455 $5,359,412 $893,761 $59,218,206 Community benefit reporting is based on IRS Schedule H instructions for 2013 reporting community benefit spending Unfunded portion of government-sponsored medical care: Difference between the cost of care and what is paid for by state and federal government does not include Medicare Free and discounted medical care for patients in need: Financial assistance for those who are uninsured, underinsured or otherwise unable to pay for their health care 39.3% $59.2 million 42.3% Subsidized services: Clinical and social services provided despite a financial loss because it meets an identified community need that is not met elsewhere in the community Education and research programs: Subsidies for medical residency programs, nursing and other education and medical research 9.1% 7.8% Community health, grants and donations: Free services such as patient education, health screenings, immunizations and support groups, as well as donations to community partners 1.5% in millions $100 $80 $60 $40 $20 $0 $ $ $ $ Growth in community spending Since 2010, Providence has provided nearly $200 million in community benefit in Southwest Washington. After more than 126 years in the area, we are proud to provide care and services that would not be available in our community without Providence. our core values: Respect Compassion Justice Excellence Stewardship

5 More than 158 years ago, five Sisters of Providence came to the Pacific Northwest with a Mission to provide care to everyone especially the most vulnerable. Focused on meeting the unmet needs of growing pioneer communities, the Sisters steadfastly built hospitals, schools and orphanages across Alaska, California, Montana, Oregon and Washington. Their dedication expanded to the Puget Sound area in 1887 with the completion of Providence St. Peter Hospital, and now includes Providence Centralia Hospital and the 31 clinics of Providence Medical Group in Southwest Washington. We are inspired by the commitment and compassion of the Sisters of Providence, and we proudly continue to serve our communities.

6 Where we serve Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider. Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neurosciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since Providence Centralia Hospital is a 128-bed, not-forprofit community-based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide stateof-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves. Providence Medical Group operates 31 clinics, with more than 175 specialized providers in Lewis, Thurston, Mason and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, infectious disease services, physiatry, psychiatry and urology. Providence Health & Services Southwest Washington 413 Lilly Road N.E. Olympia, WA Providence Health & Services. All rights reserved. OL The care and services Providence delivers span from birth to end of life, to care for the whole person. Our comprehensive scope of services includes acute care, physician clinics, long-term and assisted living, palliative and hospice care, home health, education and supportive housing. Our ministries are located in Alaska, California, Montana, Oregon and Washington, with our system office located in Renton, Washington.

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