In 2013, Providence provided nearly $17 million in free and discounted care to our patients in need, as part of our total community benefit of nearly

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1 Montana 2013 community benefit report In 2013, Providence provided nearly $17 million in free and discounted care to our patients in need, as part of our total community benefit of nearly $40 million.

2 Our calling and our promise Throughout the last 158 years, the Providence Mission has reached out beyond the walls of care settings to touch lives in the places where relief, comfort and care are needed. And, 2013 was no different. Our community benefit spending is about treating not just the patient and family, but the total health of the 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. In 2013, Providence Health & Services in Western Montana offered $16.9 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 $39.7 million. In this report, you ll see examples of how we are working to meet the needs of our region and to keep people healthy. It is our privilege to care for you, and we look forward to keeping you and your families well in the future. Sincerely, Jeff D. Fee, Chief Executive Providence Health & Services Western Montana

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 Providence has always had a vision to best meet the challenges of the demanding and evolving health care marketplace. Our Mission is one of continually improving patient quality, lowering the cost of care, increasing access to care, and changing the way health care is delivered. We collaborate with social service and government agencies, charitable foundations, community organizations, universities and many other partners to identify the greatest needs and create solutions together. Changing how we deliver health care In 2013, seven Providence Medical Group clinics in Montana were designated as patient-centered medical homes by the National Committee of Quality Assurance. A patient-centered medical home is a comprehensive, team-based model of primary care focused on quality and safety. Care is received in the right place, at the right time, in the manner that best suits a patient s needs. The medical home transforms primary care into what works best for patients, leading to higher-quality health care with lower cost and ultimately helping people stay healthy and out of the hospital. prominent designation. Research shows that Magnet hospitals consistently provide the highest-quality care and improve patient outcomes. The standards that hospitals must attain to achieve Magnet certification are rigorous and demand continual improvement. Nurses at Magnet hospitals consistently outperform non-magnet organizations with better patient outcomes and higher patient satisfaction scores. Striving for the best in heart care Truven Health Analytics named Providence St. Patrick Hospital as one of the nation s 50 Top Cardiovascular Hospitals. This is the seventh time St. Patrick Hospital has been recognized with this honor. The International Heart Institute team adheres to continuous improvement and refinement of patient-care processes. Together, they concentrate on what is best for each patient. If all cardiovascular providers in the U.S. performed at the International Heart Institute s level of care: 8,600 lives could be saved 3,200 bypass and angioplasty patients could be complication-free $1 billion could be saved Learn more at providence.org/cares. Providing the highest quality Providence St. Patrick Hospital achieved Magnet recognition by the American Nurses Credentialing Center s Magnet Recognition Program. Magnet is the gold standard for nursing excellence. St. Patrick Hospital is one of only two hospitals in Montana to hold this

4 Giving to our communities Providence Health & Services Montana Unfunded portion of governmentsponsored medical care Free and discounted care for patients in need Subsidized services Education and research programs Community health, grants and donations Total cost of care & services donated in 2013 Total $6,783,939 $16,904,407 $14,358,021 $1,436,046 $273,056 $39,755,469 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 36% $39.7 million 42.5% 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 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 17% 3.6%.7% Education and research programs: Subsidies for medical residency programs, nursing and other education and medical research Community health, grants and donations: Free services such as patient education, health screenings, immunizations and support groups, as well as donations to community partners Tax status benefit in millions $50 $40 $30 $20 $10 $0 $6.2 $9.9 TAX Benefit TAXes paid $39.7 community Benefit As a not-for-profit service organization, Providence St. Patrick Hospital, Providence Medical Group and Providence St. Joseph Medical Center received an estimated $6.2 million in federal, state and local exemptions in In comparison, we gave back more than $39.7 million to the communities we serve or nearly $33.5 million in excess of our exemptions. In addition, there are taxes we are not exempt from and we must pay as part of our normal course of operations, just like any other organization. These taxes totaled more than $9.9 million in 2013 and include business and occupation taxes, taxes on non-exempt properties, and payroll and state taxes. our core values: Respect Compassion Justice Excellence Stewardship

5 More than 158 years ago, five Sisters of Providence came to the West 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. We are inspired by the commitment and compassion of the Sisters of Providence and proudly continue to serve our communities.

6 Where we serve Providence Health & Services is one of Montana s largest health care providers. Our not-for-profit network includes hospitals, physicians, clinics, care centers, hospice and home health programs, and diverse community services across western Montana. With more than 40 clinics, two hospitals and over 2,000 employees statewide, our health and services organizations work together to provide quality care to those in need. We continue to honor and live by a commitment to compassionate service that the Sisters of Providence began more than 158 years ago. Montana is part of our five-state network, which also serves Alaska, Oregon, Washington and California. Providence Health & Services Montana 500 West Broadway Missoula, MT Providence Health & Services. All rights reserved. MT 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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