[3][4] The Sisters later established several schools and hospitals in Washington, Montana, Oregon, Alaska, British Columbia, and California.

[16] These facilities include the following:[17] The following were originally part of the Dominican Network and came into Providence Health & Services upon its formation in 2006[2] In 2020, a Portland, Oregon area physician assistant who had been barred from seeing female patients of child-bearing age because she refused to offer them contraceptive care went on to refuse to provide a "young" patient with emergency contraception.

[20] A second Times investigation found that Providence had instituted a program created by McKinsey & Company to request payments from patients to cover the cost of care left over following Medicare and Medicaid reimbursement.

Hospital staff were reportedly instructed to negotiate payment plans, informing patients about financial assistance as a final option.

Those who did not pay were sent to debt collection, a practice for which the Attorney General of Washington filed suit, alleging that they were in violation of state laws which entitled low-income patients to care with no copay.

[21] Providence countered the lawsuit, but stated they would stop using debt collectors and that they would refund 760 patients and work with credit agencies to “reverse any negative impact on credit.”[22] On February 1, 2024, Washington State Attorney General Bob Ferguson announced that Providence "must forgive more than $137 million in medical debt and refund more than $20 million to patients the company billed for services despite knowing they likely qualified for free or reduced-cost health care.

"[23] On April 18, 2024, a King County Superior Court Judge ruled that Providence willfully underpaid over 33,000 hourly employees between September 2018 and May 2023.

[24] On September 30, 2024, the Attorney General of California Rob Bonta announced a lawsuit against Providence St. Joseph Hospital for Denying Patient Emergency Abortion Care.

According to Bonta, the patient, Anna Nusslock, was told she should request a $40,000 medical-helicopter flight to University of California, San Francisco, a facility 271 miles away, to receive treatment because had she undertaken the five-hour drive, she would "hemorrhage and die before you get to a place that could help you."