In 2005, Washington Citizen Action (WCA), a statewide grassroots membership-based organization, began to investigate complaints from its constituents about the billing practices at Providence St. Peter Hospital in Olympia. While WCA heard few complaints about the quality of care provided by the staff at Providence St. Peter’s, many uninsured and underinsured patients have expressed concerns about unfair billing practices at the hospital and a lack of access to the hospital’s charity care programs.