STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PEACEHEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH (EIN 91-0939479)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-14
IRS object ID
202311359349300106
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-14T23:31:15-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 UNION STREET SUITE 2800AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910939479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEACBusinessNameControlTxt
Phone3607291000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDARRIN MONTALVOPersonNm
Person TitleEXEC VPPersonTitleTxt
Phone3607291000PhoneNum
Signature2023-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDARRINPersonFirstNm
Person LastMONTALVOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES R LANCASTERPreparerPersonNm
PTINP00742579PTIN
Phone2069134000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDARRIN MONTALVOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,293,636,451GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PEACEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionWE CARRY ON THE HEALING MISSION OF JESUS CHRIST.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee20658TotalEmployeeCnt
Total Volunteers1713TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$47,385,349PYContributionsGrantsAmt
CY Contributions Grants$116,988,641CYContributionsGrantsAmt
PY Program Service Revenue$2,880,939,039PYProgramServiceRevenueAmt
CY Program Service Revenue$3,072,066,252CYProgramServiceRevenueAmt
PY Investment Income$114,167,074PYInvestmentIncomeAmt
CY Investment Income$89,816,646CYInvestmentIncomeAmt
PY Other Revenue$12,364,479PYOtherRevenueAmt
CY Other Revenue$12,603,722CYOtherRevenueAmt
PY Total Revenue$3,054,855,941PYTotalRevenueAmt
CY Total Revenue$3,291,475,261CYTotalRevenueAmt
PY Grants And Similar Paid$3,760,859PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,519,629CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,766,272,614PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,096,479,199CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,218,684CYTotalFundraisingExpenseAmt
PY Other Expenses$1,252,325,231PYOtherExpensesAmt
CY Other Expenses$1,367,368,265CYOtherExpensesAmt
PY Total Expenses$3,022,358,704PYTotalExpensesAmt
CY Total Expenses$3,468,367,093CYTotalExpensesAmt
PY Revenues Less Expenses$32,497,237PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$176,891,832CYRevenuesLessExpensesAmt
Total Assets BOY$5,237,184,240TotalAssetsBOYAmt
Total Assets EOY$4,620,922,535TotalAssetsEOYAmt
Total Liabilities BOY$2,521,427,896TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,312,470,406TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,715,756,344NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,308,452,129NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH, RELIEVING PAIN AND SUFFERING, AND TREATING EACH PERSON IN A LOVING AND CARING WAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,492,490,674ExpenseAmt
Grant$4,519,629GrantAmt
Revenue$2,693,587,690RevenueAmt
DescHOSPITALS: FOUNDED BY THE SISTERS OF ST. JOSEPH OF PEACE, PEACEHEALTH HAS PROVIDED EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO NORTHWEST COMMUNITIES FOR MORE THAN A CENTURY. PEACEHEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH HOSPITALS LOCATED IN ALASKA, WASHINGTON AND OREGON. RURAL COMMUNITIES RELY ON THEIR HOSPITALS AS CRITICAL COMPONENTS OF THE COMMUNITIES' ECONOMIC AND SOCIAL FABRIC. THESE HOSPITALS ARE TYPICALLY THE LARGEST OR SECOND LARGEST EMPLOYER IN THE COMMUNITY, AND OFTEN STAND ALONE IN THEIR ABILITY TO OFFER HIGHLY-SKILLED JOBS. (COMMENTARY CONTINUED ON SCHEDULE O.)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$571,042,603ExpenseAmt
Grant$0GrantAmt
Revenue$378,478,562RevenueAmt
DescCLINICS AND MEDICAL GROUPS: IN ADDITION TO PROVIDING ACUTE CARE THROUGH A NETWORK OF HOSPITALS SUMMARIZED ON LINE 4A, THE PEACEHEALTH HEALTH CARE SYSTEM ALSO INCLUDES CLINICS AND MEDICAL GROUPS LOCATED IN ALASKA, WASHINGTON AND OREGON.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,063,533,277TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1129IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee20658EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFF SEIRERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3607291000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KARL CARRIER
BOD CHAIR40.004.00Yes (X)Yes (X)$0$0$0
CAROL AARON
DIRECTOR/VICE CHAIR10.002.00Yes (X)Yes (X)$4,413$0$10,474
ANDREA NENZEL CSJP
VICE CHAIR40.004.00Yes (X)Yes (X)$0$0$0
TIM ACKMAN
DIRECTOR10.002.00Yes (X)$0$0$0
CHARLOTTE DAVENPORT CSJP
DIRECTOR10.002.00Yes (X)$0$0$0
DAN HOLLINGSHEAD
DIRECTOR10.002.00Yes (X)$0$0$0
LEE KEARNEY
TREASURER40.002.00Yes (X)Yes (X)$0$0$0
DONNA KING BSN
DIRECTOR10.002.00Yes (X)$0$0$0
MARY O MCWILLIAMS
DIRECTOR (AS OF 9/21)10.002.00Yes (X)$0$0$0
KEVIN MURPHY PHD
SECRETARY40.002.00Yes (X)Yes (X)$0$0$0
KATHLEEN PRUITT CSJP
DIRECTOR10.002.00Yes (X)$0$0$0
TODD STRUMWASSER MD
DIRECTOR10.002.00Yes (X)$0$0$0
RICK WOLLENBERG
DIRECTOR10.002.00Yes (X)$0$0$0
ELIZABETH V DUNNE
PRESIDENT & CEO40.002.00Yes (X)$5,635,752$0$574,482
CRAIG ARMSTRONG
ASST GEN COUNSEL/ASST SEC (THRU 4/22)40.002.00Yes (X)$320,449$0$53,211
RICHARD DECARLO
CHIEF OPERATING OFFICER/EVP40.002.00$1,923,811$0$331,220Yes (X)
RON L SAXTON
EVP GEN COUNSEL/ASST SECRETARY40.002.00$1,398,098$0$86,118Yes (X)
MICHAEL P DWYER
EVP STRATEGY/COMMUNITY HEALTH40.002.00$1,230,999$0$244,896Yes (X)
STEVEN GLENN
EVP CAO40.002.00$1,311,550$0$234,485Yes (X)
JOLINE M TREANOR
EVP PEOPLE & CULTURE (THRU 12/21)40.002.00$1,124,974$0$178,603Yes (X)
WILLIAM R WEIDER
SVP CIO40.002.00$700,392$0$217,974Yes (X)
MICHAEL C METCALF
CHIEF EXECUTIVE PHMG (THRU 1/22)40.002.00$719,303$0$230,075Yes (X)
CHARLES PROSPER
CHIEF EXECUTIVE NORTHWEST40.000.00$1,018,166$0$233,426Yes (X)
DARRIN MONTALVO
EVP CHIEF FINAN-GROWTH OFFICER40.002.00$1,771,176$0$237,382Yes (X)
SARAH NESS
EVP PEOPLE AND CULTURE40.002.00$724,167$0$154,206Yes (X)
SEAN GREGORY MD
CHIEF EXECUTIVE COLUMBIA40.002.00$1,025,353$0$297,451Yes (X)
TODD SALNAS
CHIEF EXECUTIVE OREGON40.002.00$940,151$0$57,075Yes (X)
WEN-HUAN S HO MD
MD GASTROENTEROLOGY40.000.00$1,273,910$0$217,712Yes (X)
JOHN F MACGREGOR MD
MD CARDIOLOGY40.000.00$1,030,631$0$174,568Yes (X)
MARK EICHLER MD
MD GENERAL SURGERY40.000.00$1,087,795$0$82,993Yes (X)
NANDAKUMAR SRINIVASAN MD
MD GASTROENTEROLOGY40.000.00$1,023,151$0$137,134Yes (X)
MANJUNATH G RAJU MD
MD CARDIOLOGY40.000.00$1,202,220$0$106,561Yes (X)
KIMBERLY A HODGKINSON
FORMER EVP CFO0.000.00$344,359$0$0Yes (X)
MARK B HALLETT
FORMER SVP CMO0.000.00$1,174,457$0$191,662Yes (X)
DIANNA KIELIAN
FORMER SVP MISSION/THEOLOGY & ETHICS0.000.00$124,790$0$0Yes (X)
JOHN C BENNETT
FORMER CHIEF EXEC AMBULATORY0.000.00$891,353$0$19,813Yes (X)
MARY E KINGSTON
FORMER CHIEF EXECUTIVE OREGON0.000.00$1,109,937$0$33,549Yes (X)
DALE J ZENDER
FORMER CHIEF EXECUTIVE NW0.000.00$257,021$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,368,378TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,105,070TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3113IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AYA HEALTHCARE INC
5930 CORNERSTONE CT W SUITE 300SAN DIEGOCA92121HEALTHCARE STAFFING$104,990,533
NURSEFINDERS LLC
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011HEALTHCARE STAFFING$39,061,121
QUEST DIAGNOSTICS
1737 AIRPORT WAY SUITE 200SEATTLEWA98134LABORATORY SERVICES$36,666,668
TRIMEDX HOLDINGS LLC
5451 LAKEVIEW PKWY S DRIVEINDIANAPOLISIN46268CLINICAL ENGINEERING$18,496,601
EXPRESS SERVICES INC
8516 NW EXPRESSWAYOKLAHOMA CITYOK73162HEALTHCARE STAFFING$10,946,219
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K358CntrctRcvdGreaterThan100KCnt
Related Organizations$7,713,611RelatedOrganizationsAmt
Government Grants$102,431,704GovernmentGrantsAmt
All Other Contributions$6,843,326AllOtherContributionsAmt
Total Contributions$116,988,641TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV621110$3,025,788,024$3,025,788,024
OTHER OPERATING REV621110$46,278,228$46,278,228
FieldValueIRS element (for citing)
Total Program Service Revenue$3,072,066,252TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,148,871TotalRevenueColumnAmt
Exclusion$46,148,871ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,447,805RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,161,190RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,286,615RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,286,615TotalRevenueColumnAmt
Exclusion$8,286,615ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$43,667,775SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$43,667,775SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,667,775TotalRevenueColumnAmt
Exclusion$43,667,775ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIADesc
Total Revenue Column$4,317,107TotalRevenueColumnAmt
Exclusion$4,317,107ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,317,107OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,291,475,261TotalRevenueColumnAmt
Related Or Exempt Func Income$3,072,066,252RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$102,420,368ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,364,693TotalAmt
Program Services$4,364,693ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$154,936TotalAmt
Program Services$154,936ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$31,675,421TotalAmt
Program Services$27,983,232ProgramServicesAmt
Management And General$3,692,189ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,777,413,817TotalAmt
Program Services$1,569,566,914ProgramServicesAmt
Management And General$207,093,211ManagementAndGeneralAmt
Fundraising$753,692FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$91,138,934TotalAmt
Program Services$80,488,010ProgramServicesAmt
Management And General$10,619,822ManagementAndGeneralAmt
Fundraising$31,102FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$89,000,683TotalAmt
Program Services$78,540,647ProgramServicesAmt
Management And General$10,362,881ManagementAndGeneralAmt
Fundraising$97,155FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$107,250,344TotalAmt
Program Services$94,701,774ProgramServicesAmt
Management And General$12,495,227ManagementAndGeneralAmt
Fundraising$53,343FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,554,982TotalAmt
Program Services$4,024,039ProgramServicesAmt
Management And General$530,943ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,715,480TotalAmt
Program Services$2,398,955ProgramServicesAmt
Management And General$316,525ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$498,049TotalAmt
Program Services$428,289ProgramServicesAmt
Management And General$56,510ManagementAndGeneralAmt
Fundraising$13,250FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$435,000TotalAmt
Program Services$384,295ProgramServicesAmt
Management And General$50,705ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$601,951TotalAmt
Program Services$531,786ProgramServicesAmt
Management And General$70,165ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$330,432,146TotalAmt
Program Services$291,807,513ProgramServicesAmt
Management And General$38,501,929ManagementAndGeneralAmt
Fundraising$122,704FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,297,253TotalAmt
Program Services$2,894,097ProgramServicesAmt
Management And General$381,856ManagementAndGeneralAmt
Fundraising$21,300FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,323,494TotalAmt
Program Services$7,368,305ProgramServicesAmt
Management And General$972,195ManagementAndGeneralAmt
Fundraising-$17,006FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,122,808TotalAmt
Program Services$33,668,202ProgramServicesAmt
Management And General$4,442,280ManagementAndGeneralAmt
Fundraising$12,326FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$83,288,656TotalAmt
Program Services$73,580,263ProgramServicesAmt
Management And General$9,708,393ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,076,705TotalAmt
Program Services$8,890,636ProgramServicesAmt
Management And General$1,173,056ManagementAndGeneralAmt
Fundraising$13,013FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,225TotalAmt
Program Services$9,033ProgramServicesAmt
Management And General$1,192ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$41,957,836TotalAmt
Program Services$37,067,096ProgramServicesAmt
Management And General$4,890,740ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$145,046,731TotalAmt
Program Services$128,138,215ProgramServicesAmt
Management And General$16,906,928ManagementAndGeneralAmt
Fundraising$1,588FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$34,550,131TotalAmt
Program Services$30,522,857ProgramServicesAmt
Management And General$4,027,274ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MED SUPPLIES AND SVCS$512,731,987$452,966,300$59,765,687
OTHER TAX$109,546,945$96,777,801$12,769,144
ALL OTHER EXPENSES$41,177,886$36,275,389$4,786,280$116,217

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,468,367,093TotalAmt
Program Services$3,063,533,277ProgramServicesAmt
Management And General$403,615,132ManagementAndGeneralAmt
Fundraising$1,218,684FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$161,420,740BOYAmt
EOY$10,437,262EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,303,273,123BOYAmt
EOY$642,134,840EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$378,729,522BOYAmt
EOY$474,195,437EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$78,364,695BOYAmt
EOY$138,364,695EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$95,776,350BOYAmt
EOY$101,522,501EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$43,073,972BOYAmt
EOY$36,795,835EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,295,920,477LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,101,586,916LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,177,865,311BOYAmt
EOY$1,194,333,561EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,656,950,206BOYAmt
EOY$1,480,082,687EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$118,984,417BOYAmt
EOY$140,483,890EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$52,297,094BOYAmt
EOY$44,678,812EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$170,448,810BOYAmt
EOY$357,893,015EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,237,184,240BOYAmt
EOY$4,620,922,535EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$690,710,148BOYAmt
EOY$587,085,161EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$725,689BOYAmt
EOY$1,992,508EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,429,192,739BOYAmt
EOY$1,415,457,773EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$400,799,320BOYAmt
EOY$307,934,964EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,521,427,896BOYAmt
EOY$2,312,470,406EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,715,756,344BOYAmt
EOY$2,308,452,129EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,715,756,344BOYAmt
EOY$2,308,452,129EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,237,184,240BOYAmt
EOY$4,620,922,535EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$176,891,832ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$344,228,431NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$113,816,048OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,062,916DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$1,062,916TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II-B, LINE 1BPEACEHEALTH ENGAGES IN LOBBYING ACTIVITIES THROUGH EMPLOYEES DIRECTLY CONTACTING LEGISLATORS, THEIR STAFFS, OR GOVERNMENT OFFICIALS TO ADVOCATE IN SUPPORT OF OR OPPOSITION TO PENDING MEASURES THAT IMPACT PEACEHEALTH HEALTHCARE OPERATIONS AND THE HEALTH AND WELL-BEING OF THE COMMUNITIES PEACEHEALTH SERVES.
PART II-B, LINE 1GPEACEHEALTH ENGAGES IN LOBBYING ACTIVITIES THROUGH EMPLOYEES, PAID OUTSIDE CONSULTING FIRMS, AND MEMBERSHIP DUES PAID TO STATE AND NATIONAL ASSOCIATIONS. THESE INDIVIDUALS AND ENTITIES DIRECTLY CONTACT LEGISLATORS, THEIR STAFFS, OR GOVERNMENT OFFICIALS TO ADVOCATE IN SUPPORT OF OR OPPOSITION TO PENDING MEASURES THAT IMPACT PEACEHEALTH HEALTHCARE OPERATIONS AND THE HEALTH AND WELL-BEING OF THE COMMUNITIES PEACEHEALTH SERVES.
PART II-B, LINE 1IPEACEHEALTH ENGAGES IN LOBBYING ACTIVITIES BY MAKING CONTRIBUTIONS TO LOCAL AND STATE BALLOT MEASURE CAMPAIGN COMMITTEES, IN CAMPAIGNS THAT IMPACT PEACEHEALTH HEALTHCARE OPERATIONS AND THE HEALTH AND WELL-BEING OF THE COMMUNITIES PEACEHEALTH SERVES.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,125,596BeginningYearBalanceAmt
Contributions$10,331,158ContributionsAmt
Investment Earnings Or Losses-$3,897,780InvestmentEarningsOrLossesAmt
Other Expenditures$3,054,686OtherExpendituresAmt
End Year Balance$55,504,288EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,480,654BeginningYearBalanceAmt
Contributions$579,275ContributionsAmt
Investment Earnings Or Losses$10,381,977InvestmentEarningsOrLossesAmt
Other Expenditures$316,310OtherExpendituresAmt
End Year Balance$52,125,596EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,337,915BeginningYearBalanceAmt
Contributions$923,802ContributionsAmt
Investment Earnings Or Losses-$17,819InvestmentEarningsOrLossesAmt
Other Expenditures$773,244OtherExpendituresAmt
End Year Balance$41,470,654EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$40,596,095BeginningYearBalanceAmt
Contributions$1,162,077ContributionsAmt
Investment Earnings Or Losses$1,202,504InvestmentEarningsOrLossesAmt
Other Expenditures$1,622,761OtherExpendituresAmt
End Year Balance$41,337,915EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,485,058BeginningYearBalanceAmt
Contributions$1,057,545ContributionsAmt
Investment Earnings Or Losses$2,691,393InvestmentEarningsOrLossesAmt
Other Expenditures$4,637,901OtherExpendituresAmt
End Year Balance$40,596,095EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.14192BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.61874PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.23934TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,012,923OtherCostOrOtherBasisAmt
Book Value$82,012,923BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,540,610,852OtherCostOrOtherBasisAmt
Depreciation$995,952,735DepreciationAmt
Book Value$544,658,117BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,791,996OtherCostOrOtherBasisAmt
Depreciation$67,915,077DepreciationAmt
Book Value$72,876,919BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,407,517,023OtherCostOrOtherBasisAmt
Depreciation$1,036,440,783DepreciationAmt
Book Value$371,076,240BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,987,683OtherCostOrOtherBasisAmt
Depreciation$1,278,321DepreciationAmt
Book Value$123,709,362BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,194,333,561TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
PENDING TRADES RECEIVABLE$98,927,431
INTEREST IN RELATED FOUNDATIONS$183,196,238
RIGHT OF USE ASSETS$75,769,346
FieldValueIRS element (for citing)
Total Book Value Other Assets$357,893,015TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
OBLIGATIONS UNDER LEASES$78,203,983
INTEREST RATE SWAPS$73,073,990
ACCRUED PENSION LIABILITY$79,316,459
SELF-INSURANCE LIABILITY$26,604,965
BONDS & NOTES PAYABLE$27,450,219
CONDITIONAL ARO LIABILITY$21,820,030
OTHER LIABILITIES$1,465,318
FieldValueIRS element (for citing)
Total Liability$307,934,964TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH FOUNDATIONS. THE PEACEHEALTH FOUNDATIONS ARE SEPARATELY INCORPORATED AND EACH FOUNDATION FILES A SEPARATE FORM 990. REFER TO THE SCHEDULE R, PART II FOR A LISTING OF THESE RELATED FOUNDATIONS. THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: 1) THE PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT 2) SUPPORT FOR HOSPICE AND INDIGENT CARE 3) PATIENT CARE AND OTHER OPERATING ACTIVITIES
PART X, LINE 2:PEACEHEALTH AND PEACEHEALTH NETWORKS HAVE RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE STATING THAT THEY ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. IT IS MANAGEMENT S BELIEF THAT NONE OF ITS ACTIVITIES HAVE PRODUCED MATERIAL UNRELATED BUSINESS INCOME. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. CERTAIN AFFILIATED ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS MAY BE SUBJECT TO TAXATION. THE TAX EXPENSE AND RELATED PROVISION FOR THESE ENTITIES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.
PART X, LINE 2THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT EXCEEDS A 50 PERCENT PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedGRANTMAKINGTypeOfActivitiesConductedTxt
Region Total Expenditures$154,936RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$154,936SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$154,936TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Purpose Of GrantPROGRAM SERVICESPurposeOfGrantTxt
Cash Grant$154,936CashGrantAmt
Manner Of Cash DisbursementBANK WIREMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:PEACEHEALTH SUPPORTS A MEDICAL MISSION PROGRAM IN EL SALVADOR. THIS MISSION USES PEACEHEALTH MEDICAL PROFESSIONALS TO RENDER HEALTHCARE ASSISTANCE TO PEOPLE WITH LIMITED FINANCIAL RESOURCES. THESE ACTIVITIES ARE IN THE PEACEHEALTH BUDGET AND ARE INCLUDED IN THE OPERATING RESULTS OF PEACEHEALTH THE SAME AS OTHER PEACEHEALTH OPERATIONS. THE MISSION PROGRAM IS SUBJECT TO THE SAME MANAGEMENT CONTROL AND OVERSIGHT AS THE ORGANIZATION'S DOMESTIC PROGRAMS.
PART III ACCOUNTING METHOD:

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,905,880TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,905,880NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$755,729,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$493,739,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$261,990,716NetCommunityBenefitExpnsAmt
Total Expense0.07550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$803,635,624TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$493,739,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$309,896,596NetCommunityBenefitExpnsAmt
Total Expense0.08930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,913,857TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$114,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,799,550NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,531,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,227,895DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,303,197NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,768,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,271,322DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,497,280NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,675,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,675,752NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,889,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,613,572DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,275,779NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$823,524,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500,352,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$323,172,375NetCommunityBenefitExpnsAmt
Total Expense0.09320TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,923TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,923NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,923TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,923NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$76,207,452BadDebtExpenseAmt
Bad Debt Expense Attributable$30,066,128BadDebtExpenseAttributableAmt
Reimbursed By Medicare$610,402,422ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$691,903,876CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$81,501,454MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities10HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
PH SACRED HEART MED CTR AT RIVERBEND
13333 RIVERBEND DRIVESPRINGFIELDOR97477Yes (X)Yes (X)Yes (X)
PH SACRED HEART MED CTR UNIV DISTRICT
21255 HILYARD STREETEUGENEOR97401Yes (X)Yes (X)Yes (X)
PH SOUTHWEST MEDICAL CENTER
3400 NE MOTHER JOSEPH PLVANCOUVERWA98683Yes (X)Yes (X)Yes (X)
PH ST JOSEPH MEDICAL CENTER
42901 SQUALICUM PARKWAYBELLINGHAMWA98225Yes (X)Yes (X)Yes (X)
PH ST JOHN MEDICAL CENTER
51615 DELAWARE STREETLONGVIEWWA98632Yes (X)Yes (X)Yes (X)
PH KETCHIKAN MEDICAL CENTER
63100 TONGASS AVENUEKETCHIKANAK99901Yes (X)Yes (X)Yes (X)Yes (X)
PH PEACE HARBOR MEDICAL CENTER
7400 9TH STREETFLORENCEOR97439Yes (X)Yes (X)Yes (X)
PH COTTAGE GROVE COMMUNITY MED CTR
81515 VILLAGE DRIVECOTTAGE GROVEOR97424Yes (X)Yes (X)Yes (X)
PH PEACE ISLAND MEDICAL CENTER
91117 SPRING STREETFRIDAY HARBORWA97401Yes (X)Yes (X)Yes (X)
PH UNITED GENERAL MEDICAL CENTER
104000 HOSPITAL DRIVESEDROWOOLLEYWA98284Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PEACEHEALTH.ORG/PATIENT-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.PEACEHEALTH.ORG/FINANCIAL-ASSISTANCE-APPLICATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PEACEHEALTH.ORG/PLAIN-LANGUAGE-SUMMARYFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY REPORTING GROUP APART V, SECTION B, LINE 5: TO OBTAIN CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE PEACEHEALTH MEDICAL CENTERS, THE COMMUNITY HEALTH NEEDS ASSESSMENTS TOOK INTO ACCOUNT INFORMATION FROM: 1) PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. 2) FEDERAL, TRIBAL, REGIONAL, STATE, AND LOCAL HEALTH DEPARTMENTS AND AGENCIES. 3) LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. 4) REVIEW OF AVAILABLE PUBLISHED COMMUNITY HEALTH DATA. 5) MEETINGS WITH COMMUNITY GROUPS AND PUBLIC OFFICIALS; PUBLIC FORUMS, FOCUS GROUPS AND COMMUNITYWIDE HEALTH ASSET SURVEY AND KEY INFORMANT INTERVIEWS.PLEASE REFER TO THE PUBLISHED CHNAS FOR FURTHER DETAILS. THESE REPORTS CAN BE FOUND AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENT
FACILITY REPORTING GROUP APART V, SECTION B, LINE 6A: PEACEHEALTH HOSPITALS WORK IN CONCERT TO CONDUCT CHNAS IF THEY SERVE THE SAME COMMUNITY OR AN OVERLAPPING COMMUNITY. PEACEHEALTH HOSPITALS WITHIN A NETWORK (GEOGRAPHIC REGION) ALSO WILL WORK TOGETHER EVEN WHEN THE COMMUNITIES ARE NOT OVERLAPPING.ALL HOSPITALS CONDUCTED INDEPENDENT CHNA'S FOR THE 2019-2021 CYCLE. ALTHOUGH INDEPENDENT, THE OVERALL PEACEHEALTH SYSTEM SHARED ASSESSMENT OUTCOMES FROM ALL LOCATIONS. THE FOLLOWING HOSPITALS CONDUCTED CHNA'S: SACRED HEART MEDICAL CENTER AT RIVERBEND; SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT; PEACEHEALTH SOUTHWEST MEDICAL CENTER; ST. JOSEPH MEDICAL CENTER; ST. JOHN MEDICAL CENTER; KETCHIKAN MEDICAL CENTER; PEACE HARBOR MEDICAL CENTER; COTTAGE GROVE COMMUNITY MEDICAL CENTER; PEACE ISLAND MEDICAL CENTER; UNITED GENERAL MEDICAL CENTER.
FACILITY REPORTING GROUP APART V, SECTION B, LINE 6B: REFER TO THE PUBLISHED CHNAS AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENTFOR DETAILS ABOUT WHAT ORGANIZATIONS PARTICIPATED IN THE CHNAS. THE PEACEHEALTH HOSPITALS' CHNAS WERE UNDERTAKEN CONCURRENT WITH THE PLANNING ACTIVITIES OF COMMUNITY HEALTH ORGANIZATIONS IN THE STATE, REGION AND COUNTY. THE FOLLOWING HOSPITAL FACILITIES AND ORGANIZATIONS COLLABORATED IN THE COMPLETION OF THE CHNAS:SACRED HEART MEDICAL CENTER RIVERBEND, SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT, COTTAGE GROVE COMMUNITY MEDICAL CENTER AND PEACE HARBOR MEDICAL CENTER COLLABORATED WITH THE OREGON STATE HEALTH IMPROVEMENT PLAN, LIVE HEALTHY LANE (LHL), UNITED WAY OF LANE COUNTY, SIUSLAW VISION, AND BE YOUR BEST.ST. JOSEPH MEDICAL CENTER, PEACE ISLAND MEDICAL CENTER, AND UNITED GENERAL MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, SAN JUAN COUNTY COMMUNITY HEALTH INITIATIVES CONSORTIUM (CHIC), SAN JUAN ISLAND COMMUNITY FOUNDATION'S COMMUNITY NEEDS TASKFORCE, WHATCOM COUNTY HEALTH DEPARTMENT, HEALTHY WHATCOM TEAM, SKAGIT COUNTY POPULATION HEALTH TRUST, AND THE NORTH SOUND ACCOUNTABLE COMMUNITY OF HEALTH (NS-ACH). THE NS-ACH INCLUDES REPRESENTATIVES FROM THE FIVE-COUNTY AREA THAT INCLUDES SAN JUAN ISLAND, SKAGIT, SNOHOMISH AND WHATCOM COUNTIES.KETCHIKAN MEDICAL CENTER COLLABORATED WITH THE STATE OF ALASKA, THE KETCHIKAN WELLNESS COALITION, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM, AND KETCHIKAN INDIAN COMMUNITY. SOUTHWEST MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, CLARK COUNTY PUBLIC HEALTH DEPARTMENT, THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON, AND SOUTHWEST WASHINGTON ACCOUNTABLE COMMUNITY OF HEALTH (SWACH).ST. JOHN MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, COWLITZ COUNTY PUBLIC HEALTH DEPARTMENT, CASCADE PACIFIC ACTION ALLIANCE; THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON, AND PATHWAYS 2020.
FACILITY REPORTING GROUP APART V, SECTION B, LINE 7D: ALL CHNA'S AND CHNA REPORTS ARE AVAILABLE UPON REQUEST.FACILITY REPORTING GROUP A:PART V, SECTION B, LINE 9: ALL PEACEHEALTH HOSPITALS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM APRIL THROUGH JUNE 2020. THESE ASSESSMENTS ARE CONDUCTED EVERY THREE YEARS. PEACEHEALTH COMPLETED THE 2022-2025 CHNA CYCLE IN THE FALL OF 2022.
FACILITY REPORTING GROUP APART V, SECTION B, LINE 11: PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT:WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENTTHE PUBLISHED CHNAS CONTAIN THE IMPLEMENTATION PLAN(S) COVERING HOW THE PEACEHEALTH MEDICAL CENTERS ARE ADDRESSING THE SIGNIFICANT NEEDS OF THEIR RESPECTIVE COMMUNITIES.
FACILITY REPORTING GROUP APART V, SECTION B, LINE 13H: PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA THAT ASSESS AN INDIVIDUAL'S ABILITY TO PAY FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES.FOR ADDITIONAL DESCRIPTION, REFER TO SCHEDULE H, PART VI EXPLANATION FOR PART I, LINE 3C.FACILITY REPORTING GROUP A:PART V, SECTION B, LINE 22D: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)LIMITATION ON CHARGES AN ELIGIBLE INDIVIDUAL RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE UNDER A PEACEHEALTH'S FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE. TO DETERMINE AMOUNTS GENERALLY BILLED (AGB), THE "LOOK BACK" METHOD IS APPLIED FOR MEDICARE FEE-FOR-SERVICE AND PRIVATE INSURER ACCOUNTS.PEACEHEATH HAS A FAP THAT PROVIDES FOR DISCOUNTS TO ELIGIBLE INDIVIDUALS ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. WHILE THE RATE INSURED INDIVIDUALS ARE ULTIMATELY CHARGED VARIES WITH CONTRACT AND BENEFIT TERMS, WE BELIEVE THAT OUR FAP DISCOUNTS PROVIDE ELIGIBLE INDIVIDUALS WITH BETTER OR SIMILAR DISCOUNTS. OUR MINIMUM UNINSURED FAP REDUCTION IS 70% WITH A MAXIMUM UNINSURED DISCOUNT OF 100%. FOR INSURED ACCOUNTS WE OFFER DISCOUNTS RANGING FROM 70% TO 100% DEPENDING ON FEDERAL POVERTY GUIDELINES. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAP.
PART V, SECTION B, LINES 7A AND 10A:THE CHNA CAN BE VIEWED AT:WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTTHE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS INCLUDED IN THE CHNA.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AS WELL AS THE FOLLOWING CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES.CONSIDERATION FOR FINANCIAL ASSISTANCE INCLUDES A REVIEW OF:* GROSS HOUSEHOLD INCOME* NUMBER OF PEOPLE IN THE HOME* OTHER EXTENUATING CIRCUMSTANCES. EXAMPLES INCLUDE: THE REMAINING BALANCE TO BE PAID AFTER ALL REDUCTIONS, HOUSEHOLD INCOME, AND MEDICAL STATUS OF PATIENT/FAMILY.
PART I, LINE 7:THE COSTING METHOLODOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I LINE 7 IS AS FOLLOWS:COST TO CHARGE RATIOS WERE CALCULATED BY TOTAL BUSINESS UNIT OPERATING EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE. THIS RATIO WAS THEN APPLIED TO THE PATIENT CHARGES BY FINANCIAL CLASS IN THE BUSINESS UNIT TO ESTIMATE COST BY FINANCIAL CLASS. THE COST BY FINANCIAL CLASS WAS THEN OFFSET BY REVENUE, INCLUDING ALLOCATIONS OF REVENUE OUTSIDE OF THE BILLING SYSTEM. THE REVENUE OUTSIDE OF THE BILLING SYSTEM CONSISTS OF PROVIDER TAXES, 3RD PARTY SETTLEMENTS, AND OTHER OFFSETTING REVENUE RECORDED IN THE GENERAL LEDGER. FOR CHARITY CARE, THE COST TO CHARGE RATIO WAS APPLIED TO ALL CHARITY CARE DEDUCTIONS.PART I, LINE 7THE REPORTED COMMUNITY BENEFIT AMOUNTS DO NOT CAPTURE CERTAIN ADDITIONAL COMMUNITY BENEFIT ACTIVITIES AND CONTRIBUTIONS MADE DIRECTLY BY THE PEACEHEALTH AFFILIATED, SEPARATELY INCORPORATED FOUNDATIONS. PROCESSES ARE STILL UNDERWAY TO ALIGN AND COORDINATE ALL COMMUNITY BENEFIT TRACKING.
PART II, COMMUNITY BUILDING ACTIVITIES:PEACEHEALTH'S COMMUNITY BUILDING ACTIVITIES ARE AIMED AT THE CAUSES OF HEALTH PROBLEMS, FREQUENTLY REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH IN A LOCAL COMMUNITY, SUCH AS POVERTY, HOMELESSNESS, AND CARE ACCESS. THESE ACTIVITIES PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY'S RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE PEACEHEALTH MEDICAL CENTERS.
PART III, LINE 2:REFER TO PART III, LINE 4 EXPLANATION FOR A DESCRIPTION OF THE METHODOLOGY FOR COMPUTING BAD DEBTS.THE AMOUNTS REPORTED REPRESENT THE PATIENT ACCOUNT BALANCES WRITTEN OFF TO BAD DEBT DURING THE YEAR ALONG WITH THE CHANGE IN THE ESTIMATE IN THE BAD DEBT RESERVES ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE BALANCES LESS ANY RECOVERIES ON PATIENT ACCOUNTS.
PART III, LINE 3:THE METHODOLOGY USED TO DETERMINE THE AMOUNT ON PART III, LINE 3 IS AS FOLLOWS:DEMOGRAPHIC DATA REGARDING POPULATION POVERTY LEVELS IN EACH FACILITY'S SERVICE AREA WERE USED TO DETERMINE THE AMOUNT OF BAD DEBT REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.PART III, LINE 4: 6/30/2022 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (3) REVENUE RECOGNITION (A) NET PATIENT SERVICE REVENUE:PATIENT SERVICE REVENUE RELATES TO CONTRACTS WITH PATIENTS INVOLVING THIRD-PARTY PAYORS WHERE THE CORPORATION HAS AN OBLIGATION TO PERFORM HEALTHCARE SERVICES. THIS REVENUE IS RECORDED AT THE AMOUNT DUE FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS WHEN THE PERFORMANCE OBLIGATIONS ARE SATISFIED. THE CORPORATION BASES THE IMPLICIT PRICE CONCESSIONS ON HISTORICAL COLLECTIBILITY DATA BY PAYOR USING A PORTFOLIO APPROACH TO RECOGNIZE THE DEDUCTIONS NETTED AGAINST REVENUE WHEN IT IS RECOGNIZED.
PART III, LINE 8:THE CALCULATION FOR PART III, LINE 8 IS COMPLETED USING MEDICARE COST REPORT DATA.THE MEDICARE AMOUNTS LISTED IN PART III, SECTION B ON LINES 5, 6, AND 7 ARE REPORTED FROM THE MEDICARE COST REPORTS AND DO NOT REPRESENT ALL OF THE REVENUES AND COSTS ASSOCIATED WITH PARTICIPATION IN MEDICARE PROGRAMS BY PEACEHEALTH. PART III SECTION B DOES NOT ALLOW FOR A FULL REPORTING OF MEDICARE REVENUES AND COSTS AS THE INSTRUCTIONS TO THE FORM 990 LIMIT MEDICARE REVENUES AND ALLOWABLE COSTS TO THOSE FROM THE MEDICARE COST REPORT. REVENUE AND COSTS FROM MEDICARE PART C PATIENTS, PART B PHYSICIAN SERVICES BILLED BY THE ORGANIZATION, AND CLINICAL LABORATORY SERVICES WERE NOT INCLUDED IN THE MEDICARE COST REPORT. IN ADDITION, HOSPITALS INCUR OTHER COSTS TO PROVIDE CARE THAT MEDICARE DOES NOT ALLOW IN THE COST REPORT.THE TOTAL REVENUES AND COSTS ATTRIBUTABLE TO ALL MEDICARE SERVICES ARE $610,402,422 AND $691,903,876 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF $81,501,454.
PART III, LINE 9B:FINANCIAL ASSISTANCE PROGRAM INFORMATION IS PRESENT ON PEACEHEALTH STATEMENTS AND BILLINGS. ACCOUNTS ARE NOT ASSIGNED TO COLLECTION AGENCIES PRIOR TO 120 DAYS FROM THE DATE OF FIRST BILLING. FINANCIAL ASSISTANCE APPLICATIONS FOR ACCOUNTS THAT HAVE BEEN ASSIGNED TO A COLLECTION AGENCY MUST BE SUBMITTED WITH PROOF OF INCOME FOR THE DATE(S) OF SERVICE, IF A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED FOR AN ACCOUNT PREVIOUSLY ASSIGNED TO COLLECTION, THE COLLECTION AGENCY IS REQUESTED TO HOLD FURTHER ACTIONS UNTIL THE RESULTS OF THE PENDING FINANCIAL ASSISTANCE REVIEW ARE AVAILABLE. IF THE REVIEW SHOWS THE PATIENT QUALIFIES FOR THE REDUCTION OR ELIMINATION OF THE DEBT, APPROPRIATE ACTIONS ARE TAKEN TO AMEND OR CORRECT PREVIOUS ACTIONS.THE COLLECTION POLICIES INVOLVE THE ISSUANCE OF A BILL ON OR SHORTLY AFTER DISCHARGE OR DEATH OF THE BENEFICIARY TO THE PARTY RESPONSIBLE FOR THE PATIENTS PERSONAL FINANCIAL OBLIGATIONS. THESE POLICIES ALSO INCLUDE OTHER ACTIONS SUCH AS SUBSEQUENT BILLINGS, COLLECTION LETTERS AND TELEPHONE CALLS OR PERSONAL CONTACTS WITH THIS PARTY WHICH CONSTITUTE A GENUINE, RATHER THAN A TOKEN, COLLECTION EFFORT.NO ACTIONS CONSTITUTING EXTRAORDINARY COLLECTION ACTIONS ARE UNDERTAKEN PRIOR TO DETERMINING IF AN INDIVIDUAL IS FAP ELIGIBLE. REFER TO THE SCHEDULE H, PART V SECTION ON BILLING AND COLLECTIONS.
PART VI, LINE 2:THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CUSTOMIZED TO THE LOCAL COMMUNITY. EACH PEACEHEALTH HOSPITAL CONDUCTS ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT.PEACEHEALTH PARTNERS WITH A DIVERSE GROUP OF COMMUNITY ORGANIZATIONS, INCLUDING MEDICAL PROFESSIONALS, OTHER NOT-FOR-PROFIT ORGANIZATIONS, AND STATE AND LOCAL GOVERNMENT AGENCIES TO IDENTIFY AND ASSESS THE SPECIFIC NEEDS OF THE COMMUNITIES IN WHICH IT SERVES.IN ORDER TO DETERMINE AND ACT ON THE HEALTH CARE NEEDS OF THE COMMUNITY PEACEHEALTH HAS ESTABLISHED A COMMITTEE OF STAFF, BOARD MEMBERS AND VOLUNTEERS TO REVIEW AND ACT ON FUNDING REQUESTS FROM COMMUNITY-BASED ORGANIZATIONS. IN MAKING THE CASE FOR FUNDING, APPLICANTS MUST THOROUGHLY EXPLAIN THE NEED, THE POPULATION SERVED, THE EFFECTIVENESS OF THEIR PROGRAMS AND THE DESIRED OUTCOME. IN ADDITION TO HELPING BOARD COMMITTEES MAKE WISE STRATEGIC INVESTMENT IN PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY NEEDS, THIS PROCESS ALSO KEEPS STAFF AND BOARD MEMBERS ATTUNED TO CHANGES IN THE COMMUNITY.WHEN PEACEHEALTH EVALUATES A COMMUNITY'S NEED FOR A PARTICULAR SERVICE, A HOST OF FACTORS ARE ASSESSED, INCLUDING:-ALTERNATIVE WAYS TO ACCESS CARE-THE ABILITY TO PROVIDE THE NECESSARY STAFF, EQUIPMENT AND SPACE-THE EFFECT ON THE COMMUNITY AND PATIENTS IF PEACEHEALTH DID NOT PROVIDE THE SERVICE-THE COMMUNITY'S BEST INTEREST-THE RESULTS OF AN ETHICAL DISCERNMENT ON THE OVERALL IMPACT TO THE COMMUNITY-ADDITIONAL COMMUNITY RESOURCES OR FUNDS AVAILABLE TO SUPPORT COMMUNITY NEED-OVERALL IMPACT OF ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO CARE.ADDITIONAL WAYS PEACEHEALTH STAYS IN TOUCH WITH THE COMMUNITY:- PATIENT COUNCILS: COMMUNITY MEMBERS PROVIDE INPUT AND FEEDBACK ON THE PATIENT EXPERIENCE, ISSUES, CONCERNS AND IDEAS.-COMMUNITY INVOLVEMENT: HOSPITAL STAFF SERVE ON NUMEROUS BOARDS, COMMITTEES AND TASK FORCES THAT ADDRESS COMMUNITY HEALTH PROBLEMS AND PROMOTE COMMUNITY HEALTH.- SPEAKERS BUREAU: HOSPITAL LEADERS AND EXPERTS ARE CALLED UPON TO ADDRESS COMMUNITY GROUPS ON A VARIETY OF HEALTH CARE TOPICS TAKING FEEDBACK, ANSWERING QUESTIONS AND LISTENING TO CONCERNS AND NEEDS. -VOLUNTEERING: HOSPITAL STAFF PARTICIPATE IN SERVICE DAYS, GROUP ACTIVITIES AND ONE ON ONE ACTIVITIES TO DONATE TIME AND EXPERTISE TO LOCAL NONPROFITS ADDRESSING SOCIAL DETERMINANTS OF HEALTH.
PART VI, LINE 3:PEACEHEALTH HAS A TIME-HONORED TRADITION OF PROVIDING HEALTH CARE SERVICES TO THE SICK AND AFFLICTED REGARDLESS OF ABILITY TO PAY. THIS CONCEPT IS CENTRAL TO OUR MISSION AND IS REINFORCED THROUGH OUR NEW EMPLOYEE ORIENTATION TRAINING AND DEVELOPMENT PROGRAMS, LEADERSHIP MEETINGS, AND SPECIAL PROGRAMS SUCH AS LEADERSHIP IN MINISTRY.PEACEHEALTH DELIVERS COST SAVINGS TO NEEDY PATIENTS VIA OUR FINANCIAL ASSISTANCE POLICY (FAP). THE FAP PROGRAM PROVIDES FREE OR REDUCED-COST CARE TO LOW-INCOME INDIVIDUALS. QUALIFIED INDIVIDUALS RECEIVE A LETTER WHICH THEY MAY PRESENT JUST AS ONE WOULD AN INSURANCE CARD. MANY INDEPENDENT PROVIDERS IN THE COMMUNITY NOW ACCEPT PEACEHEALTH'S FAP PROGRAM AS THEIR BENCHMARK FOR PROVIDING SERVICES AT REDUCED OR NO CHARGE. OUR FAP ASSISTANCE PROVIDES MEDICALLY NECESSARY AND SOME PREVENTATIVE SERVICES AT PEACEHEALTH FACILITIES AT A REDUCED COST OR WITHOUT CHARGE WHEN PAYMENT CANNOT BE OBTAINED THROUGH ALL OTHER AVAILABLE FINANCIAL RESOURCES. THE FAP PROGRAM IS SECONDARY TO ALL OTHER RESOURCES SUCH AS INSURANCE, THIRD PARTY LIABILITY PAYERS, GOVERNMENT PROGRAMS, OUTSIDE AGENCY PROGRAMS, OR PRIVATE MEANS. THE PURPOSE OF THE PROGRAM IS TO HELP MANAGE THE DELICATE BALANCE OF FINANCIAL HEALTH AND WISE STEWARDSHIP WITH OUR MISSION OF PROVIDING COMMUNITY SERVICES IN ALL OF OUR SERVICE AREAS. OUR FAP ENSURES THAT PATIENTS RECEIVE FAIR AND EQUAL FINANCIAL TREATMENT ACROSS PEACEHEALTH, AND IT WORKS TOGETHER WITH OUR FINANCIAL COUNSELING SERVICES TO HELP PEACEHEALTH IDENTIFY PATIENTS WHO CAN BENEFIT FROM FINANCIAL ASSISTANCE.HERE IS AN EXAMPLE OF HOW WE WORK WITH OUR LOCAL COMMUNITIES TO ENROLL PEOPLE IN THE PROGRAM: PEACEHEALTH SACRED HEART MEDICAL CENTER-UNIVERSITY DISTRICT WORKS CLOSELY WITH THE WHITEBIRD CLINIC THE AREA FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO ENSURE THAT ALL ELIGIBLE PATIENTS SEEKING MEDICAL CARE KNOW ABOUT THE PEACEHEALTH FINANCIAL ASSISTANCE PROGRAM. WHITEBIRD STAFF WORK WITH THE MEDICAL CENTER TO FOLLOW UP ON PATIENTS WHO FREQUENT THE EMERGENCY DEPARTMENT FOR CARE AND INFORM THEM OF AVAILABLE RESOURCES, INCLUDING POSSIBLE FINANCIAL ASSISTANCE. PATIENTS REFERRED FROM COMMUNITY HEALTH CENTERS SEEKING ACCESS TO DONATED SPECIALTY CARE ARE ROUTINELY ENROLLED IN FINANCIAL ASSISTANCE AS PART OF THE PROCESS FOR DETERMINING ELIGIBILITY FOR COMMUNITY-WIDE DONATED CARE. OUR UNIVERSITY DISTRICT HOSPITAL LOCATION IN PARTNERSHIP WITH WHITEBIRD IS PARTICULARLY POISED TO SERVE MINORITY POPULATIONS, THE UNDER-INSURED AND UN-INSURED AND THOSE NOT ACCESSING CARE.COMMUNICATION: ELIGIBLE PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH A VARIETY OF COMMUNICATION CHANNELS INCLUDING:-REFERRALS FROM COMMUNITY PARTNERS, INCLUDING NONPROFIT COMMUNITY CLINICS THAT ARE FREE OR LOW-COST- INFORMATION POSTED ON OUR WEB SITE AT WWW.PEACEHEALTH.ORG-SIGNAGE IN OUR WAITING ROOMS*-BROCHURES THROUGHOUT OUR FACILITIES**-FINANCIAL COUNSELING.*AS PART OF OUR BASELINE OUTREACH PLAN, PEACEHEALTH POSTS SIGNS IN THE FOLLOWING AREAS:- REGISTRATION AREAS- RECEPTION AREA- PAY STATIONS**BROCHURES ARE MADE AVAILABLE IN THE FOLLOWING AREAS:-PHYSICIAN OFFICES-COUNTY HEALTH DEPARTMENTS-REGISTRATION BOOTH/DESK-CHECK-IN AREAS (LAB, IMAGING, ETC.)-WAITING AREAS-EXISTING BROCHURE DISPLAYS-ADMINISTRATION-PATIENT EXAM ROOMS (PROVIDER OFFICES)-PAY STATIONS
PART VI, LINE 4:PEACEHEALTH OPERATES TEN HOSPITALS IN THREE STATES. IN ALASKA, PEACEHEALTH RUNS THE KETCHIKAN MEDICAL CENTER IN KETCHIKAN. IN OREGON, PEACEHEALTH OPERATES SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT (EUGENE), SACRED HEART MEDICAL CENTER AT RIVERBEND (SPRINGFIELD), PEACE HARBOR MEDICAL CENTER (FLORENCE), AND COTTAGE GROVE COMMUNITY MEDICAL CENTER (COTTAGE GROVE). IN WASHINGTON, PEACEHEALTH OPERATES SOUTHWEST WASHINGTON MEDICAL CENTER (VANCOUVER), PEACEHEALTH ST. JOHN MEDICAL CENTER (LONGVIEW), PEACEHEALTH ST. JOSEPH MEDICAL CENTER (BELLINGHAM), PEACEHEALTH UNITED GENERAL MEDICAL CENTER (SEDRO-WOOLLEY), AND PEACEHEALTH PEACE ISLAND MEDICAL CENTER (FRIDAY HARBOR).THE 2020 POPULATION OF ALASKA IS APPROXIMATELY 724,357, A 1.95% INCREASE COMPARED TO 2010. THE POPULATION OF KETCHIKAN GATEWAY-BOROUGH, AK IS APPROXIMATELY 13,991, AN INCREASE OF 3.08% COMPARED TO 2010. OF THE KETCHIKAN GATEWAY-BOROUGH POPULATION:- 63.9% ARE WHITE (60.2% STATEWIDE) 7% LIVE BELOW THE FEDERAL POVERTY LINE- 3.7% ARE BLACK (3.7% STATEWIDE) 34.6% LIVE BELOW THE FEDERAL POVERTY LINE- 15.6% ARE AMERICAN INDIANA/ALASKA NATIVE (15.6% STATEWIDE) 18.2% LIVE BELOW THE FEDERAL POVERTY LINE- 6.5% ARE ASIAN (6.5% STATEWIDE) 4.9% LIVE BELOW THE FEDERAL POVERTY LINE- 1.4% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1.4% STATEWIDE) 50% LIVE BELOW THE FEDERAL POVERTY LINE- 7.3% ARE LATINX (7.3% STATEWIDE) 9.6% LIVE BELOW THE FEDERAL POVERTY LINE- 7.5% ARE MULTI-RACIAL (7.5% STATEWIDE) 15.3% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF ALASKA IS APPROXIMATELY 724,357, A 1.95% INCREASE COMPARED TO 2010. THE POPULATION OF PRINCE OF WALES-HYDER, AK IS APPROXIMATELY 5,889:- 44.9% ARE WHITE (60.2% STATEWIDE) 15.5% LIVE BELOW THE FEDERAL POVERTY LINE- 0.6% ARE BLACK (3.7% STATEWIDE) 10.3% LIVE BELOW THE FEDERAL POVERTY LINE- 42.6% ARE AMERICAN INDIANA/ALASKA NATIVE (15.6% STATEWIDE) 19.9% LIVE BELOW THE FEDERAL POVERTY LINE- 1.2% ARE ASIAN (6.5% STATEWIDE) 5.5% LIVE BELOW THE FEDERAL POVERTY LINE- 0.4% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1.4% STATEWIDE) 70% LIVE BELOW THE FEDERAL POVERTY LINE- 3.9% ARE LATINX (7.3% STATEWIDE) 13.8% LIVE BELOW THE FEDERAL POVERTY LINE- 8.6% ARE MULTI-RACIAL (7.5% STATEWIDE) 16.2% LIVE BELOW THE FEDERAL POVERTY LINE- 1% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. THE POPULATION OF EUGENE, OR IS APPROXIMATELY 176,654, AN INCREASE OF 12.98% COMPARED TO 2010. OF THE EUGENE POPULATION:- 78% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 18% LIVE BELOW THE FEDERAL POVERTY LINE- 2% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 28% LIVE BELOW THE FEDERAL POVERTY LINE- 1% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 36% LIVE BELOW THE FEDERAL POVERTY LINE- 5% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 33% LIVE BELOW THE FEDERAL POVERTY LINE- 1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 28% LIVE BELOW THE FEDERAL POVERTY LINE- 10% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 26% LIVE BELOW THE FEDERAL POVERTY LINE- 6% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 33% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. THE POPULATION OF SPRINGFIELD, OR IS APPROXIMATELY 64,078, AN INCREASE OF 7.87% COMPARED TO 2010. OF THE SPRINGFIELD POPULATION:- 80% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 20% LIVE BELOW THE FEDERAL POVERTY LINE- 11% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 40% LIVE BELOW THE FEDERAL POVERTY LINE- 6% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 23% LIVE BELOW THE FEDERAL POVERTY LINE- 2% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 10% LIVE BELOW THE FEDERAL POVERTY LINE- 2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 78% LIVE BELOW THE FEDERAL POVERTY LINE- 1% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 20% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. THE POPULATION OF FLORENCE, OR IS APPROXIMATELY 9,329, AN INCREASE OF 10.19% COMPARED TO 2010. OF THE FLORENCE POPULATION:- 90% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 14.7% LIVE BELOW THE FEDERAL POVERTY LINE- 0% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 100% LIVE BELOW THE FEDERAL POVERTY LINE- 1.4% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 25.4% LIVE BELOW THE FEDERAL POVERTY LINE- 1.8% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 9.7% LIVE BELOW THE FEDERAL POVERTY LINE- 0.1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 0% LIVE BELOW THE FEDERAL POVERTY LINE- 4.2% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 24.4% LIVE BELOW THE FEDERAL POVERTY LINE- 2.9% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 39.2% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. THE POPULATION OF COTTAGE GROVE, OR IS APPROXIMATELY 10,657, AN INCREASE OF 10.02% COMPARED TO 2010. OF THE COTTAGE GROVE POPULATION:- 82% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 17.6% LIVE BELOW THE FEDERAL POVERTY LINE- 1.2% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 10.3% LIVE BELOW THE FEDERAL POVERTY LINE- 0.7% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 26.4% LIVE BELOW THE FEDERAL POVERTY LINE- 0.5% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 0% LIVE BELOW THE FEDERAL POVERTY LINE- 0% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) N/A- 9.6% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 36.8% LIVE BELOW THE FEDERAL POVERTY LINE- 6.8% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 36.3% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF CLARK COUNTY, WA IS APPROXIMATELY 501,869, A 17.62% INCREASE COMPARED TO 2010. THE POPULATION OF VANCOUVER, WA IS APPROXIMATELY 187,615, AN INCREASE OF 15.96% COMPARED TO 2010. OF THE VANCOUVER POPULATION:- 71.5% ARE WHITE (77.5% COUNTYWIDE, 67.5% STATEWIDE) 7.9% LIVE BELOW THE FEDERAL POVERTY LINE- 2.3% ARE BLACK (2.4% COUNTYWIDE, 4.4% STATEWIDE) 14.8% LIVE BELOW THE FEDERAL POVERTY LINE- 0.6% ARE AMERICAN INDIANA/ALASKA NATIVE (1.2% COUNTYWIDE, 1.9% STATEWIDE) 11.4% LIVE BELOW THE FEDERAL POVERTY LINE- 5.6% ARE ASIAN (5% COUNTYWIDE, 9.6% STATEWIDE) 11% LIVE BELOW THE FEDERAL POVERTY LINE- 1.5% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.9% COUNTYWIDE, 0.8% STATEWIDE) 19.9% LIVE BELOW THE FEDERAL POVERTY LINE- 13.9% ARE LATINX (10.2% COUNTYWIDE, 13% STATEWIDE) 16.1% LIVE BELOW THE FEDERAL POVERTY LINE- 6.0% ARE MULTI-RACIAL (4.3% COUNTYWIDE, 4.9% STATEWIDE) 12.5% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF COWLITZ COUNTY, WA IS APPROXIMATELY 114,275, A 11.64% INCREASE COMPARED TO 2010. THE POPULATION OF LONGVIEW, WA IS APPROXIMATELY 12,685, AN INCREASE OF 6.37% COMPARED TO 2010. OF THE LONGVIEW POPULATION:- 78.7% ARE WHITE (83.2% COUNTYWIDE, 67.5% STATEWIDE) 13% LIVE BELOW THE FEDERAL POVERTY LINE- 1.4% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINE- 1.3% ARE AMERICAN INDIANA/ALASKA NATIVE (2.1% COUNTYWIDE, 1.9% STATEWIDE) 40.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1.8% ARE ASIAN (1.6% COUNTYWIDE, 9.6% STATEWIDE) 4.2% LIVE BELOW THE FEDERAL POVERTY LINE- 0.1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 0.5% LIVE BELOW THE FEDERAL POVERTY LINE- 11% ARE LATINX (9.3% COUNTYWIDE, 13% STATEWIDE) 25.8% LIVE BELOW THE FEDERAL POVERTY LINE- 8.1% ARE MULTI-RACIAL (3.7% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF COWLITZ COUNTY, WA IS APPROXIMATELY 114,275, A 11.64% INCREASE COMPARED TO 2010. THE POPULATION OF KELSO, WA IS APPROXIMATELY 12,685, AN INCREASE OF 6.37% COMPARED TO 2010. OF THE KELSO POPULATION:- 75.4% ARE WHITE (83.2% COUNTYWIDE, 67.5% STATEWIDE) 13% LIVE BELOW THE FEDERAL POVERTY LINE- 1.3% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINE- 4.1% ARE AMERICAN INDIANA/ALASKA NATIVE (2.1% COUNTYWIDE, 1.9% STATEWIDE) 40.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1.4% ARE ASIAN (1.6% COUNTYWIDE, 9.6% STATEWIDE) 4.2% LIVE BELOW THE FEDERAL POVERTY LINE- 0% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 0.5% LIVE BELOW THE FEDERAL POVERTY LINE- 16.8% ARE LATINX (9.3% COUNTYWIDE, 13% STATEWIDE) 25.8% LIVE BELOW THE FEDERAL POVERTY LINE- 6.2% ARE MULTI-RACIAL (3.7% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINE(SEE PART VI, LINE 4 CONTINUED)
PART VI, LINE 5:PEACEHEALTH IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH SYSTEM THAT OFFERS A FULL CONTINUUM OF HEALTH AND WELLNESS SERVICES IN THE NORTHWEST. PEACEHEALTH CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY OFFERING A VARIETY OF SERVICES TO ATTEND TO PREVENTATIVE, ACUTE AND CHRONIC HEALTH CARE SERVICES WITHIN THE COMMUNITIES IT SERVES, THE PEACEHEALTH MISSION IS TO CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH RELIEVING PAIN AND SUFFERING AND TREATING EACH PERSON IN A LOVING AND CARING WAY. OUR VISION IS TO ENSURE THAT EVERY PERSON RECEIVES SAFE, COMPASSIONATE CARE; EVERY TIME, EVERY TOUCH. PEACEHEALTH PROVIDES EXCEPTIONAL MEDICINE, AND ENDEAVORS TO ALWAYS SERVE THE MOST VULNERABLE AMONG US. PEACEHEALTH RECOGNIZES THE NEED FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO ACCESS HEALTH CARE AND PEACEHEALTH PROVIDES THOSE SERVICES EQUALLY TO ALL BASED ON THEAFFORDABLE CARE ACTS CHNA GUIDELINES, EVERY 501(C)3 HOSPITAL MUST CONDUCT ITS OWN UNIQUE CHNA. A CHNA HAS BEEN COMPLETED FOR EACH PEACEHEALTH HOSPITAL.THE COMPLETED CHNAS ALLOW FOR DEEPER UNDERSTANDING OF THE HEALTH NEEDS OF OUR COMMUNITIES. OUR BROAD ANALYSIS OF SECONDARY DATA, COMMUNITY FEEDBACK, AND SYSTEMWIDE PEACEHEALTH INPUT REVEALED A REMARKABLE LEVEL OF COMMONALITY IN THE HEALTH CONCERNS OF OUR VARIOUS COMMUNITIES. EACH HOSPITAL HAS IDENTIFIED PLANS TO ADDRESS PRIORITIZED NEEDS AND CONTINUES TO PURSUE OPPORTUNITIES TO ENHANCE THE OVERALL WELLBEING OF THE COMMUNITY. THESE PLANS ARE OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLANS FOR EACH AREA, WERE RELEASED IN WINTER 2019 AND ARE AVAILABLE ONLINE AT HTTPS://WWW.PEACEHEALTH.ORG/COMMUNITY-HEALTH-IMPROVEMENT-PLANS AND WILL BE UPDATED ANNUALLY.PEACEHEALTH HAS THE WHEREWITHAL TO IMPROVE POPULATION HEALTH IN ALL REGIONS SERVED BY PEACEHEALTH MEDICAL FACILITIES. THROUGH SYSTEMWIDE SHARING OF BEST PRACTICES, PEACEHEALTH IS IMPROVING AND SUPPORTING THE POPULATION HEALTH OF OUR COMMUNITIES ACROSS THE NORTHWEST.
PART VI, LINE 6:PEACEHEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATESAK,OR,WA
PART V, LINE 4 (CONTINUED):THE 2020 POPULATION OF WHATCOM COUNTY, WA IS APPROXIMATELY 237,347, A 17.76% INCREASE COMPARED TO 2010. THE POPULATION OF BELLINGHAM, WA IS APPROXIMATELY 96,014, AN INCREASE OF 18.70% COMPARED TO 2010. OF THE BELLINGHAM POPULATION:- 78.2% ARE WHITE (78.3% COUNTYWIDE, 67.5% STATEWIDE) 12.5% LIVE BELOW THE FEDERAL POVERTY LINE- 1.6% ARE BLACK (1.3% COUNTYWIDE, 4.4% STATEWIDE) 26.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1.1% ARE AMERICAN INDIANA/ALASKA NATIVE (3.4% COUNTYWIDE, 1.9% STATEWIDE) 24.9% LIVE BELOW THE FEDERAL POVERTY LINE- 5.9% ARE ASIAN (4.8% COUNTYWIDE, 9.6% STATEWIDE) 19.6% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.3% COUNTYWIDE, 0.8% STATEWIDE) 11.1% LIVE BELOW THE FEDERAL POVERTY LINE- 9.2% ARE LATINX (9.8% COUNTYWIDE, 13% STATEWIDE) 19.7% LIVE BELOW THE FEDERAL POVERTY LINE- 4.8% ARE MULTI-RACIAL (4% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF SKAGIT COUNTY, WA IS APPROXIMATELY 131,945, A 12.83% INCREASE COMPARED TO 2010. THE POPULATION OF SEDRO-WOOLEY, WA IS APPROXIMATELY 12,182, AN INCREASE OF 15.58% COMPARED TO 2010. OF THE SEDRO-WOOLEY POPULATION:- 74.8% ARE WHITE (74.1% COUNTYWIDE, 67.5% STATEWIDE) 9% LIVE BELOW THE FEDERAL POVERTY LINE- 2.1% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 18.4% LIVE BELOW THE FEDERAL POVERTY LINE- 0.7% ARE AMERICAN INDIANA/ALASKA NATIVE (2.7% COUNTYWIDE, 1.9% STATEWIDE) 24.9% LIVE BELOW THE FEDERAL POVERTY LINE- 1.3% ARE ASIAN (2.3% COUNTYWIDE, 9.6% STATEWIDE) 11.1% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 7% LIVE BELOW THE FEDERAL POVERTY LINE- 18.5% ARE LATINX (18.6% COUNTYWIDE, 13% STATEWIDE) 23% LIVE BELOW THE FEDERAL POVERTY LINE- 6.6% ARE MULTI-RACIAL (3.2% COUNTYWIDE, 4.9% STATEWIDE) 18.6% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF SAN JUAN COUNTY, WA IS APPROXIMATELY 18,498, A 17.20% INCREASE COMPARED TO 2010. THE POPULATION OF FRIDAY HARBOR, WA IS APPROXIMATELY 2,740, AN INCREASE OF 26.73% COMPARED TO 2010. OF THE SAN JUAN COUNTY POPULATION:- 88% ARE WHITE (67.5% STATEWIDE) 9.5% LIVE BELOW THE FEDERAL POVERTY LINE- 0.8% ARE BLACK (4.4% STATEWIDE) 6.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1..1% ARE AMERICAN INDIANA/ALASKA NATIVE (1.9% STATEWIDE) 5% LIVE BELOW THE FEDERAL POVERTY LINE- 1.5% ARE ASIAN (9.6% STATEWIDE) 16.8% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.8% STATEWIDE) 7.7% LIVE BELOW THE FEDERAL POVERTY LINE- 6.8% ARE LATINX (13% STATEWIDE) 20.4% LIVE BELOW THE FEDERAL POVERTY LINE- 2.6% ARE MULTI-RACIAL (4.9% STATEWIDE) 11.8% LIVE BELOW THE FEDERAL POVERTY LINE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (67 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
SISTERS OF ST JOSEPH OF PEACE
1663 KILLAMEY WAY PO BOX 248BELLEVUEWA98009910567741501(C)(3)$452,455$0MISSION SUPPORT
UNITY CARE NW
1616 CORNWALL AVE STE 2015BELLINGHAMWA98225912168190501(C)(3)$300,000$0COMMUNITY BENEFIT
LANE COMMUNITY COLLEGE
4000 E 30TH AVEEUGENEOR97405930546223GOVT$285,000$0EDUCATION SUPPORT
COMMUNITY ACTION OF SKAGIT COUNTY
330 PACIFIC PLACEMT VERNONWA98273911140086501(C)(3)$250,000$0COMMUNITY BENEFIT
COLUMBIA RIVER MENTAL HEALTH SERVICES
6926 NE FOURTH PLAIN BLVDVANCOUVERWA98661910609138501(C)(3)$250,000$0COMMUNITY BENEFIT
DAYBREAK YOUTH SERVICES
960 E 3RD AVESPOKANEWA99202911083936501(C)(3)$250,000$0COMMUNITY BENEFIT
ST VINCENT DE PAUL
PO BOX 24608EUGENEOR97402930454786501(C)(3)$182,625$0COMMUNITY BENEFIT
THE OREGON COMMUNITY
1221 SW YAMHILL ST SUITE 100PORTLANDOR97205237315673501(C)(3)$150,000$0COMMUNITY BENEFIT
EMERGENCY SUPPORT SHELTER
1330 11TH AVELONGVIEWWA98632911074716501(C)(3)$106,500$0COMMUNITY BENEFIT
SAN JUAN ISLAND FAMILY
PO BOX 1981FRIDAY HARBORWA98250912014083501(C)(3)$102,000$0COMMUNITY BENEFIT
NW WA INDIAN HEALTH BOARD
1400 KING ST SUITE 104BELLINGHAMWA98229910998755501(C)(3)$88,500$0COMMUNITY BENEFIT
AREA AGENCY ON AGING AND DISABILITIES OF SW WASHINGTON
1338 COMMERCE AVE UNIT 309LONGVIEWWA98632800224907GOVT$68,216$0COMMUNITY BENEFIT
COMMUNITIES IN SCHOOLS OF WHATCOM COUNTY
PO BOX 6071BELLINGHAMWA98227640956619501(C)(3)$60,000$0COMMUNITY BENEFIT
FOOD FOR LANE COUNTY
770 BAILEY HILL ROADEUGENEOR97402930888347501(C)(3)$60,000$0COMMUNITY BENEFIT
COUNTY OF WHATCOM
311 GRAND AVE STE 103BELLINGHAMWA98225916001383GOVT$60,000$0COMMUNITY BENEFIT
CATHOLIC RELIEF SERVICES
PO BOX 17090BALTIMOREMD20297135563422501(C)(3)$60,000$0COMMUNITY BENEFIT
SAN JUAN ISLAND EMS
1079 SPRING STREETFRIDAY HARBORWA98250911666544501(C)(3)$55,000$0COMMUNITY BENEFIT
BRIGID COLLINS FAMILY SUPPORT
1231 N GARDEN STREET 200BELLINGHAMWA98225943121951501(C)(3)$52,500$0COMMUNITY BENEFIT
NW YOUTH SERVICES
1020 N STATE STBELLINGHAMWA98225910970561501(C)(3)$52,500$0COMMUNITY BENEFIT
BOYS AND GIRLS CLUB OF WESTERN
1501 AIRPLACE ROADFLORENCEOR97439931236854501(C)(3)$52,500$0COMMUNITY BENEFIT
WESTERN LANE AMBULANCE DIST
2625 HWY 101FLORENCEOR97439936010869GOVT$50,000$0COMMUNITY BENEFIT
SOUTHWEST WASHINGTON LULAC COUNCIL
PO BOX 820749VANCOUVERWA98662452823779501(C)(4)$50,000$0COMMUNITY BENEFIT
BELLINGHAM FOOD BANK
1824 ELLIS STBELLINGHAMWA98225910918619501(C)(3)$47,000$0COMMUNITY BENEFIT
YWCA CLARK COUNTY
3609 MAIN STVANCOUVERWA98663910569882501(C)(3)$46,845$0COMMUNITY BENEFIT
OSLC DEVELOPMENTS INC
10 SHELTON MCMURPHEY BLVDEUGENEOR97401260423551501(C)(3)$45,000$0COMMUNITY BENEFIT
CLARK COUNTY
PO BOX 9825VANCOUVERWA98661916001299GOVT$40,000$0COMMUNITY BENEFIT
OREGON BUSINESS COUNCIL
1100 SW 6TH AVE 1608PORTLANDOR97204931240928501(C)(3)$37,500$0COMMUNITY BENEFIT
ROAD2HOME
PO BOX 3091BELLINGHAMWA98227843552212501(C)(3)$33,000$0COMMUNITY BENEFIT
OPPORTUNITY COUNCIL
1111 CORNWALL AVEBELLINGHAMWA98225910787820501(C)(3)$30,000$0COMMUNITY BENEFIT
COMMON THREADS FARM
516 E NORTH STREETBELLINGHAMWA98225205163417501(C)(3)$30,000$0COMMUNITY BENEFIT
LYDIA PLACE
PO BOX 28487BELLINGHAMWA98228943111948501(C)(3)$28,500$0COMMUNITY BENEFIT
UNITED WAY OF LANE COUNTY
3171 GATEWAY LOOPSPRINGFIELDOR97477930394142501(C)(3)$27,500$0COMMUNITY BENEFIT
UNITED GENERAL DISTRICT 304
2031 HOSPITAL DRSEDRO WOOLLEYWA98284810622393GOVT$26,960$0MISSION SUPPORT
CATHOLIC CHARITIES
2740 SE POWELL BLVD 1PORTLANDOR97202930386801501(C)(3)$25,000$0COMMUNITY BENEFIT
HIV ALLIANCE
1195 CITY VIEW STREETEUGENEOR97402930963546501(C)(3)$25,000$0COMMUNITY BENEFIT
VOLUNTEERS IN MEDICINE CLINIC
2260 MARCOLA ROADSPRINGFIELDOR97477931276816501(C)(3)$25,000$0COMMUNITY BENEFIT
CLARK COUNTY SHERIFFS OFFICE CITIZEN SEARCH AND RESCUE TEAM
505 NW 179THRIDGEFIELDWA98642602596667501(C)(3)$25,000$0COMMUNITY BENEFIT
CHUCKANUT HEALTH FDTN
1500 CORNWALL SUITE 201BELLINGHAMWA98225911192943501(C)(3)$24,500$0COMMUNITY BENEFIT
WHATCOM FAMILY YMCA
1256 N STATE STBELLINGHAMWA98225910482690501(C)(3)$24,000$0COMMUNITY BENEFIT
RESIDENTIAL YOUTH CARE INC
PO BOX 7475KETCHIKANAK99901920146378501(C)(3)$23,000$0COMMUNITY BENEFIT
LOWER COLUMBIA SCHOOL GARDENS
PO BOX 3010LONGVIEWWA98632910823636501(C)(3)$20,000$0NUTRITION EDUCATION
FRIENDS OF THE COTTAGE GROVE PUBLIC LIBRARY
PO BOX 104COTTAGE GROVEOR97424930762350501(C)(3)$20,000$0COMMUNITY BENEFIT
IDENTITY CLARK COUNTY
915 BROADWAY SUITE 302VANCOUVERWA98660911623724501(C)(3)$20,000$0COMMUNITY BENEFIT
WASHINGTON STATE CATHOLIC CONFERENCE
710 NINTH AVENUESEATTLEWA98104910973641501(C)(3)$20,000$0COMMUNITY BENEFIT
CHILDREN OF THE VALLEY
1318 S 18TH STREETMT VERNONWA98274262867395501(C)(3)$20,000$0COMMUNITY BENEFIT
SAN JUAN COUNTY ECONOMIC DEVELOPMENT COUNCIL
PO BOX 3053FRIDAY HARBORWA98250412067708501(C)(3)$19,000$0COMMUNITY BENEFIT
JUBILEE WOMENS CENTER
620 18TH AVENUE EASTSEATTLEWA98112911539920501(C)(3)$18,500$0COMMUNITY BENEFIT
KETCHIKAN WELLNESS COALITION
602 DOCK ST STE 108KETCHIKANAK99901270897521501(C)(3)$16,000$0COMMUNITY BENEFIT
DOMESTIC VIOLENCE AND SEXUAL ASSAULT SERVICES OF WHATCOM COUNTY
1407 COMMERCIAL STBELLINGHAMWA98225911066325501(C)(3)$15,000$0COMMUNITY BENEFIT
AHA AMER HEART ASSN
7272 GREENVILLE AVENUEDALLASTX75231135613797501(C)(3)$15,000$0COMMUNITY BENEFIT
FAMILY PROMISE OF SKAGIT VALLEY
PO BOX 335SEDRO WOOLLEYWA98284462556043501(C)(3)$15,000$0COMMUNITY BENEFIT
UNITED WAY OF WHATCOM COUNTY
1511 CORNWALL AVEBELLINGHAMWA98225910570788501(C)(3)$15,000$0COMMUNITY BENEFIT
HOPE
PO BOX 145CRAIGAK99921731668460501(C)(3)$15,000$0COMMUNITY BENEFIT
FIRST CITY HOMELESS SVC
PO BOX 23095KETCHIKANAK99901262565838501(C)(3)$12,000$0COMMUNITY BENEFIT
FRIENDS OF FLORENCE
PO BOX 598FLORENCEOR97439930931139501(C)(3)$10,800$0COMMUNITY BENEFIT
INTERFAITH COALITION OF WHATCOM COUNTY
PO BOX 30767BELLINGHAMWA98228911202013501(C)(3)$10,500$0COMMUNITY BENEFIT
MERCY HOUSING NW
6930 MARTIN LUTHER KING JR SSEATTLEWA98118911546525501(C)(3)$10,000$0HOUSING ASSISTANCE
INTERCOMMUNITY PEACE AND JUSTICE CENTER
1216 NE 65TH STSEATTLEWA98115943083964501(C)(3)$10,000$0MISSION SUPPORT
COUNTY OF SOUTH LANE DIST 4553
1275 SOUTH RIVER RDCOTTAGE GROVEOR97424936000589GOVT$10,000$0COMMUNITY BENEFIT
RONALD MCDONALD HOUSE
2620 N COMMERCIAL AVEPORTLANDOR97227930806912501(C)(3)$10,000$0COMMUNITY BENEFIT
FRIENDSHIP HOUSE
PO BOX 517MT VERNONWA98273911335750501(C)(3)$10,000$0COMMUNITY BENEFIT
DOCTORS WITHOUT BORDERS USA INC
333 SEVENTH AVENUE 2ND FLOORNEW YORKNY10001133433452501(C)(3)$10,000$0COMMUNITY BENEFIT
SAN JUAN AGRICULTURAL GUILD
PO BOX 1945FRIDAY HARBORWA98250262167336501(C)(3)$10,000$0COMMUNITY BENEFIT
SOUTHEAST ALASKA INDEPENDENT LIVING
3225 HOSPITAL DRIVE STE 300JUNEAUAK99801920144370501(C)(3)$9,000$0COMMUNITY BENEFIT
THE WATERFALL FOUNDATION
PO BOX 70049FAIRBANKSAK99707541980898501(C)(3)$6,170$0COMMUNITY BENEFIT
ADELANTE MUJER INC
757 S MAIN STREET SUITE 9FOND DU LACWI54935465147538501(C)(3)$6,000$0COMMUNITY BENEFIT
BURLINGTON-EDISON SCHOOL DISTRICT
927 E FAIRHAVEN AVEBURLINGTONWA98233910793880GOVT$5,100$0COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total501c3 Org67Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPEACEHEALTH PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING THE GRANT. GRANTS AND DONATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF A COMMUNITY NEED, SUCH AS HEALTHCARE EDUCATION. SINCE EACH GRANT IS CAREFULLY EXAMINED BEFORE IT IS GIVEN AND THE PURPOSE OF THE GRANT IS KNOWN BEFORE IT IS GIVEN, NO FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELIZABETH V DUNNE
PRESIDENT & CEO$1,497,814$0$4,109,867$0$28,071$0$561,806$0$12,676$0$6,210,234$0$0$0
RICHARD DECARLO
CHIEF OPERATING OFFICER/EVP$927,542$0$984,818$0$11,451$0$311,834$0$19,386$0$2,255,031$0$0$0
DARRIN MONTALVO
EVP CHIEF FINAN-GROWTH OFFICER$904,371$0$860,548$0$6,257$0$216,673$0$20,709$0$2,008,558$0$0$0
STEVEN GLENN
EVP CAO$620,084$0$660,005$0$31,461$0$230,438$0$4,047$0$1,546,035$0$0$0
WEN-HUAN S HO MD
MD GASTROENTEROLOGY$1,273,910$0$0$0$0$0$187,254$0$30,458$0$1,491,622$0$0$0
RON L SAXTON
EVP GEN COUNSEL/ASST SECRETARY$617,662$0$763,766$0$16,670$0$66,038$0$20,080$0$1,484,216$0$0$0
MICHAEL P DWYER
EVP STRATEGY/COMMUNITY HEALTH$608,656$0$610,022$0$12,321$0$232,759$0$12,137$0$1,475,895$0$0$0
MARK B HALLETT
FORMER SVP CMO$195,139$0$571,503$0$407,815$0$185,017$0$6,645$0$1,366,119$0$0$0
SEAN GREGORY MD
CHIEF EXECUTIVE COLUMBIA$670,813$0$354,540$0$0$0$271,794$0$25,657$0$1,322,804$0$0$0
MANJUNATH G RAJU MD
MD CARDIOLOGY$1,202,220$0$0$0$0$0$80,487$0$26,074$0$1,308,781$0$0$0
JOLINE M TREANOR
EVP PEOPLE & CULTURE (THRU 12/21)$571,550$0$533,012$0$20,412$0$166,513$0$12,090$0$1,303,577$0$0$0
CHARLES PROSPER
CHIEF EXECUTIVE NORTHWEST$661,597$0$348,119$0$8,450$0$207,784$0$25,642$0$1,251,592$0$0$0
JOHN F MACGREGOR MD
MD CARDIOLOGY$1,030,631$0$0$0$0$0$148,463$0$26,105$0$1,205,199$0$0$0
MARK EICHLER MD
MD GENERAL SURGERY$1,087,795$0$0$0$0$0$57,451$0$25,542$0$1,170,788$0$0$0
NANDAKUMAR SRINIVASAN MD
MD GASTROENTEROLOGY$882,137$0$141,014$0$0$0$110,889$0$26,245$0$1,160,285$0$141,014$0
MARY E KINGSTON
FORMER CHIEF EXECUTIVE OREGON$97,641$0$371,356$0$640,940$0$30,762$0$2,787$0$1,143,486$0$0$0
TODD SALNAS
CHIEF EXECUTIVE OREGON$623,220$0$304,501$0$12,430$0$31,477$0$25,598$0$997,226$0$0$0
MICHAEL C METCALF
CHIEF EXECUTIVE PHMG (THRU 1/22)$468,819$0$246,683$0$3,801$0$211,040$0$19,035$0$949,378$0$0$0
WILLIAM R WEIDER
SVP CIO$457,923$0$240,950$0$1,519$0$192,060$0$25,914$0$918,366$0$0$0
JOHN C BENNETT
FORMER CHIEF EXEC AMBULATORY$0$0$141,347$0$750,006$0$19,813$0$0$0$911,166$0$0$0
SARAH NESS
EVP PEOPLE AND CULTURE$414,716$0$297,258$0$12,193$0$150,809$0$3,397$0$878,373$0$0$0
CRAIG ARMSTRONG
ASST GEN COUNSEL/ASST SEC (THRU 4/22$245,675$0$74,774$0$0$0$29,088$0$24,123$0$373,660$0$0$0
KIMBERLY A HODGKINSON
FORMER EVP CFO$0$0$6,041$0$338,318$0$0$0$0$0$344,359$0$0$0
DALE J ZENDER
FORMER CHIEF EXECUTIVE NW$0$0$3,242$0$253,779$0$0$0$0$0$257,021$0$0$0
DIANNA KIELIAN
FORMER SVP MISSION/THEOLOGY & ETHICS$0$0$0$0$124,790$0$0$0$0$0$124,790$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION HAS POLICIES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR THESE ITEMS. FOR EXAMPLE, TRAVEL FOR COMPANIONS AND HOUSING ALLOWANCES ARE RELATED TO RELOCATION BENEFITS OR FIRST CLASS TRAVEL FOR FLIGHTS EXCEEDING SIX HOURS IN DURATION. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE INCOME.
PART I, LINES 4A-BTHE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, CERTAIN PHYSICIANS, AND OTHER HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN VARIOUS NONQUALIFIED RETIREMENT PLANS. CONTRIBUTIONS TO THESE PLANS AND RELATED INVESTMENT RETURNS ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION AND AS BONUS COMPENSATION WHEN PAID TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2021: KIMBERLY A. HODGKINSON $338,318 MARK B. HALLETT $404,530 DIANNA KIELIAN $124,790 JOHN C. BENNETT $750,006 MARY E. KINGSTON $638,316 DALE J. ZENDER $253,779 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2021 (DEFERRED/PAID): ELIZABETH V. DUNNE: $471,783/$2,120,806 CAROL AARON: $0/$4,413 RICHARD DECARLO: $280,173/$0 RON SAXTON: $0/$144,716 KIMBERLY A. HODKINSON: $0/$6,041 MICHAEL P. DWYER: $200,771/$0 STEVEN GLENN: $163,935/$0 JOLINE M. TREANOR: $139,005/$0 WILLIAM R. WEIDER: $139,471/$0 MARK B. HALLETT: $153,732/$320,805 MICHAEL C. METCALF: $170,352/$0 JOHN C. BENNETT: $0/$141,347 MARY E. KINGSTON: $1,755/$371,356 CHARLES PROSPER: $170,667/$0 DALE ZENDER: $0/$3,242 WEN-HUAN S. HO, MD: $74,377/$0 JOHN F. MACGREGOR, MD: $60,024/$0 MANJUNATH RAJU, MD: $43,940/$0 MARK EICHLER, MD: $28,363/$0 NANDAKUMAR SRINIVASAN: $32,942/$141,014 SEAN GREGORY: $244,447/$0 SARAH NESS: $90,040/$0 DARRIN MONTALVO: $213,773/$0 ADDITIONAL COMMENTARY WE ARE COMMITTED TO LIVING OUR CORE VALUES OF RESPECT, STEWARDSHIP, COLLABORATION AND SOCIAL JUSTICE. PEACEHEALTH MINISTRIES COMPETE FOR EXECUTIVE TALENT WITH BOTH FOR-PROFIT AND NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS THROUGHOUT THE COUNTRY DUE TO THE COMPLEXITY OF THE JOB. COMPETITIVE COMPENSATION PROGRAMS ARE CRITICAL TO ATTRACT AND RETAIN THE BEST EXECUTIVE TALENT. PEACEHEALTH IS COMMITTED TO COMPENSATION PRACTICES THAT ARE BOTH JUST AND COMPETITIVE. PEACEHEALTH USES A SINGLE PROCESS TO DETERMINE COMPENSATION FOR ALL CAREGIVERS, INCLUDING EXECUTIVES. THIS PROCESS INCLUDES REVIEWING THIRD-PARTY SURVEY DATA TO BENCHMARK SALARIES AGAINST SIMILAR JOBS AT OTHER HEALTH CARE SYSTEMS OF COMPARABLE SIZE AND COMPLEXITY. WE ALSO EVALUATE EXECUTIVE PERFORMANCE ON AN ANNUAL BASIS. THE PEACEHEALTH BOARD HAS A GOVERNANCE COMMITTEE COMPRISED OF DIVERSE INDIVIDUALS WITH MISSION, INDEPENDENT BUSINESS AND HUMAN RESOURCES EXPERTISE. THE COMMITTEE IS CHARGED WITH SETTING EXECUTIVE COMPENSATION, INCLUDING INCENTIVE PAY, BENEFITS AND RELATED POLICIES. AS PART OF THE TOTAL COMPENSATION PACKAGE, OTHER BENEFITS ARE PROVIDED CONSISTENT WITH THE HEALTH CARE MARKET. BENEFITS ARE DESIGNED TO SUPPORT OUR CULTURE AND VALUES, AND TO ENCOURAGE COMMITMENT AND RETENTION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA HEALTHCARE FAC AUTH
A911108929NONEAVAIL2013-02-27$53,464,898REFUND WHCFA 2008A ISSUED 11/2008000
OR FACILITIES AUTHORITY
B93600178768608JSB82014-03-18$71,088,211REFUND OFA08A&B '08, HHECFA '98000
OR FACILITIES AUTHORITY 2018 A
C93600178768608JXD82018-10-31$45,975,000REFUND OFA 2008 A-B000
OR FACILITIES AUTHORITY 2018 B
D93600178768608JXF32018-10-31$100,000,000REFUND OFA 2008 A-B000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A$53,464,898$53,464,8982013Yes (1)0Yes (1)Yes (1)
B$71,088,211$70,068,6492014Yes (1)0Yes (1)Yes (1)$1,019,562
C$45,975,000$45,975,000Yes (1)0Yes (1)Yes (1)
D$100,000,000$100,000,000Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000100.0001000Yes (1)
B00Yes (1)Yes (1)00.000100.0001000Yes (1)
C00Yes (1)Yes (1)00.000100.0001000Yes (1)
D00Yes (1)Yes (1)00.000100.0001000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)0000
B00Yes (1)000000
C00Yes (1)0Yes (1)0000
D00Yes (1)0Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART III, LINES 3A AND 4PERCENTAGE OF BOND FINANCED PROPERTY USED IN PRIVATE BUSINESS: A DE MINIMIS AMOUNT OF PRIVATE USE OCCURS. THE PUBLIC AUTHORITY'S BOND COUNSEL HAS REVIEWED AND APPROVED OF PEACEHEALTH'S CONTRACTS AND COMPLIANCE WITH REGARD TO THE PRIVATE BUSINESS USE OF BOND FINANCED PROPERTY.
SCHEDULE K, PART III, LINES 8A, 8B AND 8C:DISPOSITION OF BOND-FINANCED PROPERTY: IN THE ORDINARY COURSE OF BUSINESS, PEACEHEALTH ROUTINELY DISPOSES OF PROPERTY. DISPOSALS ARE GENERALLY DUE TO EQUIPMENT OBSOLESCENCE OR A TRADE IN ON NEW EQUIPMENT. IN A DISPOSAL WHERE CASH PROCEEDS ARE RECEIVED, THE PROCEEDS ARE EITHER: 1) REINVESTED IN QUALIFIED ASSETS AT A LOCATION COVERED BY A TEFRA NOTICE (TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1982), OR 2) BONDS ARE CALLED AND REDEEMED WITH THE PROCEEDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1OR FACILITIES AUTHORITY 2018 CBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN936001787BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2018-12-03BondIssuedDt
Issue Price$75,000,000IssuePriceAmt
PurposeREFUND OFA 2011 APurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$75,000,000TotalProceedsAmt
Capital Expenditures$75,000,000CapitalExpendituresAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00010PrivateBusUseByOthersPct
Total Private Business Use0.00010TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:CHARITY CARE AND COMMUNITY BENEFITS: PEACEHEALTH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO PAY FOR SERVICE. FINANCIAL ASSISTANCE PATIENTS RECEIVE CARE AT REDUCED COST OR NO CHARGE WHEN IT IS DETERMINED THAT PAYMENT CANNOT BE OBTAINED THROUGH INSURANCE, OUTSIDE AGENCIES, OR PRIVATE MEANS. PEACEHEALTH OFFERS INFORMATION ON AVAILABLE ASSISTANCE PRIOR TO ADMISSION, FINANCIAL ASSISTANCE IS ALSO AVAILABLE POST-CARE THROUGH FINANCIAL COUNSELING OTHER COMMUNITY BENEFIT COSTS INCLUDE THE UNREIMBURSED COST OF MEDICAID AND GOVERNMENT PROGRAMS, HEALTH EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. NET COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING ACTIVITIES FOR TAX YEAR 2021 WAS $323,172,375 AND 9,923 RESPECTIVELY AS INDICATED ON THE SCHEDULE H IN PART I, LINE 7K COLUMN (E) AND PART II, LINE 10 COLUMN (E).
FORM 990, PART VI, SECTION A, LINE 6PEACEHEALTH NETWORKS (EIN: 91-1230425) IS THE SOLE CORPORATE MEMBER OF PEACEHEALTH. PEACEHEALTH NETWORKS IS A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S ACCOUNTING DEPARTMENT WORKS CLOSELY WITH THE OUTSIDE ACCCOUNTING FIRM IT ENGAGES (KPMG) TO PREPARE AND REVIEW THE RETURN. THE EVP, CFO AND LEGAL DEPARTMENT REVIEW A DRAFT OF THE FORM 990 AND PROVIDE COMMENTS. THE FINAL DRAFT IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CA FORMAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO PEACEHEALTH BOARD MEMBERS AND OFFICERS AT LEAST ANNUALLY. RESPONSES ARE REVIEWED BY THE PEACEHEALTH ORGANIZATIONAL INTEGRITY DEPARTMENT AND ANY PERCEIVED OR REAL CONFLICTS OF CONCERN ARE DOCUMENTED IN A MANAGEMENT PLAN AND REVIEWED BY NETWORK AND BOARD LEADERSHIP. BOARD MEMBERS AND OFFICERS ARE OBLIGATED TO BRING ANY CHANGES IN STATUS VIS-A-VIS THE CONFLICT OF INTEREST POLICY TO THE BOARD'S ATTENTION FOR REVIEW AND DISPOSITION BETWEEN SURVEY PERIODS. IF PEACEHEALTH ORGANIZATIONAL INTEGRITY BELIEVES A DISCLOSURE POSES A POTENTIAL OR ACTUAL CONFLICT, IT MUST INDICATE TO THE COVERED PERSON HOW TO DISPOSE OF OR MANAGE THE CONFLICT. PEACEHEALTH ORGANIZATIONAL INTEGRITY INVOLVES LEADERS FROM OTHER DEPARTMENTS AS NEEDED TO REVIEW AND MANAGE DISCLOSED CONFLICTS OF INTEREST. IF PEACEHEALTH HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST OR OTHERWISE VIOLATED THIS POLICY OR REFUSED TO COOPERATE IN AN INVESTIGATION RELATED TO COMPLIANCE WITH THIS POLICY, IT MUST INFORM THE PERSON OF THE BASIS FOR THE BELIEF AND AFFORD AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, PEACEHEALTH DETERMINES A PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION UP TO AND INCLUDING DISSOLUTION OF THE PERSON'S AFFILIATION WITH PEACEHEALTH.
FORM 990, PART VI, SECTION B, LINE 15THE INDEPENDENT CHAIR OF THE PEACEHEALTH BOARD OF DIRECTORS REVIEWS AND RECOMMENDS, IN PARTNERSHIP WITH REPRESENTATIVES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS, THE COMPENSATION OF PEACEHEALTH'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTORS HAS ULTIMATE APPROVAL AUTHORITY FOR THE COMPENSATION FOR THE PRESDIENT/CHIEF EXECUTIVE OFFICER. FURTHERMORE, THE INDEPENDENT COMPENSATION CONSULTANT, WITH SUPPORT FROM MEMBERS OF THE HUMAN RESOURCES DEPARTMENT, DETERMINES COMPARABILITY DATA ACROSS VARIOUS INDUSTRY AND APPLICABLE FOR-PROFIT/NOT-FOR-PROFIT ORGANIZATIONS FOR PERIODICALLY INFORMING THE GOVERNANCE COMMITTEE OF THE BOARD ON THE MARKET COMPETITIVENESS OF THE PAY FOR PEACEHEALTH EXECUTIVES. DISCUSSIONS AND DECISIONS MADE DURING THE COMMITTEE MEETINGS ARE DOCUMENTED IN MEETING MINUTES. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN SEPTEMBER 2022, AND INCLUDED THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, NETWORK CHIEF EXECUTIVES, MEDICAL GROUP CHIEF EXECUTIVE, AND OTHER SENIOR NETWORK ROLES (INCLUDING CFO, COO, CAO).
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST.
FORM 990, PART VII, SECTION A:CAROL AARON WAS COMPENSATED AS AN EMPLOYEE, NOT IN HER CAPACITY AS A DIRECTOR. CRAIG ARMSTRONG WAS COMPENSATED AS AN EMPLOYEE, NOT IN HIS CAPACITY AS A DIRECTOR.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF INTEREST RATE SWAPS 49,900,760. LOSS ON BOND REFINANCING LOSS ON DEFINED BENEFIT PENSION TERMINATION -78,957,834. CHANGE IN INTEREST IN NET ASSETS OF RELATED FOUNDATIONS 71,894,112. CHANGE IN PENSION LIABILITY 69,522,411. OTHER CHANGES IN UNRESTRICTED NET ASSETS -282,610. NET TRANSFERS FROM AFFILIATES 1,739,209.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ZOOM MANUFACTURING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVEAddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
EIN861967518EIN
Primary ActivitiesSALESPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income-$900,282TotalIncomeAmt
End Of Year Assets-$1,490,473EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PEACEHEALTH NETWORKS
1115 SE 164TH AVENUEVANCOUVERWA98683911230425SUPPORTWA501(C)(3)LINE 12B, IIN/A0
PEACEHEALTH SW MEDICAL CENTER FDN
PO BOX 1600VANCOUVERWA98668911231436FUNDRAISINGWA501(C)(3)LINE 7Yes (1)PEACEHEALTH
HEALTH VENTURES
1115 SE 164TH AVENUEVANCOUVERWA98683911350776HEALTHCARE JVWA501(C)(3)LINE 12A, IYes (1)PEACEHEALTH
KETCHIKAN MEDICAL CENTER FDN
3100 TONGASS AVENUEKETCHIKANAK99901651225184FUNDRAISINGAK501(C)(3)LINE 7Yes (1)PEACEHEALTH
COTTAGE GROVE MEDICAL CENTER FDN
1515 VILLAGE DRIVECOTTAGE GROVEOR97424930688381FUNDRAISINGOR501(C)(3)LINE 7Yes (1)PEACEHEALTH
PEACE HARBOR MEDICAL CENTER FDN
400 NINTH STREETFLORENCEOR97439931084126FUNDRAISINGOR501(C)(3)LINE 7Yes (1)PEACEHEALTH
SACRED HEART MEDICAL CENTER FDN
PO BOX 10905EUGENEOR97440936026548FUNDRAISINGOR501(C)(3)LINE 7Yes (1)PEACEHEALTH
ST JOHN MEDICAL CENTER FDN
1615 DELAWARE STREET PO BOX 3LONGVIEWWA98632911538852FUNDRAISINGWA501(C)(3)LINE 7Yes (1)PEACEHEALTH
ST JOSEPH MEDICAL CENTER FDN
2901 SQUALICUM PARKWAYBELLINGHAMWA98225721545902FUNDRAISINGWA501(C)(3)LINE 7Yes (1)PEACEHEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndEINEINBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPct
RB AMBULATORY SURGERY CENTER
3355 RIVERBEND DRSPRINGFIELDOR97477MEDICALORN/A00
ARDON HEALTH HOLDINGS LLC
601 SW 2ND AVENUE 24TH FLOORPORTLANDOR97204PHARMACYDE00821561337PEACEHEALTH0.35000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
CLARE REASSURANCE
1115 SE 164TH AVEVANCOUVERWA98683981560395REINSURANCECJPH NETWORKSC0
LOWER COLUMBIA REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466157497POOLED INC FUNDPEACEHEALTHT0WA$95,433$1,834,6671.00000
OREGON REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466180599POOLED INC FUNDPEACEHEALTHT0WA$106,879$6,227,1831.00000
PEACEHEALTH AMBULATORY LLC
1115 SE 164TH AVEVANCOUVERWA98683862027568MEDICALPH NETWORKSC0WA
PEACEHEALTH CLINICALLY INTEGRATED NETWORK
1115 SE 164TH AVEVANCOUVERWA98683861975269MEDICALPH AMBULATORY LLCC0WA
PEACEHEALTH DIRECT CONTRACTING LLC
1115 SE 164TH AVEVANCOUVERWA98683861344009MEDICALPH AMBULATORY LLCC0WA
PEACEHEALTH NETWORKS ON DEMAND LLC
1115 SE 164TH AVEVANCOUVERWA98683832849989MEDICAL CLINICSPH NETWORKSC0WA
POOLED INCOME FUND OF PEACEHEALTH #1
1115 SE 164TH AVEVANCOUVERWA98683276030191POOLED INC FUNDPEACEHEALTHT0WA$883,362$10,104,8041.00000
SIUSLAW REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466221760POOLED INC FUNDPEACEHEALTHT0WA$87,380$1,933,4801.00000
SOUTHWEST REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466168710POOLED INC FUNDPEACEHEALTHT0WA$184,795$5,065,5101.00000
WHATCOM REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466129451POOLED INC FUNDPEACEHEALTHT0WA$197,037$3,578,9821.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH VENTURES
C$2,750,000AT COST
HEALTH VENTURES
L$41,550AT COST
PEACEHEALTH POOLED INCOME FUNDS
R$1,519,633AT COST
PEACEHEALTH POOLED INCOME FUNDS
S$738,180AT COST
RELATED FOUNDATIONS
C$866AT COST
RELATED FOUNDATIONS
N$15,415AT COST
RELATED FOUNDATIONS
O$935,233AT COST
RELATED FOUNDATIONS
P$198,257AT COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IV:FormAndLineReferenceDesc
ExplanationSPLIT INTEREST TRUSTS DISCLOSURE PEACEHEALTH HAS FORMED SEVERAL SPLIT INTEREST TRUSTS. THE TRUSTS ARE LISTED AS POOLED INCOME FUNDS ON THE SCHEDULE R, PART IV. THESE ENTITIES ACQUIRED PROPERTY FROM PEACEHEALTH IN SALE LEASE-BACK TRANSACTIONS CREATING A CAPITAL LEASE OBLIGATION. DURING THE YEAR A SERIES OF TRANSACTIONS OCCURRED BETWEEN PEACEHEALTH AND THE SPLIT INTEREST TRUSTS INCLUDING: 1) $2.2 MILLION IN RENT PAYMENTS FROM PEACEHEALTH TO THE SPLIT INTEREST TRUSTS AND 2) SPLIT INTEREST TRUSTS MADE $738,180 IN INTEREST AS PAYMENT ON DEBT TO PEACEHEALTH. AS OF 06/30/2022, THE SPLIT INTEREST TRUSTS HAVE A LIABILITY TO THE DONORS OF CERTAIN INTERESTED PERSONS AND OTHERS ENGAGED IN TRANSACTIONS WITH THE SPLIT INTEREST TRUSTS. DURING THE CURRENT FISCAL YEAR THESE INDIVIDUALS CONTRIBUTED NO MONEY TO THE SPLIT INTEREST TRUSTS. THE SPLIT INTEREST TRUSTS PAID IN AGGREGATE TO THESE INDIVIDUALS $115,582. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.ExplanationTxt