PEACEHEALTH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PEACEHEALTH (EIN 91-0939479)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202241339349310624
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T21:30:17-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1918 EIGHTH AVENUE SUITE 2900 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910939479 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACEHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEAC | BusinessNameControlTxt |
| Phone | 3607291000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DARRIN MONTALVO | PersonNm |
| Person Title | EXEC VP | PersonTitleTxt |
| Phone | 3607291000 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DARRIN | PersonFirstNm |
| Person Last | MONTALVO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 2069134000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DARRIN MONTALVO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,059,040,632 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PEACEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | WE CARRY ON THE HEALING MISSION OF JESUS CHRIST. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 19369 | TotalEmployeeCnt |
| Total Volunteers | 1824 | TotalVolunteersCnt |
| Total Gross UBI | $5,439,977 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $144,939,156 | PYContributionsGrantsAmt |
| CY Contributions Grants | $47,385,349 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,600,396,078 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,880,939,039 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,599,951 | PYInvestmentIncomeAmt |
| CY Investment Income | $114,167,074 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,298,673 | PYOtherRevenueAmt |
| CY Other Revenue | $12,364,479 | CYOtherRevenueAmt |
| PY Total Revenue | $2,808,233,858 | PYTotalRevenueAmt |
| CY Total Revenue | $3,054,855,941 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,191,298 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,760,859 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,687,852,156 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,766,272,614 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,140,125 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,157,907,931 | PYOtherExpensesAmt |
| CY Other Expenses | $1,252,325,231 | CYOtherExpensesAmt |
| PY Total Expenses | $2,846,951,385 | PYTotalExpensesAmt |
| CY Total Expenses | $3,022,358,704 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$38,717,527 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,497,237 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,377,024,546 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,237,184,240 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,078,990,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,521,427,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,298,034,336 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,715,756,344 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,101,897,312 | ExpenseAmt |
| Grant | $3,760,859 | GrantAmt |
| Revenue | $2,507,569,340 | RevenueAmt |
| Desc | HOSPITALS: 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $521,539,172 | ExpenseAmt |
| Revenue | $373,369,699 | RevenueAmt |
| Desc | CLINICS 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,623,436,484 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 923 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 19369 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF SEIRER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3607291000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KATHLEEN PRUITT CSJP | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MURPHY | ||||||||||
| SECRETARY | 40.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KARL CARRIER | ||||||||||
| BOD CHAIR | 40.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREA NENZEL CSJP | ||||||||||
| BOD VICE CHAIR | 40.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CHARLOTTE DAVENPORT CSJP | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TODD STRUMWASSER MD | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICK WOLLENBERG | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIM ACKMAN | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAN HOLLINGSHEAD | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEE KEARNEY | ||||||||||
| TREASURER | 40.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DONNA KING | ||||||||||
| DIRECTOR | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUTH WILLIAMS-BRINKLEY | ||||||||||
| DIRECTOR (START 01/01/21) | 10.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROL AARON | ||||||||||
| DIRECTOR (START 01/01/21) | 10.00 | 2.00 | Yes (X) | $381,801 | $0 | $9,245 | ||||
| ELIZABETH V DUNNE | ||||||||||
| PRESIDENT & CEO | 40.00 | 2.00 | $3,352,472 | $0 | $670,357 | Yes (X) | ||||
| CRAIG ARMSTRONG | ||||||||||
| ASSISTANT SECRETARY | 40.00 | 2.00 | $304,579 | $0 | $51,644 | Yes (X) | ||||
| RICHARD DECARLO | ||||||||||
| EXECUTIVE VP | 40.00 | 2.00 | $1,677,703 | $0 | $321,741 | Yes (X) | ||||
| RON L SAXTON | ||||||||||
| EXECUTIVE VP/ASST SECRETARY | 40.00 | 2.00 | $1,254,087 | $0 | $84,179 | Yes (X) | ||||
| DARRIN MONTALVO | ||||||||||
| EXECUTIVE VP | 40.00 | 2.00 | $1,572,191 | $0 | $26,290 | Yes (X) | ||||
| MICHAEL P DWYER | ||||||||||
| EXECUTIVE VP | 40.00 | 2.00 | $1,085,783 | $0 | $228,806 | Yes (X) | ||||
| STEVEN GLENN | ||||||||||
| EXECUTIVE VP | 40.00 | 2.00 | $963,808 | $0 | $218,745 | Yes (X) | ||||
| JOLINE M TREANOR | ||||||||||
| EXECUTIVE VP | 40.00 | 2.00 | $1,078,158 | $0 | $38,291 | Yes (X) | ||||
| WILLIAM R WEIDER | ||||||||||
| SENIOR VP | 40.00 | 2.00 | $676,279 | $0 | $196,468 | Yes (X) | ||||
| MARK B HALLETT | ||||||||||
| SENIOR VP | 40.00 | 2.00 | $882,122 | $0 | $219,195 | Yes (X) | ||||
| SARAH NESS | ||||||||||
| SENIOR VP | 40.00 | 2.00 | $464,291 | $0 | $62,861 | Yes (X) | ||||
| SEAN GREGORY | ||||||||||
| CHIEF EXECUTIVE COLUMBIA | 40.00 | 2.00 | $971,586 | $0 | $272,225 | Yes (X) | ||||
| JOHN C BENNETT | ||||||||||
| CHIEF EXEC AMBULATORY (THRU 10/03) | 40.00 | 4.00 | $1,130,093 | $0 | $63,548 | Yes (X) | ||||
| MARY E KINGSTON | ||||||||||
| CHIEF EXECUTIVE OREGON (THRU 2/5) | 40.00 | 4.00 | $1,087,847 | $0 | $252,608 | Yes (X) | ||||
| CHARLES PROSPER | ||||||||||
| CHIEF EXECUTIVE NORTHWEST | 40.00 | 0.00 | $931,360 | $0 | $44,513 | Yes (X) | ||||
| MICHAEL C METCALF | ||||||||||
| CHIEF EXECUTIVE PHMG | 40.00 | 2.00 | $687,722 | $0 | $231,926 | Yes (X) | ||||
| WEN-HUAN S HO MD | ||||||||||
| MD GASTROENTEROLOGY | 40.00 | 0.00 | $1,475,221 | $0 | $166,332 | Yes (X) | ||||
| JOHN F MACGREGOR | ||||||||||
| MD CARDIOLOGY | 40.00 | 0.00 | $1,004,517 | $0 | $173,879 | Yes (X) | ||||
| DAVID SAENGER | ||||||||||
| MD CARDIOLOGY | 40.00 | 0.00 | $950,417 | $0 | $106,266 | Yes (X) | ||||
| MANJUNATH G RAJU | ||||||||||
| MD CARDIOLOGY | 40.00 | 0.00 | $925,613 | $0 | $82,669 | Yes (X) | ||||
| PEYMAN SOLTANI | ||||||||||
| MD INTERVENTIONAL CARDIOLOGY | 40.00 | 0.00 | $1,047,255 | $0 | $95,767 | Yes (X) | ||||
| KIMBERLY A HODGKINSON | ||||||||||
| FORMER EXECUTIVE VP | 40.00 | 2.00 | $1,117,574 | $0 | $6,304 | Yes (X) | ||||
| DIANNA L KIELIAN | ||||||||||
| SENIOR VP | 40.00 | 2.00 | $437,574 | $0 | $75 | Yes (X) | ||||
| DALE J ZENDER | ||||||||||
| CHIEF EXECUTIVE NW | 40.00 | 0.00 | $992,098 | $0 | $3,336 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $26,452,151 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,627,270 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2691 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| 1737 AIRPORT WAY SUITE 200 | SEATTLE | WA | 98134 | LABORATORY SERVICES | $31,799,504 |
| NURSEFINDERS LLC | |||||
| 524 E LAMAR BLVD SUITE 300 | ARLINGTON | TX | 76011 | HEALTHCARE STAFFING | $26,329,090 |
| TRIMEDX HOLDINGS LLC | |||||
| 5451 LAKEVIEW PKWY S DRIVE | INDIANAPOLIS | IN | 46268 | CLINICAL ENGINEERING | $17,669,348 |
| GUIDEHOUSE INC | |||||
| 150 NORTH RIVERSIDE PLAZA SUITE 21 | CHICAGO | IL | 60606 | CONSULTING SERVICES | $12,345,757 |
| STAFF CARE INC | |||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | HEALTHCARE STAFFING | $6,062,573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 203 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,687,180 | RelatedOrganizationsAmt |
| Government Grants | $34,144,207 | GovernmentGrantsAmt |
| All Other Contributions | $7,553,962 | AllOtherContributionsAmt |
| Total Contributions | $47,385,349 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV | 621110 | $2,836,120,135 | $2,836,120,135 | |
| OTHER OPERATING REV | 621110 | $44,818,904 | $43,504,651 | $1,314,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,880,939,039 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,909,475 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,125,724 | UnrelatedBusinessRevenueAmt |
| Exclusion | $40,783,751 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,318,699 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,061,001 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,257,698 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,257,698 | TotalRevenueColumnAmt |
| Exclusion | $8,257,698 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $71,381,289 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,123,690 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $71,381,289 | SecuritiesAmt |
| Other | -$2,123,690 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,257,599 | TotalRevenueColumnAmt |
| Exclusion | $69,257,599 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,106,781 | TotalRevenueColumnAmt |
| Exclusion | $4,106,781 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,106,781 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,054,855,941 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,879,624,786 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,439,977 | UnrelatedBusinessRevenueAmt |
| Exclusion | $122,405,829 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,592,549 | TotalAmt |
| Program Services | $3,592,549 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,310 | TotalAmt |
| Program Services | $168,310 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,522,460 | TotalAmt |
| Program Services | $23,894,259 | ProgramServicesAmt |
| Management And General | $3,628,201 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,537,259 | TotalAmt |
| Program Services | $1,263,811,637 | ProgramServicesAmt |
| Management And General | $191,902,247 | ManagementAndGeneralAmt |
| Fundraising | $823,375 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,300,118 | TotalAmt |
| Program Services | $74,896,134 | ProgramServicesAmt |
| Management And General | $11,372,530 | ManagementAndGeneralAmt |
| Fundraising | $31,454 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,565,926 | TotalAmt |
| Program Services | $83,757,706 | ProgramServicesAmt |
| Management And General | $12,718,107 | ManagementAndGeneralAmt |
| Fundraising | $90,113 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,346,851 | TotalAmt |
| Program Services | $86,198,775 | ProgramServicesAmt |
| Management And General | $13,088,769 | ManagementAndGeneralAmt |
| Fundraising | $59,307 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,130,604 | TotalAmt |
| Program Services | $36,576,657 | ProgramServicesAmt |
| Management And General | $5,553,947 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,065,748 | TotalAmt |
| Program Services | $2,661,600 | ProgramServicesAmt |
| Management And General | $404,148 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,713 | TotalAmt |
| Program Services | $486,796 | ProgramServicesAmt |
| Management And General | $73,917 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,750 | TotalAmt |
| Program Services | $311,457 | ProgramServicesAmt |
| Management And General | $47,293 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,981 | TotalAmt |
| Program Services | $390,661 | ProgramServicesAmt |
| Management And General | $59,320 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,838,495 | TotalAmt |
| Program Services | $249,893,639 | ProgramServicesAmt |
| Management And General | $37,944,856 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,704,510 | TotalAmt |
| Program Services | $2,301,198 | ProgramServicesAmt |
| Management And General | $349,423 | ManagementAndGeneralAmt |
| Fundraising | $53,889 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,994,617 | TotalAmt |
| Program Services | $3,468,019 | ProgramServicesAmt |
| Management And General | $526,598 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,154,909 | TotalAmt |
| Program Services | $30,509,845 | ProgramServicesAmt |
| Management And General | $4,632,738 | ManagementAndGeneralAmt |
| Fundraising | $12,326 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,132,240 | TotalAmt |
| Program Services | $52,205,193 | ProgramServicesAmt |
| Management And General | $7,927,047 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,812,001 | TotalAmt |
| Program Services | $3,305,341 | ProgramServicesAmt |
| Management And General | $501,896 | ManagementAndGeneralAmt |
| Fundraising | $4,764 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,191,060 | TotalAmt |
| Program Services | $1,034,046 | ProgramServicesAmt |
| Management And General | $157,014 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,500,381 | TotalAmt |
| Program Services | $33,424,995 | ProgramServicesAmt |
| Management And General | $5,075,386 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,355,893 | TotalAmt |
| Program Services | $127,062,249 | ProgramServicesAmt |
| Management And General | $19,293,644 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,272,956 | TotalAmt |
| Program Services | $22,809,474 | ProgramServicesAmt |
| Management And General | $3,463,482 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MED SUPPLIES AND SVCS | $431,580,957 | $374,686,978 | $56,893,979 | |
| OTHER TAX | $105,002,886 | $91,160,681 | $13,842,205 | |
| ALL OTHER EXPENSES | $63,218,530 | $54,828,285 | $8,325,348 | $64,897 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,022,358,704 | TotalAmt |
| Program Services | $2,623,436,484 | ProgramServicesAmt |
| Management And General | $397,782,095 | ManagementAndGeneralAmt |
| Fundraising | $1,140,125 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,528,389 | BOYAmt |
| EOY | $161,420,740 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $798,432,494 | BOYAmt |
| EOY | $1,303,273,123 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,848,322 | BOYAmt |
| EOY | $378,729,522 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,345,695 | BOYAmt |
| EOY | $78,364,695 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,920,945 | BOYAmt |
| EOY | $95,776,350 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,370,108 | BOYAmt |
| EOY | $43,073,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,142,457,444 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,964,592,133 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,240,381,481 | BOYAmt |
| EOY | $1,177,865,311 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,272,340,659 | BOYAmt |
| EOY | $1,656,950,206 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,502,911 | BOYAmt |
| EOY | $118,984,417 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,960,385 | BOYAmt |
| EOY | $52,297,094 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,393,157 | BOYAmt |
| EOY | $170,448,810 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,377,024,546 | BOYAmt |
| EOY | $5,237,184,240 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,969,685 | BOYAmt |
| EOY | $690,710,148 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,931,004 | BOYAmt |
| EOY | $725,689 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $949,200,783 | BOYAmt |
| EOY | $1,429,192,739 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,888,738 | BOYAmt |
| EOY | $400,799,320 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,078,990,210 | BOYAmt |
| EOY | $2,521,427,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,298,034,336 | BOYAmt |
| EOY | $2,715,756,344 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,298,034,336 | BOYAmt |
| EOY | $2,715,756,344 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,377,024,546 | BOYAmt |
| EOY | $5,237,184,240 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,497,237 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $350,238,574 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $34,986,197 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $1,007,547 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,007,547 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B, LINE 1B | PEACEHEALTH 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 1G | PEACEHEALTH 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 1I | PEACEHEALTH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,480,654 | BeginningYearBalanceAmt |
| Contributions | $579,275 | ContributionsAmt |
| Investment Earnings Or Losses | $10,381,977 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $316,310 | OtherExpendituresAmt |
| End Year Balance | $52,125,596 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,337,915 | BeginningYearBalanceAmt |
| Contributions | $923,802 | ContributionsAmt |
| Investment Earnings Or Losses | -$17,819 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $773,244 | OtherExpendituresAmt |
| End Year Balance | $41,470,654 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,596,095 | BeginningYearBalanceAmt |
| Contributions | $1,162,077 | ContributionsAmt |
| Investment Earnings Or Losses | $1,202,504 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,622,761 | OtherExpendituresAmt |
| End Year Balance | $41,337,915 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,485,058 | BeginningYearBalanceAmt |
| Contributions | $1,057,545 | ContributionsAmt |
| Investment Earnings Or Losses | $2,691,393 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,637,901 | OtherExpendituresAmt |
| End Year Balance | $40,596,095 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $37,043,493 | BeginningYearBalanceAmt |
| Contributions | $126,052 | ContributionsAmt |
| Investment Earnings Or Losses | $4,621,855 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $306,342 | OtherExpendituresAmt |
| End Year Balance | $41,485,058 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.16294 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.83705 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,881,184 | OtherCostOrOtherBasisAmt |
| Book Value | $122,881,184 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,519,982,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $951,799,781 | DepreciationAmt |
| Book Value | $568,182,788 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,326,861 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,581,204 | DepreciationAmt |
| Book Value | $32,745,657 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,342,043,314 | OtherCostOrOtherBasisAmt |
| Depreciation | $948,211,149 | DepreciationAmt |
| Book Value | $393,832,165 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,223,517 | OtherCostOrOtherBasisAmt |
| Book Value | $60,223,517 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,177,865,311 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| OBLIGATIONS UNDER LEASES | $81,243,005 |
| INTEREST RATE SWAPS | $135,752,295 |
| ACCRUED PENSION LIABILITY | $90,939,884 |
| SELF-INSURANCE LIABILITY | $38,655,866 |
| BONDS & NOTES PAYABLE | $7,910,837 |
| CONDITIONAL ARO LIABILITY | $21,256,097 |
| OTHER LIABILITIES | $25,041,336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $400,799,320 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | GRANTMAKING | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $168,310 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $168,310 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $168,310 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Purpose Of Grant | PROGRAM SERVICES | PurposeOfGrantTxt |
| Cash Grant | $168,310 | CashGrantAmt |
| Manner Of Cash Disbursement | BANK WIRE | MannerOfCashDisbursementTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,093,732 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,093,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $691,179,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $473,192,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $217,987,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $739,272,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $473,192,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $266,080,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,846,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,822,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,853,627 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,092,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,760,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,894,279 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,884,783 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,009,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,526,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $336 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,525,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,120,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,001,760 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,118,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $760,393,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $478,193,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,199,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09340 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $112,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $998 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,023 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,021 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $59,231,808 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $24,730,321 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $612,218,482 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $693,248,979 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$81,030,497 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 10 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (10 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|
| PH SACRED HEART MED CTR AT RIVERBEND | ||||||||
| 1 | 3333 RIVERBEND DRIVE | SPRINGFIELD | OR | 97477 | Yes (X) | Yes (X) | Yes (X) | |
| PH SACRED HEART MED CTR UNIV DISTRICT | ||||||||
| 2 | 1255 HILYARD STREET | EUGENE | OR | 97401 | Yes (X) | Yes (X) | Yes (X) | |
| PH SOUTHWEST MEDICAL CENTER | ||||||||
| 3 | 400 NE MOTHER JOSEPH PL | VANCOUVER | WA | 98683 | Yes (X) | Yes (X) | Yes (X) | |
| PH ST JOSEPH MEDICAL CENTER | ||||||||
| 4 | 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | Yes (X) | Yes (X) | Yes (X) | |
| PH ST JOHN MEDICAL CENTER | ||||||||
| 5 | 1615 DELAWARE STREET | LONGVIEW | WA | 98632 | Yes (X) | Yes (X) | Yes (X) | |
| PH KETCHIKAN MEDICAL CENTER | ||||||||
| 6 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| PH PEACE HARBOR MEDICAL CENTER | ||||||||
| 7 | 400 9TH STREET | FLORENCE | OR | 97439 | Yes (X) | Yes (X) | Yes (X) | |
| PH COTTAGE GROVE COMMUNITY MED CTR | ||||||||
| 8 | 1515 VILLAGE DRIVE | COTTAGE GROVE | OR | 97424 | Yes (X) | Yes (X) | Yes (X) | |
| PH PEACE ISAND MEDICAL CENTER | ||||||||
| 9 | 1117 SPRING STREET | FRIDAY HARBOR | WA | 97401 | Yes (X) | Yes (X) | Yes (X) | |
| PH UNITED GENERAL MEDICAL CENTER | ||||||||
| 10 | 4000 HOSPITAL DRIVE | SEDROWOOLLEY | WA | 98284 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.PEACEHEALTH.ORG/PATIENT-FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.PEACEHEALTH.ORG/FINANCIAL-ASSISTANCE-APPLICATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PEACEHEALTH.ORG/PLAIN-LANGUAGE-SUMMARY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY REPORTING GROUP A | PART 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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| FACILITY REPORTING GROUP A | PART 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 A | PART V, SECTION B, LINE 6B: REFER TO THE PUBLISHED CHNAS AT WWW.PEACEHEALTH.ORG/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 A | PART 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. ALL PEACEHEALTH HOSPITAL'S CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM APRIL THROUGH JUNE 2019. THESE ASSESSMENTS ARE CONDUCTED EVERY THREE YEARS. PEACEHEALTH IS UNDERGOING ANOTHER CHNA CYCLE STARTING FALL 2021 FOR THE 2022-2025 CHNA CYCLE. |
| FACILITY REPORTING GROUP A | PART V, SECTION B, LINE 11: PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT WWW.PEACEHEALTH.ORG/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 A | PART 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 HTTPS://WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTTHE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS INCLUDED IN THE CHNA. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INDICATORS OF ABILITY TO PAY* OTHER EXTENUATING CIRCUMSTANCES. EXAMPLES INCLUDE: THE REMAINING BALANCE TO BE PAID AFTER ALL REDUCTIONS, HOUSEHOLD INCOME, MEDICAL STATUS OF PATIENT/FAMILY, AND LEVEL/TYPE OF ASSETS. |
| 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.SOME EXAMPLES OF THESE ACTIVITIES INCLUDE:THE PAST TWO YEARS, PEACEHEALTH HAS BEEN FOCUSED ON SUPPORTING OUR PARTNERS THROUGH THE PANDEMIC INCLUDING BUILDING CAPACITY AND STRENGTH WITH LOCAL COMMUNITY ORGANIZATIONS. PEACEHEALTH SACRED HEART MEDICAL CENTER-RIVERBEND, SACRED HEART MEDICAL CENTER-UNIVERSITY DISTRICT, COTTAGE GROVE MEDICAL CENTER AND PEACE HARBOR MEDICAL CENTER HAVE PARTNERED WITH WHITE BIRD FEDERALLY QUALIFIED HEALTH CENTER, HIV ALLIANCE, VOLUNTEERS IN MEDICINE, NAACP OF EUGENE/SPRINGFIELD AND CATHOLIC COMMUNITY SERVICES OF LANE COUNTY. THESE ORGANIZATIONS ARE ALL UNIQUELY POSITIONED IN OUR COMMUNITY AS TRUSTED SERVICE PROVIDERS SUPPORTING THE NEEDS OF BLACK, INDIGENOUS AND PEOPLE OF COLOR POPULATIONS, AS WELL AS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER AND INTERSEX COMMUNITIES. NOW MORE THAN EVER, EDUCATION AND OUTREACH ARE CENTRAL TO OUR WORK. THIS IS WHY PEACEHEALTH PROVIDED COMMUNITY BENEFIT FUNDING TOTALING $35,000 TO THESE ORGANIZATIONS TO SUPPORT POP-UP COVID VACCINE CLINICS IN THE COMMUNITY WITH SPECIAL OUTREACH TO VULNERABLE POPULATIONS. THIS IS IN ADDITION TO $10,000 IN COMMUNITY BENEFIT FUNDING TO LANE COUNTY PUBLIC HEALTH TO ADVANCE COVID VACCINATION EDUCATION. THE COMMUNITY VACCINATION COLLABORATIVE ORGANIZED BY THE LANE COMMUNITY HEALTH COUNCIL HAS CLOSELY TRACKED WHERE DISPARITIES IN VACCINATION RATES IN OUR COMMUNITY EXIST AND PURSUED INNOVATIVE METHODS FOR BRINGING THE VACCINATION CLINICS TO THOSE WHO NEEDED IT MOST. IN THE EARLY MONTHS OF THE PANDEMIC,SOUTHEAST ALASKA COMMUNITIES SUPPORTED BY OUR KETCHIKAN MEDICAL CENTER, MEDICAL GROUPS AND HEALTHCARE PARTNERS EXPERIENCED BARE SHELVES FOR DAYS AND SAW A DRAMATIC INCREASE IN FOOD PRICES. THE SHORTAGE INSPIRED COMMUNITY PARTNERSHIPS TO WORK ON MAKING SURE FOOD IS LOCALLY AVAILABLE AND NUTRITIOUS. IN FACT, 1 IN 2 PEOPLE SURVEYED (53%) BY THE KETCHIKAN WELLNESS COALITION FELT MUCH MORE FOCUS WAS NEEDED ON SECURING SOURCES FOR AFFORDABLE NUTRITIOUS FOOD. IN RESPONSE TO THIS, PEACEHEALTH HAS SPENT TIME OVER THE PAST TWO YEARS INVESTING IN A NUMBER OF PROJECTS WITH KETCHIKAN WELLNESS COALITION FOCUSED ON HEALTHY FOODS AND RELIEVING HUNGER. THE KETCHIKAN COMMUNITY GARDENS PROJECT IS A SERIES OF COMMUNITY DEMONSTRATION GARDENS THAT BUILD CONNECTION, INCREASE FOOD RESILIENCY AND KNOWLEDGE, AND PROVIDE A PLACE FOR FOOD EDUCATION. PEOPLE CAN LEARN HOW TO PLAN A RAISED GARDEN BED, BUILD THEIR OWN WORM BIN AND HARVEST FROM THE GARDEN. THE COALITION ALSO PUBLISHED A COMMUNITY COOKBOOK TITLED "PLATING UP THE TONGASS".THE COOKBOOK FEATURES RECIPES FROM LOCAL COMMUNITY MEMBERS. ALL PROCEEDS FROM COOKBOOK SALES GO TO PROGRAMS AND INITIATIVES THAT SUPPORT NUTRITION AND WELLNESS IN KETCHIKAN. THE COOKBOOK SUCCEEDS IN CONNECTING OUR COMMUNITY TO FOODS FOUND IN THE REGION AND FOSTERING A DEEP APPRECIATION FOR THE PLACE WE LIVE. THESE COMBINED EFFORTS RECEIVED $33,800 IN FUNDING AWARDS FROM PEACEHEALTH. |
| 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: | 6/30/2021 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. FOR THE YEARS ENDED JUNE 30, 2021 AND 2020, $64,015,000 AND $59,055,000 OF IMPLICIT PRICE CONCESSIONS WERE RECORDED AS A DIRECT DEDUCTION TO PATIENT SERVICE REVENUE. 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 $612,218,482 AND $693,248,979 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF $81,030,497. |
| 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, GARNISHMENT OF FUTURE EARNINGS OR WAGES, LIENS ON PATIENT ACCOUNTS, COLLECTION LETTERS AND TELEPHONE CALLS OR PERSONAL CONTACTS WITH THIS PARTY WHICH CONSTITUTE A GENUINE, RATHER THAN A TOKEN, COLLECTION EFFORT. COLLECTION EFFORTS MAY INCLUDE USING OR THREATENING TO USE COURT ACTION TO OBTAIN PAYMENT.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 LINE |
| PART VI, LINE 4 (CONTINUED): | THE 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 LINETHE 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 |
| 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: | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: AK, OR, WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF SOUTH LANE DIST 4553 | ||||||||
| 1275 SOUTH RIVER RD | COTTAGE GROVE | OR | 97424 | 936000589 | GOVT | $392,500 | COMMUNITY BENEFIT | |
| SISTERS OF ST JOSEPH OF PEACE | ||||||||
| 1663 KILLAMEY WAY PO BOX 248 | BELLEVUE | WA | 98009 | 910567741 | 501(C)(3) | $381,315 | MISSION SUPPORT | |
| LANE COMMUNITY COLLEGE | ||||||||
| 4000 E 30TH AVE | EUGENE | OR | 97405 | 930546223 | GOVT | $279,418 | EDUCATION SUPPORT | |
| MEALS ON WHEELS PEOPLE INC | ||||||||
| 7710 SW 31ST AVE | PORTLAND | OR | 97219 | 930584318 | 501(C)(3) | $190,000 | COMMUNITY BENEFIT | |
| UNITY CARE NW | ||||||||
| 1616 CORNWALL AVE STE 2015 | BELLINGHAM | WA | 98225 | 912168190 | 501(C)(3) | $170,000 | COMMUNITY BENEFIT | |
| CATHOLIC CHARITIES | ||||||||
| 2740 SE POWELL BLVD 1 | PORTLAND | OR | 97202 | 930386801 | 501(C)(3) | $160,327 | COMMUNITY BENEFIT | |
| THE OREGON COMMUNITY | ||||||||
| 1221 SW YAMHILL ST SUITE 100 | PORTLAND | OR | 97205 | 237315673 | 501(C)(3) | $150,000 | COMMUNITY BENEFIT | |
| NORTHWEST REGIONAL COUNCIL | ||||||||
| 600 LAKEWAY DR | BELLINGHAM | WA | 98225 | 911590083 | GOVT | $130,644 | COMMUNITY BENEFIT | |
| ST VINCENT DE PAUL | ||||||||
| PO BOX 24608 | EUGENE | OR | 97402 | 930454786 | 501(C)(3) | $121,789 | COMMUNITY BENEFIT | |
| WSMA FOUNDATION FOR HEALTHCARE IMPROVEMENT | ||||||||
| 2001 6TH AVENUE SUITE 2700 | SEATTLE | WA | 98121 | 916074463 | 501(C)(3) | $100,000 | COMMUNITY BENEFIT | |
| AREA AGENCY ON AGING AND DISABILITIES OF SW WASHINGTON | ||||||||
| 1338 COMMERCE AVE UNIT 309 | LONGVIEW | WA | 98632 | 800224907 | GOVT | $95,229 | COMMUNITY BENEFIT | |
| COMMUNITY FOUNDATION FOR SOUTHWEST WASHINGTON | ||||||||
| 610 ESTHER ST 201 | VANCOUVER | WA | 98660 | 911246778 | 501(C)(3) | $75,555 | COMMUNITY BENEFIT | |
| CATHOLIC COMMUNITY SVCS | ||||||||
| 1025 G STREET | EUGENE | OR | 97477 | 930409105 | 501(C)(3) | $72,500 | COMMUNITY BENEFIT | |
| CHUCKANUT HEALTH FDTN | ||||||||
| 1500 CORNWALL SUITE 201 | BELLINGHAM | WA | 98225 | 911192943 | 501(C)(3) | $67,000 | COMMUNITY BENEFIT | |
| HIV ALLIANCE | ||||||||
| 1195 CITY VIEW STREET | EUGENE | OR | 97402 | 930963546 | 501(C)(3) | $57,500 | COMMUNITY BENEFIT | |
| UNITED WAY OF LANE COUNTY | ||||||||
| 3171 GATEWAY LOOP | SPRINGFIELD | OR | 97477 | 930394142 | 501(C)(3) | $54,950 | COMMUNITY BENEFIT | |
| SHARE INC | ||||||||
| 2306 NE ANDRESEN ROAD | VANCOUVER | WA | 98661 | 911205119 | 501(C)(3) | $53,595 | COMMUNITY BENEFIT | |
| BRIGID COLLINS FAMILY SUPPORT | ||||||||
| 1231 N GARDEN STREET 200 | BELLINGHAM | WA | 98225 | 943121951 | 501(C)(3) | $51,000 | COMMUNITY BENEFIT | |
| VOLUNTEERS IN MEDICINE CLINIC | ||||||||
| 2260 MARCOLA ROAD | SPRINGFIELD | OR | 97477 | 931276816 | 501(C)(3) | $50,000 | COMMUNITY BENEFIT | |
| BELLINGHAM FOOD BANK | ||||||||
| 1824 ELLIS ST | BELLINGHAM | WA | 98225 | 910918619 | 501(C)(3) | $50,000 | COMMUNITY BENEFIT | |
| COUNCIL FOR THE HOMELESS | ||||||||
| 2500 MAIN STREET | VANCOUVER | WA | 98660 | 912001828 | 501(C)(3) | $47,000 | COMMUNITY BENEFIT | |
| YWCA CLARK COUNTY | ||||||||
| 3609 MAIN ST | VANCOUVER | WA | 98663 | 910569882 | 501(C)(3) | $46,845 | COMMUNITY BENEFIT | |
| CLARK COUNTY FOOD BANK | ||||||||
| 6502 NW 47TH AVE | VANCOUVER | WA | 98661 | 911307564 | 501(C)(3) | $46,500 | COMMUNITY BENEFIT | |
| LANE COUNTY OREGON | ||||||||
| 125 EAST 8TH AVENUE | EUGENE | OR | 97401 | 936002303 | GOVT | $45,000 | COMMUNITY BENEFIT | |
| CLARK COUNTY PUBLIC HEALTH | ||||||||
| 1601 E 4TH PLAIN BLVD BLDG 17 3RD | VANCOUVER | WA | 98666 | 931266748 | GOVT | $40,000 | COMMUNITY BENEFIT | FLOOR |
| MERCY HOUSING NW | ||||||||
| 6930 MARTIN LUTHER KING JR S | SEATTLE | WA | 98118 | 911546525 | 501(C)(3) | $40,000 | HOUSING ASSISTANCE | |
| NW YOUTH SERVICES | ||||||||
| 1020 N STATE ST | BELLINGHAM | WA | 98225 | 910970561 | 501(C)(3) | $37,500 | COMMUNITY BENEFIT | |
| SIUSLAW OUTREACH SVCS | ||||||||
| PO BOX 19000 | FLORENCE | OR | 97439 | 943061005 | 501(C)(3) | $32,000 | COMMUNITY BENEFIT | |
| BOYS AND GIRLS CLUB OF WESTERN | ||||||||
| 1501 AIRPLACE ROAD | FLORENCE | OR | 97439 | 931236854 | 501(C)(3) | $30,000 | COMMUNITY BENEFIT | |
| LOWER COLUMBIA SCHOOL GARDENS | ||||||||
| PO BOX 3010 | LONGVIEW | WA | 98632 | 910823636 | 501(C)(3) | $30,000 | NUTRITION EDUCATION | |
| FLORENCE FOOD SHARE | ||||||||
| 2190 SPRUCE STREET | FLORENCE | OR | 97439 | 931053932 | 501(C)(3) | $30,000 | COMMUNITY BENEFIT | |
| LYDIA PLACE | ||||||||
| PO BOX 28487 | BELLINGHAM | WA | 98228 | 943111948 | 501(C)(3) | $28,500 | COMMUNITY BENEFIT | |
| OPPORTUNITY COUNCIL | ||||||||
| 1111 CORNWALL AVE | BELLINGHAM | WA | 98225 | 910787820 | 501(C)(3) | $26,000 | COMMUNITY BENEFIT | |
| WHATCOM FAMILY YMCA | ||||||||
| 1256 N STATE ST | BELLINGHAM | WA | 98225 | 910482690 | 501(C)(3) | $25,000 | COMMUNITY BENEFIT | |
| CLARK COUNTY SHERIFFS OFFICE CITIZEN SEARCH AND RESCUE TEAM | ||||||||
| 505 NW 179TH | RIDGEFIELD | WA | 98642 | 602596667 | 501(C)(3) | $25,000 | COMMUNITY BENEFIT | |
| COMMUNITIES IN SCHOOLS OF WHATCOM COUNTY | ||||||||
| PO BOX 6071 | BELLINGHAM | WA | 98227 | 640956619 | 501(C)(3) | $25,000 | COMMUNITY BENEFIT | |
| KETCHIKAN WELLNESS COALITION | ||||||||
| 602 DOCK ST STE 108 | KETCHIKAN | AK | 99901 | 270897521 | 501(C)(3) | $24,300 | COMMUNITY BENEFIT | |
| FLORENCE FARMERS MARKET | ||||||||
| 2006 HWY 101 | FLORENCE | OR | 97439 | 842021387 | N/A | $20,940 | COMMUNITY BENEFIT | |
| COWLITZ SUBSTANCE ABUSE COALITION | ||||||||
| 2656 OCEAN BEACH HWY | LONGVIEW | WA | 98632 | 911498708 | 501(C)(3) | $20,777 | COMMUNITY BENEFIT | |
| CITY OF LONGVIEW | ||||||||
| 1525 BROADWAY ST | LONGVIEW | WA | 98632 | 916001367 | GOVT | $20,000 | COMMUNITY BENEFIT | |
| SIUSLAW VALLEY CHRISTIAN CTR | ||||||||
| 1380 10TH STREET | FLORENCE | OR | 97439 | 930551513 | 501(C)(3) | $20,000 | COMMUNITY BENEFIT | |
| MAPLETON FOOD SHARE | ||||||||
| 10718 HIGHWAY 126 | MAPLETON | OR | 97453 | 460687996 | 501(C)(3) | $20,000 | COMMUNITY BENEFIT | |
| COMMUNITY ACTION OF SKAGIT COUNTY | ||||||||
| 330 PACIFIC PLACE | MT VERNON | WA | 98273 | 911140086 | 501(C)(3) | $20,000 | COMMUNITY BENEFIT | |
| TOUTLE RIVER RANCH | ||||||||
| PO BOX 2052 | LONGVIEW | WA | 98632 | 910726260 | N/A | $16,000 | ADDICTION RECOVERY | |
| SAN JUAN ISLAND COMMUNITY FDTN | ||||||||
| PO BOX 1352 | FRIDAY HARBOR | WA | 98250 | 911648730 | 501(C)(3) | $15,000 | COMMUNITY BENEFIT | |
| LUMMI NATION SERVICE ORGANIZATION | ||||||||
| 2665 KWINA RD | BELLINGHAM | WA | 98226 | 911836621 | 501(C)(3) | $15,000 | COMMUNITY BENEFIT | |
| DOMESTIC VIOLENCE AND SEXUAL ASSAULT SERVICES OF WHATCOM COUNTY | ||||||||
| 1407 COMMERCIAL ST | BELLINGHAM | WA | 98225 | 911066325 | 501(C)(3) | $15,000 | COMMUNITY BENEFIT | |
| SAN JUAN COUNTY ECONOMIC DEVELOPMENT COUNCIL | ||||||||
| PO BOX 3053 | FRIDAY HARBOR | WA | 98250 | 412067708 | 501(C)(3) | $13,500 | COMMUNITY BENEFIT | |
| LOWER COLUMBIA COLLEGE | ||||||||
| PO BOX 3010 | LONGVIEW | WA | 98632 | 910823636 | GOVT | $13,000 | EDUCATION SUPPORT | |
| FIRST CITY HOMELESS SVC | ||||||||
| PO BOX 23095 | KETCHIKAN | AK | 99901 | 262565838 | 501(C)(3) | $13,000 | COMMUNITY BENEFIT | |
| SAN JUAN ISLAND FAMILY | ||||||||
| PO BOX 1981 | FRIDAY HARBOR | WA | 98250 | 912014083 | 501(C)(3) | $12,500 | COMMUNITY BENEFIT | |
| THE LANDING HOTEL | ||||||||
| 3434 TONGASS AVE | KETCHIKAN | AK | 99901 | 920075395 | N/A | $12,310 | COMMUNITY BENEFIT | |
| INTERCOMMUNITY PEACE AND JUSTICE CENER | ||||||||
| 1216 NE 65TH ST | SEATTLE | WA | 98115 | 943083964 | 501(C)(3) | $12,000 | MISSION SUPPORT | |
| LOWER COLUMBIA CAP | ||||||||
| 1526 COMMERCE AVE | LONGVIEW | WA | 98632 | 910814141 | 501(C)(3) | $10,080 | COMMUNITY BENEFIT | |
| AHA AMER HEART ASSN | ||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| JUBILEE WOMENS CENTER | ||||||||
| 620 18TH AVENUE EAST | SEATTLE | WA | 98112 | 911539920 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| PEACEHEALTH SW MEDICAL CENTER FOUNDATION | ||||||||
| PO BOX 1600 | VANCOUVER | WA | 98668 | 911231436 | 501(C)(3) | $10,000 | MISSION SUPPORT | |
| IDENTITY CLARK COUNTY | ||||||||
| 915 BROADWAY SUITE 302 | VANCOUVER | WA | 98660 | 911623724 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| LOOKING GLASS COMMUNITY SERVICES | ||||||||
| 1790 W 11TH AVE SUITE 200 | EUGENE | OR | 97402 | 930605174 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| CENTRO LATINO AMERICANO | ||||||||
| 944 W 5TH AVE | EUGENE | OR | 97402 | 930638731 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| HELPING HANDS FOOD BANK | ||||||||
| PO BOX 632 | SEDRO WOOLLEY | WA | 98284 | 911203572 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| SCHOOL GARDEN PROJECT OF LANE COUNTY | ||||||||
| PO BOX 30072 | EUGENE | OR | 97403 | 010755594 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| INFOCUS MINISTRIES | ||||||||
| 1204 CLEVELAND AVE | MT VERNON | WA | 98273 | 431996657 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT | |
| WHITE BIRD CLINIC | ||||||||
| 341 E 12TH AVE | EUGENE | OR | 97401 | 930585814 | 501(C)(3) | $9,406 | COMMUNITY BENEFIT | |
| SOROPTIMIST INTERNATIONAL OF FLORENCE | ||||||||
| PO BOX 1209 | FLORENCE | OR | 97439 | 237173303 | 501(C)(3) | $8,500 | COMMUNITY BENEFIT | |
| GREATER VANCOUVER CHAMBER | ||||||||
| 1101 BROADWAY SUITE 100 | VANCOUVER | WA | 98660 | 910452260 | 501(C)(3) | $8,120 | COMMUNITY BENEFIT | |
| WASHINGTON STATE UNIVERSITY | ||||||||
| PO BOX 641068 | PULLMAN | WA | 99164 | 916001108 | GOVT | $8,000 | EDUCATION SUPPORT | |
| EUGENE SPRINGFIELD NAACP | ||||||||
| 3330 HIGH ST | EUGENE | OR | 97401 | 931305191 | N/A | $7,500 | COMMUNITY BENEFIT | |
| ALASKAN AND PROUD | ||||||||
| 3816 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 920107998 | N/A | $7,000 | COMMUNITY BENEFIT | |
| THE WATERFALL FOUNDATION | ||||||||
| PO BOX 70049 | FAIRBANKS | AK | 99707 | 541980898 | 501(C)(3) | $6,500 | COMMUNITY BENEFIT | |
| HISPANIC METROPOLITAN CHAMBER | ||||||||
| PO BOX 1837 | PORTLAND | OR | 97207 | 931156358 | 501(C)(3) | $6,000 | COMMUNITY BENEFIT | |
| HOMES FOR GOOD HOUSING AGENCY | ||||||||
| 100 W 13TH AVE | EUGENE | OR | 97401 | 936002480 | 501(C)(3) | $250,000 | COMMUNITY BENEFIT | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PEACEHEALTH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH V DUNNE | ||||||||||||||
| PRESIDENT & CEO | $1,403,742 | $0 | $1,931,129 | $0 | $17,601 | $0 | $657,819 | $0 | $12,538 | $0 | $4,022,829 | $0 | $0 | $0 |
| RICHARD DECARLO | ||||||||||||||
| EXECUTIVE VP | $817,442 | $0 | $848,723 | $0 | $11,538 | $0 | $302,899 | $0 | $18,842 | $0 | $1,999,444 | $0 | $0 | $0 |
| WEN-HUAN S HO MD | ||||||||||||||
| MD GASTROENTEROLOGY | $1,260,269 | $0 | $214,952 | $0 | $0 | $0 | $140,887 | $0 | $25,445 | $0 | $1,641,553 | $0 | $214,952 | $0 |
| DARRIN MONTALVO | ||||||||||||||
| EXECUTIVE VP | $781,853 | $0 | $713,606 | $0 | $76,732 | $0 | $2,850 | $0 | $23,440 | $0 | $1,598,481 | $0 | $0 | $0 |
| MARY E KINGSTON | ||||||||||||||
| CHIEF EXECUTIVE OREGON (THRU 2/5) | $689,731 | $0 | $375,965 | $0 | $22,151 | $0 | $233,840 | $0 | $18,768 | $0 | $1,340,455 | $0 | $0 | $0 |
| RON L SAXTON | ||||||||||||||
| EXECUTIVE VP/ASST SECRETARY | $578,866 | $0 | $658,047 | $0 | $17,174 | $0 | $64,645 | $0 | $19,534 | $0 | $1,338,266 | $0 | $147,183 | $0 |
| MICHAEL P DWYER | ||||||||||||||
| EXECUTIVE VP | $570,432 | $0 | $503,420 | $0 | $11,931 | $0 | $216,855 | $0 | $11,951 | $0 | $1,314,589 | $0 | $0 | $0 |
| SEAN GREGORY | ||||||||||||||
| CHIEF EXECUTIVE COLUMBIA | $627,377 | $0 | $344,209 | $0 | $0 | $0 | $247,526 | $0 | $24,699 | $0 | $1,243,811 | $0 | $0 | $0 |
| JOHN C BENNETT | ||||||||||||||
| CHIEF EXEC AMBULATORY (THRU 10/03) | $565,388 | $0 | $395,853 | $0 | $168,852 | $0 | $42,505 | $0 | $21,043 | $0 | $1,193,641 | $0 | $0 | $0 |
| STEVEN GLENN | ||||||||||||||
| EXECUTIVE VP | $511,656 | $0 | $437,757 | $0 | $14,395 | $0 | $214,490 | $0 | $4,255 | $0 | $1,182,553 | $0 | $0 | $0 |
| JOHN F MACGREGOR | ||||||||||||||
| MD CARDIOLOGY | $1,004,517 | $0 | $0 | $0 | $0 | $0 | $148,607 | $0 | $25,272 | $0 | $1,178,396 | $0 | $0 | $0 |
| PEYMAN SOLTANI | ||||||||||||||
| MD INTERVENTIONAL CARDIOLOGY | $1,047,255 | $0 | $0 | $0 | $0 | $0 | $70,968 | $0 | $24,799 | $0 | $1,143,022 | $0 | $0 | $0 |
| KIMBERLY A HODGKINSON | ||||||||||||||
| FORMER EXECUTIVE VP | $24,166 | $0 | $489,399 | $0 | $604,009 | $0 | $3,282 | $0 | $3,022 | $0 | $1,123,878 | $0 | $489,399 | $0 |
| JOLINE M TREANOR | ||||||||||||||
| EXECUTIVE VP | $496,027 | $0 | $518,057 | $0 | $64,074 | $0 | $26,432 | $0 | $11,859 | $0 | $1,116,449 | $0 | $0 | $0 |
| MARK B HALLETT | ||||||||||||||
| SENIOR VP | $568,731 | $0 | $306,339 | $0 | $7,052 | $0 | $200,570 | $0 | $18,625 | $0 | $1,101,317 | $0 | $0 | $0 |
| DAVID SAENGER | ||||||||||||||
| MD CARDIOLOGY | $950,417 | $0 | $0 | $0 | $0 | $0 | $81,411 | $0 | $24,855 | $0 | $1,056,683 | $0 | $0 | $0 |
| MANJUNATH G RAJU | ||||||||||||||
| MD CARDIOLOGY | $925,613 | $0 | $0 | $0 | $0 | $0 | $57,465 | $0 | $25,204 | $0 | $1,008,282 | $0 | $0 | $0 |
| DALE J ZENDER | ||||||||||||||
| CHIEF EXECUTIVE NW | $12,967 | $0 | $510,474 | $0 | $468,657 | $0 | $3,336 | $0 | $0 | $0 | $995,434 | $0 | $510,474 | $0 |
| CHARLES PROSPER | ||||||||||||||
| CHIEF EXECUTIVE NORTHWEST | $620,037 | $0 | $302,677 | $0 | $8,646 | $0 | $19,828 | $0 | $24,685 | $0 | $975,873 | $0 | $0 | $0 |
| MICHAEL C METCALF | ||||||||||||||
| CHIEF EXECUTIVE PHMG | $444,637 | $0 | $239,497 | $0 | $3,588 | $0 | $213,456 | $0 | $18,470 | $0 | $919,648 | $0 | $0 | $0 |
| WILLIAM R WEIDER | ||||||||||||||
| SENIOR VP | $434,298 | $0 | $233,928 | $0 | $8,053 | $0 | $171,418 | $0 | $25,050 | $0 | $872,747 | $0 | $0 | $0 |
| SARAH NESS | ||||||||||||||
| SENIOR VP | $321,299 | $0 | $141,833 | $0 | $1,159 | $0 | $59,775 | $0 | $3,086 | $0 | $527,152 | $0 | $0 | $0 |
| DIANNA L KIELIAN | ||||||||||||||
| SENIOR VP | $0 | $0 | $77,068 | $0 | $360,506 | $0 | $75 | $0 | $0 | $0 | $437,649 | $0 | $77,068 | $0 |
| CAROL AARON | ||||||||||||||
| DIRECTOR (START 01/01/21) | $17,651 | $0 | $363,133 | $0 | $1,017 | $0 | $9,245 | $0 | $0 | $0 | $391,046 | $0 | $165,393 | $0 |
| CRAIG ARMSTRONG | ||||||||||||||
| ASSISTANT SECRETARY | $231,983 | $0 | $72,596 | $0 | $0 | $0 | $28,692 | $0 | $22,952 | $0 | $356,223 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE 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-B | THE 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 2020: KIMBERLY A. HODGKINSON 604,140 DALE J. ZENDER 468,657 DIANNA KIELIAN 360,506 JOHN C. BENNETT 158,655 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2020 (DEFERRED/PAID): ELIZABETH V. DUNNE $579,633/$0 CAROL AARON $0/165,373 RICHARD DECARLO $280,099/$0 RON SAXTON $0/$147,183 SEAN GREGORY $230,426/$0 MARY E. KINGSTON $197,040/$0 MICHAEL P. DWYER $188,163/$0 MICHAEL C. METCALF $175,757/$0 MARK B. HALLETT $167,073/$0 STEVE GLENN $154,105/$0 WILLIAM R. WEIDER $136,857/$0 DALE J. ZENDER $1,780/$510,474 KIMBERLY A. HODGKINSON $1,349/$489,399 DIANNA KIELIAN $0/$77,068 WEN-HUAN S. HO, MD $63,832/$214,952 JOHN F. MACGREGOR, MD $61,766/$0 DAVID SAENGER, MD $52,719/$0 PEYMAN SOLTANI, MD $47,976/$0 MANJUNATH RAJU $30,985/$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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WA HEALTHCARE FAC AUTH | ||||||||
| A | 911108929 | NONEAVAIL | 2013-02-27 | $53,464,898 | REFUND WHCFA 2008A ISSUED 11/2008 | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY | ||||||||
| B | 936001787 | 68608JSB8 | 2014-03-18 | $71,088,211 | REFUND OFA08A&B '08, HHECFA '98 | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY 2018 A | ||||||||
| C | 936001787 | 68608JXD8 | 2018-10-31 | $45,975,000 | REFUND OFA 2008 A-B | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY 2018 B | ||||||||
| D | 936001787 | 68608JXF3 | 2018-10-31 | $100,000,000 | REFUND OFA 2008 A-B | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $3,400,000 | $53,464,898 | $53,464,898 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $71,088,211 | $70,068,649 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,019,562 | |
| C | $45,975,000 | $45,975,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| D | $100,000,000 | $100,000,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART III, LINES 3A AND 4 | PERCENTAGE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OR FACILITIES AUTHORITY 2018 C | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 936001787 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2018-12-03 | BondIssuedDt |
| Issue Price | $75,000,000 | IssuePriceAmt |
| Purpose | REFUND OFA 2011 A | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $75,000,000 | TotalProceedsAmt |
| Capital Expenditures | $75,000,000 | CapitalExpendituresAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00010 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00010 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2020 WAS $282,199,497 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 4 | THE ARTICLES OF INCORPORATION WERE RESTATED DURING THE YEAR. THE MAXIMUM NUMBER OF DIRECTOR POSITIONS WAS INCREASED TO 15. |
| FORM 990, PART VI, SECTION A, LINE 6 | PEACEHEALTH 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 11B | THE 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 12C | A 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 15 | THE 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 2021, 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 19 | ALL 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. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTERERST RATE SWAPS 16,280,056. LOSS ON BOND REFINANCING -9,414,440. LOSS ON DEFINED BENEFIT PENSION TERMINATION -25,791,940. CHANGE IN INTEREST IN NET ASSETS OF RELATED FOUNDATIONS 20,332,027. CHANGE IN PENSION LIABILITY 24,830,187. OTHER CHANGES IN UNRESTRICTED NET ASSETS 8,054,001. OTHER CHANGES IN TEMPORARILY RESTRICTED NET ASSETS 696,306. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZOOM MANUFACTURING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861967518 | EIN |
| Primary Activities | SALES | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACEHEALTH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PEACEHEALTH NETWORKS | |||||||||||
| 1115 SE 164TH AVENUE | VANCOUVER | WA | 98683 | 911230425 | SUPPORT | WA | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| PEACEHEALTH SW MEDICAL CENTER FDN | |||||||||||
| PO BOX 1600 | VANCOUVER | WA | 98668 | 911231436 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| HEALTH VENTURES | |||||||||||
| 1115 SE 164TH AVENUE | VANCOUVER | WA | 98683 | 911350776 | HEALTHCARE JV | WA | 501(C)(3) | LINE 12A, I | Yes (1) | PEACEHEALTH | |
| KETCHIKAN MEDICAL CENTER FDN | |||||||||||
| 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 651225184 | FUNDRAISING | AK | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| COTTAGE GROVE MEDICAL CENTER FDN | |||||||||||
| 1515 VILLAGE DRIVE | COTTAGE GROVE | OR | 97424 | 930688381 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| PEACE HARBOR MEDICAL CENTER FDN | |||||||||||
| 400 NINTH STREET | FLORENCE | OR | 97439 | 931084126 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| SACRED HEART MEDICAL CENTER FDN | |||||||||||
| PO BOX 10905 | EUGENE | OR | 97440 | 936026548 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| ST JOHN MEDICAL CENTER FDN | |||||||||||
| 1615 DELAWARE STREET PO BOX 3 | LONGVIEW | WA | 98632 | 911538852 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
| ST JOSEPH MEDICAL CENTER FDN | |||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 721545902 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | Yes (1) | PEACEHEALTH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RB AMBULATORY SURGERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 RIVERBEND DR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Legal Domicile StateLegalDomicileStateCd | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARE REASSURANCE | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 981560395 | REINSURANCE | CJ | PH NETWORKS | C | $24,449,930 | 1.00000 | 0 | ||
| LOWER COLUMBIA REGION POOLED INCOME FUND | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466157497 | POOLED INC FUND | PEACEHEALTH | T | $1,834,667 | 1.00000 | 0 | WA | $94,053 | |
| OREGON REGION POOLED INCOME FUND | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466180599 | POOLED INC FUND | PEACEHEALTH | T | $6,156,766 | 1.00000 | 0 | WA | $100,780 | |
| PEACEHEALTH AMBULATORY LLC | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 862027568 | MEDICAL | PH NETWORKS | C | 1.00000 | 0 | WA | |||
| PEACEHEALTH CLINICALLY INTEGRATED NETWORK | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 861975269 | MEDICAL | PH AMBULATORY LLC | C | 1.00000 | 0 | WA | |||
| PEACEHEALTH DIRECT CONTRACTING LLC | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 861344009 | MEDICAL | PH AMBULATORY LLC | C | $2,300,776 | 1.00000 | 0 | WA | ||
| PEACEHEALTH NETWORKS ON DEMAND LLC | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 832849989 | MEDICAL CLINICS | PH NETWORKS | C | $119,571,852 | 1.00000 | 0 | WA | $51,475,382 | |
| POOLED INCOME FUND OF PEACEHEALTH #1 | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 276030191 | POOLED INC FUND | PEACEHEALTH | T | $10,215,617 | 1.00000 | 0 | WA | $873,206 | |
| SIUSLAW REGION POOLED INCOME FUND | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466221760 | POOLED INC FUND | PEACEHEALTH | T | $1,933,480 | 1.00000 | 0 | WA | $85,962 | |
| SOUTHWEST REGION POOLED INCOME FUND | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466168710 | POOLED INC FUND | PEACEHEALTH | T | $5,123,571 | 1.00000 | 0 | WA | $180,832 | |
| WHATCOM REGION POOLED INCOME FUND | |||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466129451 | POOLED INC FUND | PEACEHEALTH | T | $3,578,982 | 1.00000 | 0 | WA | $194,612 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH VENTURES | ||
| C | $9,000,000 | AT COST |
| HEALTH VENTURES | ||
| L | $41,550 | AT COST |
| PEACEHEALTH POOLED INCOME FUNDS | ||
| R | $1,647,944 | AT COST |
| PEACEHEALTH POOLED INCOME FUNDS | ||
| S | $738,180 | AT COST |
| RELATED FOUNDATIONS | ||
| C | $2,000 | AT COST |
| RELATED FOUNDATIONS | ||
| N | $30,828 | AT COST |
| RELATED FOUNDATIONS | ||
| O | $1,004,046 | AT COST |
| RELATED FOUNDATIONS | ||
| P | $108,938 | AT COST |
| PEACEHEALTH NETWORKS ON DEMAND LLC | ||
| D | $70,000,000 | AT COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART IV: | FormAndLineReferenceDesc |
| Explanation | SPLIT 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 06/30/2021, 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 $114,470. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH. | ExplanationTxt |