2021-05-17T11:12:17-05:00 2020-06-30 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2019-07-01 910939479 PEACEHEALTH % JEFF SEIRER PEAC 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 DARRIN MONTALVO EVP, CFO/GROWTH OFF 3607291000 2021-05-04 true SUE ROBISON P00560072 2069134000 2021-04-29 2019 2022-09-23 18:48:47Z DARRIN MONTALVO 1115 SE 164TH AVENUE VANCOUVER WA 98683 4872181618 false X WWW.PEACEHEALTH.ORG X 1976 WA WE CARRY ON THE HEALING MISSION OF JESUS CHRIST. 11 11 19049 2266 1098872 10908240 144939156 2779616231 2600396078 71626516 55599951 7290963 7298673 2869441950 2808233858 1301150 1191298 0 0 1604752863 1687852156 0 0 1027835 1188234230 1157907931 2794288243 2846951385 75153707 -38717527 4155878547 4377024546 1671006429 2078990210 2484872118 2298034336 X 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. false false 1936206107 1191298 2258013126 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.) 534705210 341886846 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. 2470911317 true true false true false false false false false true true false false false true true false true false true true true false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 1283 0 true 19049 true true true false false false false false false false false false false false X 11 11 false false false false true false false true true false false true true true true true true true true false AK OR WA X JEFF SEIRER 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 X Elizabeth V Dunne President & CEO 40.0 2.0 X 2740817 0 566080 Carol Aaron Executive VP 40.0 0.0 X 1500997 0 143146 Richard DeCarlo Executive VP 40.0 2.0 X 1376893 0 254585 Wen-Huan S Ho MD MD Gastroenterology 40.0 0.0 X 1324703 0 197223 Ron L Saxton Executive VP/Asst Secretary 40.0 2.0 X 1184554 0 210515 John F Macgregor MD Cardiology 40.0 0.0 X 1087780 0 152934 Kimberly A Hodgkinson Executive VP 40.0 2.0 X 953292 0 241830 David Saenger MD Cardiology 40.0 0.0 X 968419 0 107277 James M Douglas MD Cardio Thoracic 40.0 0.0 X 933869 0 99302 Sean Gregory Chief Executive Columbia 40.0 2.0 X 777163 0 205813 Peyman Soltani MD Interventional Cardiology 40.0 0.0 X 910419 0 68914 Susan Bruechner Senior VP 40.0 0.0 X 850031 0 126496 Mary E Kingston Chief Executive Oregon 40.0 0.0 X 912653 0 57244 Michael P Dwyer Executive VP 40.0 2.0 X 777266 0 177265 Steven Glenn Executive VP 40.0 0.0 X 713925 0 158008 Dale J Zender Chief Executive NW 40.0 0.0 X 595629 0 217896 Michael C Metcalf Chief Executive PHMG 40.0 2.0 X 547464 0 204901 Mark B Hallett Senior VP 40.0 0.0 X 707903 0 41549 Dianna L Kielian Senior VP 40.0 0.0 X 555016 0 134406 William R Weider Senior VP 40.0 0.0 X 539260 0 51189 Charles Prosper Chief Executive Northwest 40.0 0.0 X 538539 0 36230 Rand J O'Leary Former Chief Executive Oregon 0.0 0.0 X 444641 0 0 Joline M Treanor Executive VP 40.0 0.0 X 315167 0 4588 John C Bennett Chief Executive Ambulatory 40.0 2.0 X 307212 0 11609 Craig Armstrong Assistant Secretary 40.0 2.0 X 255429 0 47591 Renato V Baciarelli Former Senior VP 0.0 0.0 X 125472 0 0 Dan A Hein Former Senior VP 0.0 0.0 X 106911 0 0 Karl Carrier Chairman 40.0 4.0 X 0 0 0 Andrea Nenzel CSJP Vice Chair/Vice President 40.0 4.0 X X 0 0 0 Sr Kathleen Pruitt CSJP Director 10.0 2.0 X 0 0 0 Sr Charlotte Davenport CSJP Director 10.0 2.0 X 0 0 0 Kevin Murphy Secretary 40.0 2.0 X X 0 0 0 Tim Ackman Director 10.0 2.0 X 0 0 0 Dan Hollingshead Director 10.0 2.0 X 0 0 0 Donna King Director 10.0 2.0 X 0 0 0 Lee Kearney Treasurer 40.0 2.0 X X 0 0 0 Todd Strumwasser MD Director 10.0 2.0 X 0 0 0 Rick Wollenberg Director 10.0 2.0 X 0 0 0 21819041 0 3516591 2465 true true false NURSEFINDERS LLC 524 E LAMAR BLVD SUITE 300 ARLINGTON TX 76011 HEALTHCARE STAFFING 39139990 QUEST DIAGNOSTICS 1737 AIRPORT WAY SUITE 200 SEATTLE WA 98134 LABORATORY SERVICES 25666020 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGINEERING 18282900 STAFF CARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING 7381503 THOMAS CUISINE MANAGEMENT 700 E FRANKLIN RD MERIDIAN ID 83642 FOOD & NUTRITION SVC 5951916 228 7258364 127183788 10497004 144939156 Patient Service Revenue 621110 2574474401 2574474401 Other Operating Revenue 621110 25921677 25425571 496106 2600396078 43813820 602766 43211054 0 0 10127181 7595387 2531794 0 2531794 2531794 2068133004 5500 2070049643 -13697270 -1916639 13702770 11786131 11786131 0 0 0 0 0 0 0 0 0 Cafeteria Income 900099 4766879 4766879 4766879 2808233858 2599899972 1098872 62295858 916893 916893 0 274405 274405 0 22051425 19144454 2906971 0 1378452279 1196216309 181638300 597670 82928467 71979624 10929676 19167 107852970 93583501 14210096 59373 96567015 83801071 12724692 41252 21979741 19082220 2897521 3255435 2826281 429154 701691 609189 92502 385403 334597 50806 0 0 260654478 226239218 34353074 62186 3546392 3067660 465806 12926 3782777 3281681 498304 2792 27008763 23428327 3557452 22984 0 53025669 46035459 6990210 6396583 5544534 841904 10145 0 1641896 1425450 216446 34560920 30004861 4556059 0 138975464 120649354 18319884 6226 32808940 28483839 4325101 Med Supplies & Services 383639059 333065112 50573947 Other Tax 95142900 82600506 12542394 Interest Rate Swaps 55645197 48309663 7335534 All Other Expenses 34756623 30007109 4556400 193114 2846951385 2470911317 375012233 1027835 34517265 401528389 845437274 798432494 0 0 491788164 327848322 0 0 0 0 8345695 8345695 43551437 62920945 30039008 34370108 3068587029 1828205548 1252936608 1240381481 1236292643 1272340659 84518377 92502911 0 0 33263075 48960385 95189001 89393157 4155878547 4377024546 326308716 680969685 0 0 1422636 6931004 973541663 949200783 0 0 0 0 0 0 0 0 369733414 441888738 1671006429 2078990210 X 2484872118 2298034336 0 0 2484872118 2298034336 4155878547 4377024546 X -38717527 602805 -148723060 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 936169 false true 1061540 1997709 false 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. 41337915 923802 -17819 773244 41470654 40596095 1162077 1202504 1622761 41337915 41485058 1057545 2691393 4637901 40596095 37043493 126052 4621855 306342 41485058 34416309 3277289 -377148 272957 37043493 0.15240 0.84760 false true true 125173076 125173076 1503515006 906320156 597194850 93100508 59949002 33151506 1218569303 861936390 356632913 128229136 128229136 1240381481 0 OBLIGATIONS UNDER CAPITAL LEASE 18572678 INTEREST RATE SWAPS 165044595 ACCRUED PENSION LIABILITY 132498348 SELF-INSURANCE LIABILITY 69916922 BONDS & NOTES PAYABLE 18732934 CONDITIONAL ARO LIABILITY 20782782 OTHER LIABILITIES 16340479 441888738 X 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. true Central America and the Caribbean 1 1 Grantmaking 274405 1 1 1 1 274405 274405 Central America and the Caribbean PROGRAM SERVICES 274405 BANK WIRE 0 1 false false false false true false 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. true true X true X 300. true X true true true false true true 63446601 63446601 0.02230 614840031 431567340 183272691 0.06440 678286632 431567340 246719292 0.08670 2285372 363484 1921888 0.00060 4718610 1077230 3641380 0.00130 5864660 3240565 2624095 0.00090 5397364 300 5397064 0.00190 18266006 4681579 13584427 0.00470 696552638 436248919 260303719 0.09140 696510 696510 0.00020 102067 102067 798577 798577 0.00020 false 14580717 6562656 570572891 669054302 -98481411 X true true 10 1 PH SACRED HEART MED CTR AT RIVERBEND 3333 RIVERBEND DRIVE SPRINGFIELD OR 97477 X X X A 2 PH SACRED HEART MED CTR UNIV DISTRICT 1255 HILYARD STREET EUGENE OR 97401 X X X A 3 PH SOUTHWEST MEDICAL CENTER 400 NE MOTHER JOSEPH PL VANCOUVER WA 98683 X X X A 4 PH ST JOSEPH MEDICAL CENTER 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 X X X A 5 PH ST JOHN MEDICAL CENTER 1615 DELAWARE STREET LONGVIEW WA 98632 X X X A 6 PH KETCHIKAN MEDICAL CENTER 3100 TONGASS AVENUE KETCHIKAN AK 99901 X X X X A 7 PH PEACE HARBOR MEDICAL CENTER 400 9TH STREET FLORENCE OR 97439 X X X A 8 PH COTTAGE GROVE COMMUNITY MED CTR 1515 VILLAGE DRIVE COTTAGE GROVE OR 97424 X X X A 9 PH PEACE ISLAND MEDICAL CENTER 1117 SPRING STREET FRIDAY HARBOR WA 97401 X X X A 10 PH UNITED GENERAL MEDICAL CENTER 4000 HOSPITAL DRIVE SEDROWOOLLEY WA 98284 X X X A FACILITY REPORTING GROUP A 10 false false true X X X X X X X X X 19 true true true true X WWW.PEACEHEALTH.ORG X X true 19 true WWW.PEACEHEALTH.ORG - IN THE CHNAS false true 300. 400. X X true true X X X true X WWW.PEACEHEALTH.ORG X WWW.PEACEHEALTH.ORG X WWW.PEACEHEALTH.ORG X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 9 ALL PEACEHEALTH HOSPITALS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM APRIL THROUGH JUNE 2019. THESE ASSESSMENTS ARE CONDUCTED EVERY THREE YEARS. THESE NEW ASSESSMENTS WILL SPAN 2019-2021. ALL PEACEHEALTH LOCATIONS DEVELOPED AND APPROVED IMPLEMENTATION PLANS ACTING ON CHNA RESULTS IN OCTOBER 2019. 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 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. PART V, SECTION B, LINE 6B REFER TO THE PUBLISHED CHNAS AT WWW.PEACEHEALTH.ORG FOR 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. PART V, SECTION B, LINE 7 ALL CHNA'S AND CHNA REPORTS ARE AVAILABLE UPON REQUEST. PART V, SECTION B, LINE 11 PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT WWW.PEACEHEALTH.ORG. THE PUBLISHED CHNAS CONTAIN THE IMPLEMENTATION PLAN(S) COVERING HOW THE PEACEHEALTH MEDICAL CENTERS ARE ADDRESSING THE SIGNIFICANT NEEDS OF THEIR RESPECTIVE COMMUNITIES. 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. 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 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 1, LINE 7 THE REPORTED COMMUNITY BENEFIT AMOUNTS DO NOT CAPTURE CERTAIN ADDITIONAL COMMUNITY BENEFIT ACTIVITIES AND CONTRIBUTIONS MADE DIRECTLY BY THE PEACEHEALTH AFFILIATED, SEPARATELY INCORPORATED FOUNDATIONS. TO ENSURE THAT FUTURE REPORTING WILL ACCURATELY REFLECT THE SCOPE OF ALL PEACEHEALTH COORDINATED COMMUNITY BENEFIT ACTIVITIES WE ARE IN THE PROCESS OF REVISING OUR PROCEDURES AND COORDINATING 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: *ST. JOHN MEDICAL CENTER FULLY FUNDED THE INITIAL CAPITAL COSTS REQUIRED TO OPEN A RECUPERATIVE CARE HOME FOR HOMELESS INDIVIDUALS IN NEED OF A SAFE PLACE TO HEAL AFTER AN ACUTE CARE STAY. THE PARTNERSHIP WITH THE LOCAL CAP, CHC, AND PEACEHEALTH PROVIDES SHELTER, FOOD, TRANSPORTATION, ACCESS TO SUPPORTIVE HOUSING AND PERMANENT HOUSING RESOURCES THROUGH INTENSIVE HOUSING CASE MANAGEMENT, MEDICAL CASE MANAGEMENT, BASIC HEALTH CARE, AND ACCESS TO NUMEROUS COMMINUTE RESOURCES TO HELP INDIVIDUALS ACCESS STABLE HOUSING PRIOR TO LEAVING THE RECUPERATIVE CARE PROGRAM. *PEACEHEALTH SOUTHWEST HAS DEVELOPED AND FUNDED (WITH GRANT FUNDING) AN OPIOID TREATMENT PROGRAM IN PARTNERSHIP WITH A LOCAL COMMUNITY PROVIDER OF MAT SERVICES. THE PROGRAM COORDINATES INITIATION OF MAT IN THE ACUTE CARE HOSPITAL SETTING WITH A WARM HAND OFF TO THE COMMUNITY PROVIDER FOR ON-GOING TREATMENT AND SUPPORT, INCREASING THE LIKELIHOOD THAT INDIVIDUALS WHO ARE SEEKING TREATMENT WILL BE SUCCESSFUL. * SACRED HEART MEDICAL CENTER PARTNERED WITH THE HOUSING IS HEALTH COALITION IN THE DEVELOPMENT AND FUNDING OF THE MLK COMMONS, A COMMUNITY PROJECT TO HOUSE AND SUPPORT PEOPLE IN THE COMMUNITY THAT HAVE BEEN HOMELESS THE LONGEST. THE PLANNED 51-UNIT HOUSING FIRST COMPLEX PROVIDES AN ARRAY OF SUPPORTIVE SERVICES UTILIZING A HOUSING FIRST SUPPORTED HOUSING MODEL WITH SUPPORTS AVAILABLE 24 HOURS A DAY THROUGH AN ARRAY OF ON-SITE PROVIDERS TO SUPPORT MENTAL HEALTH, PHYSICAL HEALTH AND SOCIAL ISSUES AND THE TRANSITION FROM HOMELESSNESS TO PERMANENT HOUSING. *PEACEHEALTH ST. JOSEPH MEDICAL CENTER WORKED WITH MULTIPLE COLLABORATIVE PARTNERS TO ENVISION AND RAISE INITIAL CAPITAL FUNDS FOR THE CREATION OF THE WAY STATION - A SAFE AND WELCOMING FACILITY WHERE INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS CAN FIND A CONSTELLATION OF SERVICES TO ASSIST THEIR TRANSITION TO SUSTAINABLE HOUSING AND ACCESS TO SOCIAL AND HEALTH SERVICES. PARTNERS HOPE TO OPEN THE WAY STATION BY EARLY 2022 MAKING KEY SERVICES AVAILABLE INCLUDING: 20 MEDICAL RESPITE BEDS, HYGIENE SERVICES LIKE SHOWERS AND LAUNDRY ACCESS, HOUSING CASE MANAGEMENT SUPPORT, AND MEDICAL AND BEHAVIORAL HEALTH CLINIC SERVICES AVAILABLE ON SITE. 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: 6/30/2020 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, 2020 AND 2019, $58,194 AND $70,770 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 604,230,337 AND 684,712,412 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF 80,482,075. 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 WILL ENGAGE COMMITTEES 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 ST. JOSEPH MEDICAL CENTER WORKS CLOSELY WITH THE WHATCOM ALLIANCE AND THE AREA FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) TO ENSURE THAT ALL ELIGIBLE PATIENTS SEEKING MEDICAL CARE KNOW ABOUT THE PEACEHEALTH FINANCIAL ASSISTANCE PROGRAM. ALLIANCE 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. 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). COMMUNITY INFORMATION FOR KETCHIKAN, ALASKA: -1,183 (5.9%) ARE PRESCHOOLERS UNDER 5 YEARS OLD (COMPARED TO 3.8% STATEWIDE) -3,872 (19.2%) ARE 5-19 YEARS OLD (COMPARED TO 22.1% STATEWIDE) -11,673 (58.0%) ARE ADULTS AGE 20-64 (COMPARED TO 59.8% STATEWIDE) -2,777 (13.8%) ARE SENIORS AGE 65+ (COMPARED TO 10.8% STATEWIDE) -4,075 (20.2%) ARE ALASKA NATIVE AND AMERICAN INDIAN (COMPARED TO 19.6% STATEWIDE) -1,055 (5.2%) ARE HISPANIC OR LATINO (COMPARED TO 6.8% STATEWIDE) -1,177 (5.8%) ARE ASIAN, (8.3%) FILIPINO (COMPARED TO 6.2% STATEWIDE, 3.5% ARE FILIPINO) COMMUNITY INFORMATION FOR EUGENE, OREGON: THE POPULATION OF LANE COUNTY IS 379,611. OF THIS TOTAL POPULATION: EUGENE, HOME TO THE UNIVERSITY OF OREGON, IS THE LARGEST CITY IN THE COUNTY. OF THE TOTAL POPULATION OF LANE COUNTY: -18,600 (4.9%) ARE PRESCHOOLERS UNDER 5 YEARS OLD (COMPARED TO 5.6% STATEWIDE) -69,849 (18.4%) ARE 5-19 YEARS OLD (COMPARED TO 20.8% STATEWIDE) -217,897 (57.4%) ARE ADULTS AGE 20-64 (COMPARED TO 56% STATEWIDE) -73,265 (19.3%) ARE SENIORS AGE 65+ (COMPARED TO 17.6% STATEWIDE) -338,224 (89.1%) ARE CAUCASIAN (COMPARED TO 86.8% STATEWIDE) -7,212 (1.6%) ARE ALASKA NATIVE AND AMERICAN INDIAN (COMPARED TO 1.8% STATEWIDE) -34,544 (9.1%) ARE HISPANIC OR LATINO (COMPARED TO 13.3% STATEWIDE) -4,555 (1.2%) ARE BLACK OR AFRICAN AMERICAN (COMPARED TO 2.2% STATEWIDE)-12,147 (3.2%) ARE ASIAN (COMPARED TO 4.8% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL DIPLOMA RATE: LANE COUNTY: 91.5% OREGON: 90.2% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE: LANE COUNTY: 18.8% OREGON: 14.9% CHILDREN IN POVERTY: LANE COUNTY: 18.0% OREGON: 17.0% UNEMPLOYMENT RATE: LANE COUNTY: 4.5% OREGON: 4.1% NUMBER OF HOMELESS, BOTH SHELTERED AND UNSHELTERED: LANE COUNTY: 2,165 OREGON: 14,476 SOURCE: HUD, LANE COUNTY PIT, 2019 POINT IN TIME COUNT NUMBER OF CHILDREN GRADES K-12 REPORTED HOMELESS: LANE COUNTY: 2,296 OREGON: 21,756 SHELTERED: 1,817 UNSHELTERED: 2,549 MOTEL/HOTEL: 1,236 LIVING WITH OTHER FAMILIES: 16,399 COMMUNITY INFORMATION FOR SPRINGFIELD, OREGON: REFER TO THE PREVIOUSLY LISTED INFORMATION FOR EUGENE, OREGON AND LANE COUNTY. FOR THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE SERVICE AREA FOR PEACEHEALTH SACRED HEART AT RIVERBEND WAS DEFINED AS LANE COUNTY. THIS DEFINITION WAS BASED IN PART ON THE FACT THAT MORE THAN 80% OF PEACEHEALTH SACRED HEARTS INPATIENTS IN 2011 WERE RESIDENTS OF LANE COUNTY. IN ADDITION, SACRED HEART AT RIVERBEND SERVES AS THE REGIONAL REFERRAL HOSPITAL FOR OTHER PROVIDERS IN LANE COUNTY. COMMUNITY INFORMATION FOR FLORENCE, OREGON: PEACE HARBOR'S SERVICE AREA HAS APPROXIMATELY 16,412 RESIDENTS, MOST OF WHOM RESIDE IN FLORENCE. OF THIS POPULATION: -656 (4.0%) ARE PRESCHOOLERS UNDER 5 YEARS OLD (COMPARED TO 5.6% STATEWIDE) -2,183 (13.3%) ARE 5-19 YEARS OLD (COMPARED TO 20.8% STATEWIDE) -6,778 (41.3%) ARE ADULTS AGE 20-64 (COMPARED TO 56% STATEWIDE) -6,795 (41.4%) ARE SENIORS AGE 65+ (COMPARED TO 17.6% STATEWIDE) -15,296 (93.2%) ARE CAUCASIAN (COMPARED TO 86.8% STATEWIDE) -181 (1.1%) ARE ALASKA NATIVE AND AMERICAN INDIAN (COMPARED TO 1.8% STATEWIDE) -345 (2.1%) ARE HISPANIC OR LATINO (COMPARED TO 13.3% STATEWIDE) -49 (0.3%) ARE BLACK OR AFRICAN AMERICAN (COMPARED TO 2.2% STATEWIDE) -230 (1.4%) ARE ASIAN (COMPARED TO 4.8% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL DIPLOMA RATE: SERVICE AREA: 90.8% LANE COUNTY: 91.5% OREGON STATE: 90.2% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE: SERVICE AREA: 17.2% LANE COUNTY: 18.8% OREGON STATE: 14.9% CHILDREN IN POVERTY: SERVICE AREA: NA LANE COUNTY: 18.0% OREGON STATE: 17.0% UNEMPLOYMENT RATE: SERVICE AREA: 9.1% LANE COUNTY: 4.5% OREGON STATE: 4.1% NUMBER OF HOMELESS, BOTH SHELTERED AND UNSHELTERED: SERVICE AREA: NA LANE COUNTY: 2,165 OREGON STATE: 14,476 SOURCE: HUD, LANE COUNTY PIT, 2019 POINT IN TIME COUNT NUMBER OF CHILDREN GRADES K-12 REPORTED HOMELESS: SERVICE AREA: NA LANE COUNTY: 2,296 OREGON STATE: 21,756 SHELTERED: 1,817 UNSHELTERED: 2,549 MOTEL/HOTEL: 1,236 LIVING WITH OTHER FAMILIES: 16,399 COMMUNITY INFORMATION FOR COTTAGE GROVE, OREGON: COTTAGE GROVE OFFERS PROGRAMS TO THE APPROXIMATELY 31,510 RESIDENTS OF THE SERVICE AREA. OF THIS POPULATION: -2,237 (7.1%) ARE PRESCHOOLERS UNDER 5 YEARS OLD (COMPARED TO 5.6% STATEWIDE) -7,972 (25.3%) ARE 5-19 YEARS OLD (COMPARED TO 20.8% STATEWIDE) -16,417 (52.1%) ARE ADULTS AGE 20-64 (COMPARED TO 56% STATEWIDE) -4,884 (15.5%) ARE SENIORS AGE 65+ (COMPARED TO 17.6% STATEWIDE) -29,115 (92.4%) ARE CAUCASIAN (COMPARED TO 86.8% STATEWIDE) -126 (.04%) ARE ALASKA NATIVE AND AMERICAN INDIAN (COMPARED TO 1.8% STATEWIDE) -3,025 (9.6%) ARE HISPANIC OR LATINO (COMPARED TO 13.3% STATEWIDE) -32 (.01%) ARE BLACK OR AFRICAN AMERICAN (COMPARED TO 2.2% STATEWIDE) -95 (.03%) ARE ASIAN (COMPARED TO 4.8% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL DIPLOMA RATE: SERVICE AREA: 88.9% LANE COUNTY: 91.5% OREGON: 90.2% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE: SERVICE AREA: 16.7% LANE COUNTY: 18.8% OREGON: 14.9% CHILDREN IN POVERTY: SERVICE AREA: NA LANE COUNTY: 18.0% OREGON: 17.0% UNEMPLOYMENT RATE: SERVICE AREA: 8.8% LANE COUNTY: 4.5% OREGON: 4.1% NUMBER OF HOMELESS, BOTH SHELTERED AND UNSHELTERED: SERVICE AREA: NA LANE COUNTY: 2,165 OREGON: 14,476 SOURCE: HUD, LANE COUNTY PIT, 2019 POINT IN TIME COUNT NUMBER OF CHILDREN GRADES K-12 REPORTED HOMELESS: SERVICE AREA: NA LANE COUNTY: 2,296 OREGON STATE: 21,756 SHELTERED: 1,817 UNSHELTERED: 2,549 MOTEL/HOTEL: 1,236 LIVING WITH OTHER FAMILIES: 16,399 COMMUNITY INFORMATION FOR VANCOUVER, WASHINGTON: WITHIN THE FOUR COUNTY PORTLAND METROPOLITAN AREA, CLARK COUNTY IS THE THIRD MOST POPULOUS COUNTY. THE SERVICE AREA ENCOMPASSES 629 SQUARE MILES AND ITS MULTIPLE LARGE SUBURBAN COMMUNITIES HAVE A TOTAL POPULATION OF APPROXIMATELY 480,000. OF THIS POPULATION: -29,529 (6.2%) ARE PRESCHOOLERS UNDER FIVE YEARS OLD -133,837 (27.9%) ARE FIVE-19 YEARS OLD (COMPARED TO 18.7% STATEWIDE) -271,383 (56.7%) ARE ADULTS AGE 20-64 (COMPARED TO 60.7% STATEWIDE) -73,740 (15.4%) ARE SENIORS AGE 65+ (COMPARED TO 14.4% STATEWIDE) -47,073 (9.8%) ARE HISPANIC OR LATINO (COMPARED TO 12.3% STATEWIDE) -4,083 (0.9%) ARE AMERICAN INDIAN AND ALASKA NATIVE (COMPARED TO 3.0% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL GRADUATION RATE CLARK COUNTY: 92.0% WASHINGTON STATE: 90.8% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE CLARK COUNTY: 10.3% WASHINGTON STATE: 12.2% MEDIAN HOUSEHOLD INCOME CLARK COUNTY: $67,832 WASHINGTON STATE: $66,174 % WITHOUT RELIABLE ACCESS TO A SUFFICIENT QUANTITY OF AFFORDABLE, NUTRITIOUS FOOD CLARK COUNTY: 12.4% WASHINGTON STATE: 12.0% OPIOID DEATHS PER 100,000 CLARK COUNTY: 8.4% WASHINGTON STATE: 10.1% POINT IN TIME HOMELESSNESS RATE CLARK COUNTY: 1:602 WASHINGTON STATE: 1:346 COMMUNITY INFORMATION FOR LONGVIEW, WASHINGTON: THE POPULATION OF COWLITZ COUNTY IS APPROXIMATELY 103,590. OF THIS POPULATION: -6,169 (6.0%) ARE PRESCHOOLERS UNDER FIVE YEARS OLD -19,972 (19.27%) ARE FIVE-19 YEARS OLD (COMPARED TO 18.69% STATEWIDE) -58,628 (56.6%) ARE ADULTS AGE 20-64 (COMPARED TO 60.70% STATEWIDE) -18,821 (18.2%) ARE SENIORS AGE 65+ (COMPARED TO 14.35% STATEWIDE) -8,936 (8.6%) ARE HISPANIC OR LATINO (COMPARED TO 12.30% STATEWIDE) -3,716 (3.6%) ARE AMERICAN INDIAN AND ALASKA NATIVE (COMPARED TO 3% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL GRADUATION RATE COWLITZ COUNTY: 88.5% WASHINGTON STATE: 90.8% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE COWLITZ COUNTY: 16.9% WASHINGTON STATE: 12.2% MEDIAN HOUSEHOLD INCOME COWLITZ COUNTY: $49,804 WASHINGTON STATE: $66,174 PERCENT WITHOUT RELIABLE ACCESS TO A SUFFICIENT QUANTITY OF AFFORDABLE, NUTRITIOUS FOOD COWLITZ COUNTY: 14.8% WASHINGTON STATE: 12.0% OPIOID DEATHS PER 100,000 COWLITZ COUNTY: 12.1% WASHINGTON STATE: 10.1% POINT IN TIME HOMELESSNESS RATE COWLITZ COUNTY: 1:320 WASHINGTON STATE: 1:346 PART VI, LINE 4 (CONTINUED): COMMUNITY INFORMATION FOR BELLINGHAM, WASHINGTON: THE POPULATION OF WHATCOM COUNTY IS APPROXIMATELY 212,700. OF THIS POPULATION: -11,682 (5.50%) ARE PRESCHOOLERS UNDER 5 YEARS OLD -38,213 (17.96%) ARE 5-19 YEARS OLD (COMPARED TO 18.69% STATEWIDE) -128,912 (60.60%) ARE ADULTS AGE 20-64 (COMPARED TO 60.70% STATEWIDE) -33,931 (15.90%) ARE SENIORS AGE 65+ (COMPARED TO 14.35% STATEWIDE) -19,198 (9.0%) ARE HISPANIC OR LATINO (COMPARED TO 12.30% STATEWIDE) -9,224 (4.30%) ARE AMERICAN INDIAN AND ALASKA NATIVE (COMPARED TO 3.0% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL DIPLOMA RATE: WHATCOM COUNTY: 91.2% WASHINGTON: 90.8% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE: WHATCOM COUNTY: 15.3% WASHINGTON: 12.2% HOUSEHOLDS IN POVERTY OR UNABLE TO AFFORD BASIC HOUSEHOLD EXPENSES WHATCOM COUNTY: 8.6% WASHINGTON: 8.0% COMMUNITY INFORMATION FOR FRIDAY HARBOR, WASHINGTON: FRIDAY HARBOR IS A TOWN IN SAN JUAN COUNTY, WASHINGTON, UNITED STATES. THE POPULATION OF SAN JUAN COUNTY IS APPROXIMATELY 17,000. OF THIS POPULATION: -493 (2.9%) ARE PRESCHOOLERS UNDER FIVE YEARS OLD (COMPARED TO 6.1% STATEWIDE) -2,210 (13.0%) ARE FIVE-19 YEARS OLD (COMPARED TO 22.1% STATEWIDE) -8,500 (50.0%) ARE ADULTS AGE 20-64 (COMPARED TO 56.4% STATEWIDE) -5,797 (34.1%) ARE SENIORS AGE 65+ (COMPARED TO 15.4% STATEWIDE) -1,139 (6.7%) ARE HISPANIC OR LATINO (COMPARED TO 12.9% STATEWIDE) -170 (1.0%) ARE AMERICAN INDIAN AND ALASKA NATIVE (COMPARED TO 1.9% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL GRADUATION RATE SAN JUAN ISLAND: 96.1% SAN JUAN COUNTY: 96.1% WASHINGTON STATE: 90.8% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE SAN JUAN ISLAND: 9.1% SAN JUAN COUNTY: 10.7% WASHINGTON STATE: 6.0% MEDIAN HOUSEHOLD INCOME SAN JUAN ISLAND: $64,654 SAN JUAN COUNTY: $60,271 WASHINGTON STATE: $66,174 PEOPLE OVER AGE 5 WHO ARE LINGUISTICALLY ISOLATED SAN JUAN ISLAND: 1.8% SAN JUAN COUNTY: 2.0% WASHINGTON STATE: 7.6% ALICE (ASSET LIMITED INCOME CONSTRAINED, EMPLOYED FAMILIES) BY SUBCOUNTY AREA: SAN JUAN ISLAND: 28.3% SAN JUAN COUNTY: 39% WASHINGTON STATE: 37% COMMUNITY INFORMATION FOR SEDRO-WOOLLEY, WASHINGTON: SEDRO-WOOLLEY IS A TOWN IN SKAGIT COUNTY, WASHINGTON, UNITED STATES. THE POPULATION OF SKAGIT COUNTY IS APPROXIMATELY 52,000. OF THIS POPULATION: -3,172 (6.1%) ARE PRESCHOOLERS UNDER FIVE YEARS OLD (COMPARED TO 6.1% STATEWIDE) -11,336 (21.8%) ARE FIVE-19 YEARS OLD (COMPARED TO 22.1% STATEWIDE) -26,728 (51.4%) ARE ADULTS AGE 20-64 (COMPARED TO 56.4% STATEWIDE) -10,764 (20.7%) ARE SENIORS AGE 65+ (COMPARED TO 15.4% STATEWIDE) -9,724 (18.7%) ARE HISPANIC OR LATINO (COMPARED TO 12.9% STATEWIDE) -1,404 (2.7%) ARE AMERICAN INDIAN AND ALASKA NATIVE (COMPARED TO 1.9% STATEWIDE) THE FOLLOWING SOCIODEMOGRAPHIC PROFILES WERE SUMMARIZED IN THE CHNA: HIGH SCHOOL GRADUATION RATE SEDRO-WOOLLEY: 92.0% SKAGIT COUNTY: 89.3% WASHINGTON STATE: 90.8% INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LINE SEDRO-WOOLLEY: 14.7% SKAGIT COUNTY: 14.3% WASHINGTON STATE: 6.0% MEDIAN HOUSEHOLD INCOME SEDRO-WOOLLEY: $57,089 SKAGIT COUNTY: $59,263 WASHINGTON STATE: $66,174 PEOPLE OVER AGE 5 WHO ARE LINGUISTICALLY ISOLATED SEDRO-WOOLLEY: 2.2% SKAGIT COUNTY: 7.3% WASHINGTON STATE: 7.6% ALICE (ASSET LIMITED INCOME CONSTRAINED, EMPLOYED FAMILIES) BY SUBCOUNTY AREA: SEDRO-WOOLLEY: 48.0% SKAGIT COUNTY: 34.0% WASHINGTON STATE: 37.0% 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 THE AFFORDABLE 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 WWW.PEACEHEALTH.ORG 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 true Homes for Good Housing Agency 100 W 13th Ave Eugene OR 97401 936002480 501(C)(3) 500000 Community Benefit Lower Columbia Cap 1526 Commerce Ave Longview WA 98632 910814141 501(C)(3) 425000 Community Benefit Clark County Public Health 1601 E 4th Plain Blvd BLDG 17 3rd Vancouver WA 98666 931266748 WASHINGTON 300000 Community Benefit Sisters Of St Joseph Of Peace 1663 Killamey Way PO Box 248 Bellevue WA 98009 910567741 501(C)(3) 282175 Mission Support United General District 304 2031 HOSPITAL DR SEDRO WOOLLEY WA 98284 810622393 WASHINGTON 282125 Mission Support Western Lane Ambulance Dist 2625 Hwy 101 Florence OR 97439 936010869 OREGON 250000 Community Benefit Wsma Foundation For Healthcare Improvement 2001 6th Avenue Suite 2700 Seattle WA 98121 916074463 501(C)(3) 200000 Community Benefit The Oregon Community 1221 SW Yamhill St Suite 100 Portland OR 97205 237315673 501(C)(3) 150000 Community Benefit Sheltercare PO Box 23338 Eugene OR 97402 237115003 501(C)(3) 150000 Community Benefit Unity Care Nw 1616 Cornwall Ave Ste 2015 Bellingham WA 98225 912168190 501(C)(3) 130000 Community Benefit St Alice Catholic Church 1520 E Street Springfield OR 97477 930452696 501(C)(3) 115000 Community Benefit Mercy Housing Nw 6930 Martin Luther King Jr S Seattle WA 98118 911546525 501(C)(3) 106000 Housing Assistance Volunteers In Medicine Clinic 3321 W 11th Avenue Eugene OR 97402 931276816 501(C)(3) 102500 Community Benefit Washington State Medical Group 2001 Sixth Avenue Seattle WA 98121 916074463 501(C)(3) 100000 Community Benefit Clark County Food Bank 6502 NW 47th Ave Vancouver WA 98661 911307564 501(C)(3) 93000 Community Benefit Lane Community College 4000 E 30th Ave Eugene OR 97405 930546223 OREGON 75874 Education Support Free Clinic Of Sw Washington 4100 Plomondon St Vancouver WA 98661 911707542 501(C)(3) 75000 Community Health Needs County Of Whatcom 311 GRAND AVE STE 103 BELLINGHAM WA 98225 916001383 WASHINGTON 70000 Community Benefit Lane Community College Fdtn 4000 East 30th Ave Eugene OR 97405 237113266 501(C)(3) 68750 Education Support Catholic Community Svcs 1025 G Street Eugene OR 97477 930409105 501(C)(3) 65000 Community Benefit YMCA 2055 Patterson St Eugene OR 97405 930500679 501(C)(3) 55000 Community Health Needs Siuslaw Outreach Svcs PO Box 19000 Florence OR 97439 943061005 501(C)(3) 55000 Community Benefit Brigid Collins Family Support 1231 N Garden Street 200 Bellingham WA 98225 943121951 501(C)(3) 51000 Community Benefit Cascade Health Solutions 2650 SUZANNE WY STE 200 EUGENE OR 97408 930421470 501(C)(3) 50000 Community Benefit Food For Lane County 770 Bailey Hill road Eugene OR 97402 930888347 501(C)(3) 50000 Community Benefit Council For The Homeless 2500 Main Street Vancouver WA 98660 912001828 501(C)(3) 50000 Community Benefit Chuckanut Health Fdtn 809 E Chestnut St Bellingham WA 98225 911192943 501(C)(3) 46800 Community Benefit Florence Food Share 2190 Spruce Street Florence OR 97439 931053932 501(C)(3) 45000 Community Benefit Share Inc 2306 NE Andresen Road Vancouver WA 98661 911205119 501(C)(3) 41000 Community Benefit Nw Youth Services 1020 N State St Bellingham WA 98225 910970561 501(C)(3) 37500 Community Benefit Boys And Girls Club Of Western 1501 Airplace Road Florence OR 97439 931236854 501(C)(3) 35600 Community Benefit Opportunity Council 1111 Cornwall Ave Bellingham WA 98225 910787820 501(C)(3) 35000 Community Benefit Washington Poison Center 155 NE 100th St Ste 100 Seattle WA 98125 943214597 501(C)(3) 30000 Community Benefit Lower Columbia School Gardens PO Box 3010 Longview WA 98632 910823636 501(C)(3) 30000 Nutrition Education Educational Svc District 112 2500 NE 65th Ave Vancouver WA 98661 910847188 WASHINGTON 30000 Community Benefit United Way Of Whatcom County 1511 Cornwall Ave Bellingham WA 98225 910570788 501(C)(3) 27000 Community Benefit Siuslaw School Dist Num 97J 2975 Oak St Florence OR 97439 936000608 OREGON 26000 Community Benefit United Way Of Lane County 3171 Gateway Loop Springfield OR 97477 930394142 501(C)(3) 25000 Community Benefit Community Health Partners PO Box 2853 Longview WA 98632 912016542 501(C)(3) 25000 Community Benefit Catholic Charities 2740 SE Powell Blvd 1 Portland OR 97202 930386801 501(C)(3) 25000 Community Benefit Clark County Sheriffs Office Citizen Search and Re 505 NW 179th Ridgefield WA 98642 602596667 501(C)(3) 25000 Community Benefit Lydia Place PO Box 28487 Bellingham WA 98228 943111948 501(C)(3) 25000 Community Benefit Whatcom Family Ymca 1256 N State St Bellingham WA 98225 910482690 501(C)(3) 25000 Community Benefit Eugene Mission Inc 1542 West 1st Avenue Eugene OR 97402 930563797 501(C)(3) 25000 Community Benefit South Lane Mental Health Svc 410 N 9th Street Cottage Grove OR 97424 930966461 501(C)(3) 25000 Community Benefit San Juan Island Family PO Box 1981 Friday Harbor WA 98250 912014083 501(C)(3) 22508 Community Benefit Rural Organizing Project PO Box 664 Cottage Grove OR 97424 911159856 501(C)(3) 22500 Community Benefit Vancouver Farmers Market Assoc PO Box 61638 Vancouver WA 98666 911499546 501(C)(3) 22000 Community Benefit The Landing Hotel 3434 TONGASS AVE KETCHIKAN AK 99901 920075395 N/A 20548 Community Benefit Toutle River Ranch PO Box 2052 Longview WA 98632 910726260 N/A 20000 Addiction Recovery Ketchikan Wellness Coalition 602 Dock St Ste 108 KETCHIKAN AK 99901 270897521 501(C)(3) 19800 Community Benefit Residential Youth Care Inc PO Box 7475 KETCHIKAN AK 99901 920146378 501(C)(3) 17750 Community Benefit Lower Columbia College PO Box 3010 Longview WA 98632 910823636 WASHINGTON 16500 Education Support Parenting Now 88 Centennial Loop Eugene OR 97401 930706557 501(C)(3) 16250 Community Benefit Helping Hands Food Bank PO Box 632 Sedro Woolley WA 98284 911203572 501(C)(3) 15000 Community Benefit Whatcom County Council On Aging 315 Halleck Street Bellingham WA 98226 910784024 501(C)(3) 14500 Community Benefit Jubilee Womens Center 620 18th Avenue East Seattle WA 98112 911539920 501(C)(3) 13500 Community Benefit First City Homeless Svc PO Box 23095 KETCHIKAN AK 99901 262565838 501(C)(3) 12450 Community Benefit County Of South Lane Dist 4553 1275 SOUTH RIVER RD COTTAGE GROVE OR 97424 936000589 OREGON 12285 Community Benefit Pathways 2020 PO Box 1278 Longview WA 98632 911954815 WASHINGTON 12000 Community Benefit Whatcom Family And Community Network 1231 N Garden St Bellingham WA 98225 911631944 501(C)(3) 10500 Community Benefit Aha Amer Heart Assn 7272 Greenville Avenue Dallas TX 75231 135613797 501(C)(3) 10000 Community Benefit University Of Oregon Foundation 1278 University Of Oregon Eugene OR 97403 481278531 501(C)(3) 10000 Community Benefit Identity Clark County 915 Broadway Suite 302 Vancouver WA 98660 911623724 501(C)(3) 10000 Community Benefit Mapleton Food Share 10718 Highway 126 Mapleton OR 97453 460687996 501(C)(3) 10000 Community Benefit School Garden Project of Lane County PO Box 30072 Eugene OR 97403 010755594 501(C)(3) 10000 Community Benefit Bethel Education Foundation 4640 Barger Drive Eugene OR 97402 270745177 501(C)(3) 10000 Community Benefit Sea Mar Community Health Center 1040 S Henderson St Seattle WA 98108 911020139 501(C)(3) 10000 Community Benefit Family Promise of Skagit Valley PO Box 335 Sedro Woolley WA 98284 462556043 501(C)(3) 10000 Community Benefit Laurel Hill Center Inc 2145 Centennial Plaza Eugene OR 97401 237256802 501(C)(3) 8742 Community Benefit Greater Vancouver Chamber 1101 Broadway Vancouver WA 98660 910452260 501(C)(3) 7960 Community Benefit Economic Development Assn PO Box 40 Mount Vernon WA 98273 910991008 501(C)(6) 7500 Community Benefit Vancouver Symphony Orchestra PO Box 525 Vancouver WA 98666 911281734 501(C)(3) 7500 Community Benefit Community Food Cooperative 406 E Holly St Bellingham WA 98225 910899784 501(C)(3) 7500 Community Benefit Advancing Health Equity LLC 195 Willaghby Ave Apt 513 Brooklyn NY 11205 833976517 N/A 7500 Community Benefit Se Conference PO Box 21989 Juneau AK 99802 920089028 501(C)(3) 7185 Community Benefit Washington State University PO Box 641068 Pullman WA 99164 916001108 WASHINGTON 6750 Education Support The Waterfall Foundation PO Box 70049 Fairbanks AK 99707 541980898 501(C)(3) 6500 Community Benefit Clark College 1933 Fort Vancouver Way Vancouver WA 98663 910824167 WASHINGTON 6000 Education Support Friends Of The Carpenter PO Box 65358 Vancouver WA 98665 911932953 501(C)(3) 6000 Community Benefit Catholic Community Svcs of Western WA 100 23rd Ave S Seattle WA 98144 911585652 501(C)(3) 6000 Community Benefit Sw Washington Family Ymca 766 15th Avenue Longview WA 98632 910565021 501(C)(3) 5544 Community Benefit 79 3 PART I, LINE 2: 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. X X X X true true X X X X true true false false false false false false false Elizabeth V Dunne President & CEO 1405437 0 1317722 0 17658 0 554010 0 12070 0 3306897 0 0 0 Craig Armstrong Assistant Secretary 233404 0 22025 0 0 25772 0 21819 0 303020 0 0 0 Ron L Saxton Executive VP/Asst Secretary 588732 0 579835 0 15987 0 191759 0 18756 0 1395069 0 0 0 Carol Aaron Executive VP 661492 0 800706 0 38799 0 125260 0 17886 0 1644143 0 0 0 Richard DeCarlo Executive VP 831397 0 535608 0 9888 0 230897 0 23688 0 1631478 0 0 0 Michael P Dwyer Executive VP 513925 0 251971 0 11370 0 165788 0 11477 0 954531 0 0 0 Steven Glenn Executive VP 481779 0 220803 0 11343 0 153729 0 4279 0 871933 0 0 0 Joline M Treanor Executive VP 163465 0 100000 0 51702 0 1395 0 3193 0 319755 0 0 0 Kimberly A Hodgkinson Executive VP 633936 0 314153 0 5203 0 223026 0 18804 0 1195122 0 0 0 Mark B Hallett Senior VP 571586 0 123924 0 12393 0 23758 0 17791 0 749452 0 0 0 Dianna L Kielian Senior VP 308274 0 173154 0 73588 0 119364 0 15042 0 689422 0 0 0 William R Weider Senior VP 436475 0 94631 0 8154 0 27191 0 23998 0 590449 0 0 0 Sean Gregory Chief Executive Columbia 637919 0 139244 0 0 182247 0 23566 0 982976 0 0 0 John C Bennett Chief Executive Ambulatory 173078 0 100000 0 34134 0 6969 0 4640 0 318821 0 0 0 Mary E Kingston Chief Executive Oregon 701491 0 202505 0 8657 0 39314 0 17930 0 969897 0 0 0 Charles Prosper Chief Executive Northwest 394240 0 75621 0 68678 0 19872 0 16358 0 574769 0 0 0 Michael C Metcalf Chief Executive PHMG 446864 0 96883 0 3717 0 187244 0 17657 0 752365 0 0 0 Wen-Huan S Ho MD MD Gastroenterology 1324703 0 0 0 172882 0 24341 0 1521926 0 0 0 David Saenger MD Cardiology 968419 0 0 0 83589 0 23688 0 1075696 0 0 0 John F Macgregor MD Cardiology 1087780 0 0 0 128743 0 24191 0 1240714 0 0 0 James M Douglas MD Cardio Thoracic 869233 0 48101 0 16535 0 75631 0 23671 0 1033171 0 0 0 Peyman Soltani MD Interventional Cardiology 910419 0 0 0 0 0 45647 0 23267 0 979333 0 0 0 Dale J Zender Chief Executive NW 485941 0 105355 0 4333 0 200197 0 17699 0 813525 0 0 0 Rand J O'Leary Former Chief Executive Oregon 0 39994 0 404647 0 0 0 444641 0 0 0 Dan A Hein Former Senior VP 0 0 106911 0 0 0 106911 0 0 0 Renato V Baciarelli Former Senior VP 0 0 125472 0 0 0 125472 0 0 0 Susan Bruechner Senior VP 95066 0 753620 0 1345 0 122521 0 3975 0 976527 0 0 0 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 2019: Dan A. Hein 106,911 Dianna L. Kielian 55,462 Rand J. O'Leary 404,647 Renato V. Baciarelli 125,472 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2019: Elizabeth V. Dunne 477,685 Michael C. Metcalf 152,985 Kimberly A. Hodgkinson 200,626 Michael P. Dwyer 160,188 Ron L. Saxton 159,018 Dale J. Zender 160,713 Richard DeCarlo 225,605 Steven Glenn 97,777 Dianna L Kielian 94,293 Sean Gregory, M.D. 176,885 Susan Bruechner 97,476 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. A WA HEALTHCARE FACILITIES AUTHORITY 936001787 68608JPE5 2011-08-11 150000000 REFUND WHCFA 2005 BONDS ISSUED '10 false false false B OR FACILITIES AUTHORITY 911108929 NONEAVAIL 2013-02-27 53464898 REFUND WHCFA 2008A ISSUED 11/2008 false false false C R FACILITIES AUTHORITY 911108929 NONEAVAIL 2014-03-18 44678262 REFUND WHCFA 1999 ISSUED 03/1999 false false false D OR FACILITIES AUTHORITY 936001787 68608JSB8 2014-03-18 71088211 REFUND OFA08A&B '08, HHECFA '98 false false false A 75000000 0 150000000 0 0 0 0 0 0 150000000 0 0 2011 true false true true B 3400000 0 53464898 0 0 0 0 0 0 53464898 0 0 2013 true false true true C 3520000 0 44678262 0 0 0 873262 0 0 43805000 0 0 2014 true false true true D 0 0 71088211 0 0 0 1019562 0 0 70068649 0 0 2014 true false true true A false false true true false 0.00010 0.00010 false false false true B false false true true false 0.00010 0.00010 false false false true C false false true true false 0.00010 0.00010 false false false true D false false true true false 0.00010 0.00010 false false false true A false false true false true false 0 false 0 false true B false false true false true false 0 false 0 false true C false false true false false false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true 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. A OR FACILITIES AUTHORITY 2018 A 936001787 68608JXD8 2018-10-31 45975000 REFUND OFA 2008 A-B false false false B OR FACILITIES AUTHORITY 2018 B 916001787 68608JXF3 2018-10-31 100000000 REFUND OFA 2008 A-B false false false C OR FACILITIES AUTHORITY 2018 C 916001787 NONEAVAIL 2018-12-03 75000000 REFUND OFA 2011 A false false false A 0 0 45975000 0 0 0 0 0 0 45975000 0 0 true false true true B 0 0 100000000 0 0 0 0 0 0 100000000 0 0 true false true true C 0 0 75000000 0 0 0 0 0 0 75000000 0 0 true false true true A false false true true false 0.00010 0.00010 false false false true B false false true true false 0.00010 0.00010 false false false true C false false true true false 0.00010 0.00010 false false false true A false false true false true false 0 false 0 false B false false true false true false 0 false 0 false C false false true false true false 0 false 0 false A true B true C 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 2019 WAS $260,303,719 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 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 11: 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: PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL BOARD MEMBERS. BOARD MEMBERS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. OFFICERS AND ANY KEY EMPLOYEES OF PEACEHEALTH MUST AGREE TO THE CONFLICT OF INTEREST POLICY AT THE TIME OF THEIR HIRE. THE CONFLICT OF INTEREST POLICY IS DISCUSSED WITH THE EMPLOYEE AT THEIR ANNUAL PERFORMANCE MEETING AND THE EMPLOYEE MUST SELF-DISCLOSE ANY CONFLICTS AT THIS TIME. HOWEVER, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO CONTINUALLY CONSIDER CONFLICT OF INTEREST PRECEPTS AND SELF-DISCLOSE ANY POTENTIAL CONFLICT AT THE TIME IT ARISES. SHOULD A POTENTIAL CONFLICT OF INTEREST ARISE, THE BOARD MEMBER HAVING A POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN DISCUSSIONS, USE PERSONAL INFLUENCE OR VOTE ON THE MATTER IN QUESTION. THE CONFLICT OF INTEREST STATEMENTS AND CORRESPONDING POLICIES ARE MONITORED AND DECISIONS ON CONFLICTS ARE MADE BY THE PEACEHEALTH BOARD OF DIRECTORS. 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 2020, 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 XI, LINE 9, CHANGES IN NET ASSETS: CHANGE IN PENSION LIABILITY (19,803,245). CHANGE IN INTEREST IN RELATED FOUNDATIONS (4,218,903). OTHER CHANGES IN TEMP RESTRICTED NET ASSETS 8,790,120. OTHER CHANGES IN UNRESTRICTED NET ASSETS (133,491,034). TOTAL TO FORM 990, PART XI, LINE 9 (148,723,060). PEACEHEALTH NETWORKS 1115 SE 164TH AVENUE VANCOUVER WA 98683 911230425 SUPPORT WA 501(C)(3) 12B, II NA false PEACEHEALTH SW MEDICAL CENTER FOUNDATION PO BOX 1600 VANCOUVER WA 98668 911231436 FUNDRAISING WA 501(C)(3) 7 PEACEHEALTH true HEALTH VENTURES 1115 SE 164TH AVENUE VANCOUVER WA 98683 911350776 HEALTHCARE JV WA 501(C)(3) 12A, I PEACEHEALTH true KETCHIKAN MEDICAL CENTER FDN 3100 TONGASS AVENUE KETCHIKAN AK 99901 651225184 FUNDRAISING AK 501(C)(3) 7 PEACEHEALTH true COTTAGE GROVE MEDICAL CENTER FDN 1515 VILLAGE DRIVE COTTAGE GROVE OR 97424 930688381 FUNDRAISING OR 501(C)(3) 7 PEACEHEALTH true PEACE HARBOR MEDICAL CENTER FDN 400 NINTH STREET FLORENCE OR 97439 931084126 FUNDRAISING OR 501(C)(3) 7 PEACEHEALTH true SACRED HEART MEDICAL CENTER FDN PO BOX 10905 EUGENE OR 97440 936026548 FUNDRAISING OR 501(C)(3) 7 PEACEHEALTH true ST JOHN MEDICAL CENTER FDN 1615 DELAWARE STREET PO BOX 3002 LONGVIEW WA 98632 911538852 FUNDRAISING WA 501(C)(3) 7 PEACEHEALTH true ST JOSEPH MEDICAL CENTER FDN 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 721545902 FUNDRAISING WA 501(C)(3) 7 PEACEHEALTH true RB AMBULATORY SURGERY CENTER 3355 RIVERBEND DR SPRINGFIELD OR 97477 205575145 MEDICAL OR HEALTH VENTURES 800627 2287542 false true 0.51021 POOLED INCOME FUND OF PEACEHEALTH #1 1115 SE 164TH AVE VANCOUVER WA 98683 276030191 POOLED INCOME FUN WA PEACEHEALTH Trust 867826 10327842 1.00000 true WHATCOM REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466129451 POOLED INCOME FUN WA PEACEHEALTH Trust 199354 3592697 1.00000 true LOWER COLUMBIA REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466157497 POOLED INCOME FUN WA PEACEHEALTH Trust 95525 1841419 1.00000 true OREGON REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466180599 POOLED INCOME FUN WA PEACEHEALTH Trust 99903 6101733 1.00000 true SIUSLAW REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466221760 POOLED INCOME FUN WA PEACEHEALTH Trust 88076 1937303 1.00000 true SOUTHWEST REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466168710 POOLED INCOME FUN WA PEACEHEALTH Trust 185619 5179498 1.00000 true PEACEHEALTH NETWORKS ON DEMAND LLC 1115 SE 164TH AVE VANCOUVER WA 98683 832849989 MEDICAL CLINICS WA PEACEHEALTH C Corp 23319192 90979934 1.00000 false false false true false false false false false false false false true false true true true false true true HEALTH VENTURES c 8776170 AT COST HEALTH VENTURES l 36668 AT COST PEACEHEALTH POOLED INCOME FUNDS r 1599925 AT COST PEACEHEALTH POOLED INCOME FUNDS s 738180 AT COST RELATED FOUNDATIONS n 32744 AT COST RELATED FOUNDATIONS o 717461 AT COST RELATED FOUNDATIONS p 277629 AT COST RELATED FOUNDATIONS c -10000 AT COST SCHEDULE R, PART IV: 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 INTEREST PAYMENTS ON DEBT TO PEACEHEALTH. AS OF 06/30/2020, 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 $113,380. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.