2020-07-13T11:50:18-05:00 2019-06-30 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2018-07-01 910939479 PEACEHEALTH % JEFF SEIRER PEAC 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 DARRIN MONTALVO EVP, CFO/GROWTH OFF 3607291000 2020-06-22 true LISA M MEYER P01490170 2069134000 2020-06-15 199.206.0.5 91023620201955000004 2020-07-13 P 7EACB7BEEB9C9CC9595CE6D4FE37F9754CC68E87 9249FA8DBFA3EB7DF49988E558F1FF188395B5D6 2018 2021-01-29 14:40:06Z DARRIN MONTALVO 1115 SE 164TH AVENUE VANCOUVER WA 98683 5053424211 false X WWW.PEACEHEALTH.ORG X 1976 WA WE CARRY ON THE HEALING MISSION OF JESUS CHRIST 10 10 18192 2699 1449152 12070790 10908240 2673293492 2779616231 92915109 71626516 7445998 7290963 2785725389 2869441950 2377434 1301150 0 0 1514618369 1604752863 0 0 4227636 1088459436 1188234230 2605455239 2794288243 180270150 75153707 3921713607 4155878547 1540488540 1671006429 2381225067 2484872118 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 1914021122 1301150 2413380316 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.) 528578574 365411067 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. 2442599696 true true false true false false false false false true true false false false true true false true false true true true true false false false true true true true true true false false false false false false false false false false false false false false false true true true false false true 1301 0 18192 true true true false false false false false false false false false false false X 10 10 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 Karl Carrier Chairman, Treasurer 40.0 4.0 X X 0 0 0 Sr Andrea Nenzel CSJP Vice Chair 40.0 4.0 X X 0 0 0 Sr Kathleen Pruitt CSJP Vice President 40.0 2.0 X X 0 0 0 Sr Charlotte Davenport CSJP Vice President 40.0 2.0 X 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 Lee Kearney Director 10.0 2.0 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 Elizabeth V Dunne President & CEO 40.0 2.0 X 1946076 0 271757 Craig Armstrong Assistant Secretary 40.0 2.0 X 262877 0 53265 Ron L Saxton Executive VP/Asst Secretary 40.0 0.0 X 830287 0 155483 Carol Aaron Executive VP 40.0 0.0 X 1101820 0 46253 Richard DeCarlo Executive VP 40.0 2.0 X 1169866 0 30563 Michael P Dwyer Executive VP 40.0 2.0 X 720587 0 133899 Steven Glenn Executive VP 40.0 0.0 X 483627 0 35578 Kimberly A Hodgkinson Executive VP 40.0 2.0 X 889660 0 160687 Susan Bruechner Senior VP 40.0 0.0 X 542327 0 46134 Mark B Hallet Senior VP 40.0 0.0 X 467577 0 11821 Dianna L Kielian Senior VP 40.0 0.0 X 503829 0 18514 Victoria L King Senior VP 40.0 0.0 X 577563 0 151849 William R Weider Senior VP 40.0 0.0 X 431966 0 17464 Sean Gregory Chief Executive Columbia 40.0 4.0 X 847130 0 30395 Mary E Kingston Chief Executive Oregon 40.0 2.0 X 387345 0 9291 Michael C Metcalf Chief Executive PHMG 40.0 2.0 X 643652 0 106829 Rand J O'Leary Chief Executive Oregon 40.0 0.0 X 894375 0 151526 Dale J Zender Chief Executive Northwest 40.0 2.0 X 645728 0 170584 Allen Gabriel MD MD Surgery - Plastics/Reconstr 40.0 0.0 X 1512398 0 98991 Yamac Gungor MD MD Cardiology 40.0 0.0 X 1078171 0 51201 Wen-Huan S Ho MD MD Gastroenterology 40.0 0.0 X 1181965 0 87122 Stephen A Malone MD MD Cardiology 40.0 0.0 X 1016380 0 90465 David Saenger MD MD Cardiology 40.0 0.0 X 1086010 0 93416 Beth O'Brien Former Chief Operating Officer 0.0 0.0 X 289200 0 0 Dan A Hein Former Senior VP 0.0 0.0 X 459108 0 0 Renato V Baciarelli Former Senior VP 0.0 0.0 X 640304 0 1778 20609828 0 2024865 2186 true true false NURSEFINDERS LLC 524 E LAMAR BLVD SUITE 300 ARLINGTON TX 76011 HEALTHCARE STAFFING 27804976 QUEST DIAGNOSTICS 1737 AIRPORT WAY SUITE 200 SEATTLE WA 98134 LABORATORY SERVICES 27194040 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGINEERING 8173948 STAFF CARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING 6619007 THOMAS CUISINE MANAGEMENT 700 E FRANKLIN RD MERIDIAN ID 83642 FOOD & NUTRITION SVC 6378706 206 5445390 2576147 2886703 10908240 Patient Service Revenue 621110 2730439114 2730439114 Other Operating Revenue 621110 49177117 48352269 824848 2779616231 44299829 624304 43675525 731808 731808 0 0 10100000 7575000 2525000 0 2525000 2525000 2202986765 15375 2178105645 -1698384 24881120 1713759 26594879 26594879 0 0 0 0 0 0 0 0 0 Cafeteria Income 900099 4765963 4765963 4765963 2869441950 2778791383 1449152 78293175 974231 974231 6405 6405 320514 320514 0 0 20609826 18041978 2567848 0 0 0 1309754666 1144513762 162894373 2346531 77070112 67343239 9584712 142161 105546369 92113142 13110119 323108 91771890 80190518 11413218 168154 14665404 12831977 1826327 7100 2001602 1752216 249386 580208 410229 58386 111593 345783 302701 43082 0 0 0 0 253262488 221217636 31485080 559772 4406522 3819065 543553 43904 4694057 4093913 582672 17472 28834152 25167541 3582003 84608 0 51178009 44801569 6376440 6697248 5791564 824291 81393 0 3780618 3296336 469155 15127 35509163 31084957 4424206 0 133623697 116966436 16647396 9865 23571524 20634669 2936855 Med Supplies & Services 401256323 351262332 49993857 134 Other Tax 100918315 88344563 12573752 BAD DEBTS 45829877 40119779 5710098 INTEREST RATE SWAPS 40346234 35319361 5026873 36733006 31879063 4537229 316714 2794288243 2442599696 347460911 4227636 47863839 34517265 873231567 845437274 0 0 382013322 491788164 0 0 0 0 8345695 8345695 43157368 43551437 27024390 30039008 2980731545 1727794937 1219902994 1252936608 1114176994 1236292643 71382560 84518377 0 0 33656210 33263075 100958668 95189001 3921713607 4155878547 300020651 326308716 0 0 2059363 1422636 842105729 973541663 0 0 0 0 0 0 0 0 396302797 369733414 1540488540 1671006429 X 2284383967 2394648852 71809448 66859083 25031652 23364183 2381225067 2484872118 3921713607 4155878547 X 75153707 36603769 -8110425 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 797828 false true 5000 802828 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. 40596095 1162077 1202504 1622761 41337915 41485058 1057545 2691393 4637901 40596095 37043493 126052 4621855 306342 41485058 34416309 3277289 -377148 272957 37043493 32158276 1882561 1037344 35078181 0.16823 0.58576 0.24601 false true true 115568746 115568746 1476522775 864277391 612245384 82492020 56148249 26343771 1144132836 807369297 336763539 162015168 162015168 1252936608 0 OBLIGATIONS UNDER CAPITAL LEASES 19547025 INTEREST RATE SWAPS 123499796 ACCRUED PENSION LIABILITY 113024710 SELF-INSURANCE LIABILITY 73596255 BONDS & NOTES PAYABLE 19396290 CONDITIONAL ARO LIABILITY 20198061 OTHER LIABILITIES 471277 369733414 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: NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, (2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, (R) FEDERAL AND STATE INCOME TAXES: 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 PROGRAM SERVICES HEALTHCARE 320514 1 1 1 1 320514 320514 Central America and the Caribbean PROGRAM SERVICES 320514 BANK WIRE 0 1 false false false false false false PART I, LINE 2: PEACEHEALTH OPERATES 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 true true 62873290 62873290 0.02250 648489176 443397142 205092034 0.07340 711362466 443397142 267965324 0.09590 1431089 341642 1089447 0.00040 5094767 1045603 4049164 0.00150 6866212 3953886 2912326 0.00100 2632258 97 2632161 0.00090 16024326 5341228 10683098 0.00380 727386792 448738370 278648422 0.09970 0 0 0 0.00000 0 0 0 0.00000 1195473 0 1195473 0.00040 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 4009 0 4009 0.00000 1199482 0 1199482 0.00040 false 45829877 20598255 604230337 684712412 -80482075 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 18 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: * THE ST. JOHN MEDICAL CENTER DEVELOPED A MEDICATION ASSISTED TREATMENT (MAT) PROGRAM THROUGH JOINT INVESTMENT AND GRANT FUNDS TO FORM A NETWORK OF PROVIDERS THROUGHOUT THE NORTHERN SOUND REGION WHO WILL SUPPORT OPIOID USE DISORDER AND SUBSTANCE ABUSE TREATMENT. * THE SACRED HEART MEDICAL CENTER AT RIVERBEND DEVELOPED AND FUNDED A CARE MANAGEMENT COORDINATOR AND SPACE TO SUPPORT MEDICAL RECUPERATION LIVING WITH MULTIPLE INTEGRATED SUPPORT SERVICES AND RESOURCES TO MINIMIZE BARRIERS AND INCREASE POPULATION ACCESS FOR PATIENTS LEAVING THE HOSPITAL. *THE SOUTHWEST WASHINGTON MEDICAL CENTER CLOSED THE FUNDING GAP FOR THE CONSTRUCTION OF THE PACIFIC APARTMENTS, AN 18 UNIT SUPPORTIVE HOUSING FACILITY FOR CHRONICALLY HOMELESS INDIVIDUALS EXPERIENCING MENTAL HEALTH AND OTHER DISABILITIES. IN ADDITION, PEACEHEALTH SOUTHWEST WASHINGTON ALSO FUNDED FOOD PROGRAMMING THROUGH THE HOUSING DIVERSION PROGRAM AT THE COUNCIL FOR THE HOMELESS TO PREVENT INDIVIDUALS FROM EXPERIENCING FOOD INSECURITY AS A PART OF THEIR JOURNEY TO STABILITY. 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: 6/30/2019 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (3) REVENUE RECOGNITION (A) NET PATIENT SERVICE REVENUE: NET PATIENT SERVICE REVENUE RELATES TO CONTRACTS WITH PATIENTS INVOLVING THIRD-PARTY PAYORS WHERE THE CORPORATION HAS AN OBLIGATION TO PERFORM HEALTHCARE SERVICES. THIS REVENUE IS RECORDED AT THE AMOUNT DUE FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS WHEN THE PERFORMANCE OBLIGATIONS ARE SATISFIED. THE ADOPTION OF ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (ASC TOPIC 606) RESULTED IN CHANGES TO THE PRESENTATION OF THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTIONS WITH THE PROVISION OF BAD DEBTS NOW BEING CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECOGNIZED AS A DIRECT DEDUCTION TO NET PATIENT SERVICE REVENUE RATHER THAN THE PRESENTATION OF THE PROVISION FOR BAD DEBTS, PRIOR TO ADOPTION, AS A DEDUCTION TO ARRIVE AT NET PATIENT SERVICE REVENUE. FOR THE YEAR ENDED JUNE 30, 2019, $70,770 OF IMPLICIT PRICE CONCESSIONS WAS RECORDED AS A DIRECT DEDUCTION TO NET 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, PLANNED FOR RELEASED IN WINTER 2019. 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 SISTERS OF ST JOSEPH OF PEACE 1663 Killamey Way Bellevue WA 98009 910567741 501(C)(3) 360100 Mission Support LANE COMMUNITY COLLEGE FDTN 4000 East 30th Ave Eugene OR 97405 237113266 501(C)(3) 275000 Education Support TOUTLE RIVER RANCH 907 DOUGLAS ST LONGVIEW WA 98632 910726260 501(C)(3) 241230 Addiction Recovery LOOKING GLASS YOUTH AND FAMILY 1790 W 11th Avenue Suite 200 Eugene OR 97402 930605174 501(C)(3) 200000 Community Benefit UNITY CARE NW 1616 Cornwall Ave Ste 2015 Bellingham WA 98225 912168190 501(C)(3) 160270 Education Support SHELTERCARE PO Box 23338 Eugene OR 97402 237115003 501(C)(3) 152500 Community Benefit OREGON COMMUNITY FOUNDATION 1221 SW Yamhill St Suite 100 Portland OR 97205 237315673 501(C)(3) 150000 Community Benefit YWCA CLARK COUNTY 3609 Main St Vancouver WA 98663 910569882 WASHINGTON 100000 Community Benefit FREE CLINIC OF SW WASHINGTON 4100 Plomondon St Vancouver WA 98661 911707542 501(C)(3) 75000 Community Health Needs LANE COMMUNITY COLLEGE 4000 E 30th Ave Eugene OR 97405 930546223 OREGON 68750 Education Support COUNCIL FOR THE HOMELESS 2500 Main Street Vancouver WA 98660 912001828 501(C)(3) 67000 Housing Assistance COUNTY OF SOUTH LANE DIST 4553 1275 SOUTH RIVER RD COTTAGE GROVE OR 97424 936000589 OREGON 60000 Community Benefit COMMUNITY HEALTH PARTNERS PO Box 2853 Longview WA 98632 912016542 501(C)(3) 50000 Community Health Needs COUNTY OF WHATCOM 311 GRAND AVE STE 103 BELLINGHAM WA 98225 916001383 WASHINGTON 50000 Community Benefit MERCY HOUSING NW 2505 3rd Ave Suite 204 Seattle WA 98121 911546525 501(C)(3) 45000 Housing Assistance NW YOUTH SERVICES 1020 N State St Bellingham WA 98225 910970561 501(C)(3) 40000 Community Benefit LAUREL HILL CENTER INC 2145 Centennial Plaza Eugene OR 97401 237256802 501(C)(3) 39432 Community Benefit UNITED WAY OF LANE COUNTY 3171 Gateway Loop Springfield OR 97477 930394142 OREGON 35338 Community Health Needs COTTAGE GROVE COMMUNITY FDTN 1450 Birch Ave Cottage Grove OR 97424 943138507 501(C)(3) 35300 Community Benefit LANDING HOTEL 3434 TONGASS AVE KETCHIKAN AK 99901 920075395 32458 Patient Lodging SAN JUAN ISLAND FAMILY PO Box 1981 Friday Harbor WA 98250 912014083 501(C)(3) 32000 Community Benefit PARENTING NOW 88 Centennial Loop Eugene OR 97401 930706557 501(C)(3) 30000 Community Benefit DIRECTION SERVICE 1144 Gateway Loop Ste 200 Springfield OR 97477 930800692 501(C)(3) 30000 Community Benefit CHUCKANUT HEALTH FDTN ST LUKES 809 E Chestnut St Bellingham WA 98225 911192943 501(C)(3) 27200 Community Benefit BRIGID COLLINS FAMILY SUPPORT 1231 N Garden Street 200 Bellingham WA 98225 943121951 501(C)(3) 26950 Community Benefit PATHWAYS 2020 1452 Hudson St US Bank Ste 209 Longview WA 98632 911954815 501(C)(3) 26000 Community Health Needs YMCA 2055 Patterson St Eugene OR 97405 930500679 501(C)(3) 25921 Community Health Needs LOWER COLUMBIA CAP 1526 Commerce Avenue Longview WA 98632 910814141 501(C)(3) 25000 Community Benefit WELLSPRING CLINIC LLC PO Box 2746 Florence OR 97439 204494736 501(C)(3) 25000 Community Benefit THE CRUDEM FOUNDATION INC 362 Sewall Street Ludlow MA 01056 431660199 501(C)(3) 25000 Community Benefit CASCADE HEALTH SOLUTIONS 2650 SUZANNE WY STE 200 EUGENE OR 97408 930421470 501(C)(3) 20000 Community Health Needs CHILDRENS COURSE 19825 River Road Gladstone OR 97027 931212530 501(C)(3) 20000 Education Support THE ARC OF WHATCOM COUNTY 2602 McLeod Road Bellingham WA 98225 311579359 WASHINGTON 20000 Community Benefit UNITED GENERAL DISTRICT 304 2031 HOSPITAL DR SEDRO WOOLLEY WA 98284 810622393 WASHINGTON 19742 Mission Support SKAGIT COUNTY PO Box 518 Mount Vernon WA 98273 916001361 WASHINGTON 15500 Community Benefit LOWER COLUMBIA SCHOOL GARDENS PO Box 3010 Longview WA 98632 910823636 501(C)(3) 15000 Nutrition Education FOUNDATION FOR VPS PO Box 6039 Vancouver WA 98668 910971800 501(C)(3) 15000 Community Benefit OREGON HEALTH CARE QUALITY 520 SW 6th Ave Suite 830 PORTLAND OR 97204 931293103 501(C)(3) 13656 Community Benefit CARDINAL HEALTH 112 LLC 7000 CARDINAL PL DUBLIN OH 43017 475322872 13436 Community Benefit CITY OF EUGENE 99 West 10th Avenue Eugene OR 97401 936002160 OREGON 12500 Community Benefit SW WASHINGTON FAMILY YMCA 766 15th Avenue Longview WA 98632 910565021 501(C)(3) 11488 Community Benefit JUBILEE WOMENS CENTER 620 18th Avenue East Seattle WA 98112 911539920 501(C)(3) 11100 Community Benefit AMERICAN HEART ASSOCIATION 7272 Greenville Avenue Dallas TX 75231 135613797 501(C)(3) 10000 COMMUNITY BENEFIT UNITED WAY OF WHATCOM COUNTY 1511 Cornwall Ave Bellingham WA 98225 910570788 501(C)(3) 10000 Community Benefit VOLUNTEERS IN MEDICINE CLINIC 3321 W 11th Avenue Eugene OR 97402 931276816 501(C)(3) 10000 Community Benefit IDENTITY CLARK COUNTY 915 Broadway Suite 302 Vancouver WA 98660 911623724 WASHINGTON 10000 Community Benefit HIV ALLIANCE 1966 Garden Avenue EUGENE OR 97403 930963546 501(C)(3) 10000 COMMUNITY BENEFIT SHARE INC 2306 NE Andresen Road Vancouver WA 98661 911205119 501(C)(3) 10000 Community Benefit BOYS & GIRLS CLUB OF SNOHOMISH 8223 Broadway Suite 100 Everett WA 98203 910549511 501(C)(3) 10000 Community Benefit OREGON UNIVERSITY SYSTEM PO Box 3237 Eugene OR 97403 936001786 501(C)(3) 10000 Community Benefit UNIVERSITY OF OREGON SCHLRSHP PO Box 3237 Eugene OR 97403 481278531 501(C)(3) 10000 Education Support OHSU FOUNDATION 1121 SW Salmon Street Suite 200 Portland OR 97205 237083114 501(C)(3) 10000 Community Benefit OREGON HEALTH AND SCIENCE UNIV 3181 SW Sam Jackson Park Road Portland OR 97239 931176109 501(C)(3) 10000 Community Benefit GREATER VANCOUVER CHAMBER 1101 Broadway Suite 100 Vancouver WA 98660 910452260 501(C)(3) 7960 Community Benefit FRIENDS OF FLORENCE PO Box 598 Florence OR 97439 930931139 501(C)(3) 7800 Community Benefit THE PORTLAND BUSINESS JOURNAL 651 SW 6th Ave 500 Portland OR 97204 593089188 501(C)(3) 7650 Community Benefit SEATTLE CANCER CARE ALLIANCE PO Box 19023 Seattle WA 98109 911935159 501(C)(3) 7000 Community Benefit OREGON BUSINESS AND INDUSTRY 1149 Court Street NE Salem OR 97301 930470826 501(C)(3) 6780 Mission Support LOWER COLUMBIA COLLEGE FDTN PO Box 3010 Longview WA 98632 910823636 501(C)(3) 6500 Education Support COLUMBIA RIVER ECONOMIC 805 Broadway Suite 412 Vancouver WA 98660 911186305 501(C)(4) 6000 Community Benefit CATHOLIC CHARITIES PORTLAND 2740 SE Powell Blvd 1 Portland OR 97202 930386801 501(C)(3) 6000 Community Benefit SIUSLAW VALLEY CHRISTIAN CTR 1380 10th Street Florence OR 97439 930551513 501(C)(3) 6000 Community Benefit CORNERSTONE COMMUNITY HOUSING PO Box 11923 Eugene OR 97440 931078543 501(C)(3) 5995 Community Benefit 60 4 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 1220045 0 617648 0 108383 0 259052 0 12705 0 2217833 0 0 0 Craig Armstrong Assistant Secretary 224386 0 38491 0 0 0 26854 0 26411 0 316142 0 0 0 Ron L Saxton Executive VP/Asst Secretary 566509 0 254929 0 8849 0 130190 0 25293 0 985770 0 0 0 Carol Aaron Executive VP 635298 0 442357 0 24165 0 25865 0 20388 0 1148073 0 155923 0 Richard DeCarlo Executive VP 800010 0 360004 0 9852 0 2442 0 28121 0 1200429 0 0 0 Michael P Dwyer Executive VP 489258 0 220166 0 11163 0 121998 0 11901 0 854486 0 0 0 Steven Glenn Executive VP 349328 0 121321 0 12978 0 31539 0 4039 0 519205 0 0 0 Kimberly A Hodgkinson Executive VP 610001 0 274501 0 5158 0 134205 0 26482 0 1050347 0 0 0 Susan Bruechner Senior VP 384268 0 151597 0 6462 0 26001 0 20133 0 588461 0 0 0 Mark B Hallet Senior VP 306739 0 90308 0 70530 0 0 0 11821 0 479398 0 0 0 Dianna L Kielian Senior VP 350002 0 118557 0 35270 0 299 0 18215 0 522343 0 0 0 Victoria L King Senior VP 406431 0 161623 0 9509 0 130057 0 21792 0 729412 0 0 0 William R Weider Senior VP 339226 0 51087 0 41653 0 -1124 0 18588 0 449430 0 0 0 Sean Gregory Chief Executive Columbia 614604 0 232526 0 0 0 2394 0 28001 0 877525 0 0 0 Mary E Kingston Chief Executive Oregon 272597 0 62500 0 52248 0 -379 0 9670 0 396636 0 0 0 Michael C Metcalf Chief Executive PHMG 420973 0 219313 0 3366 0 86647 0 20182 0 750481 0 0 0 Rand J O'Leary Chief Executive Oregon 159977 0 395045 0 339353 0 142946 0 8580 0 1045901 0 246745 0 Dale J Zender Chief Executive Northwest 467605 0 175936 0 2187 0 142720 0 27864 0 816312 0 0 0 Allen Gabriel MD MD Surgery - Plastics/Reconstr 1512398 0 0 0 0 0 70870 0 28121 0 1611389 0 0 0 Yamac Gungor MD MD Cardiology 1078171 0 0 0 0 0 18760 0 32441 0 1129372 0 0 0 Wen-Huan S Ho MD MD Gastroenterology 1181965 0 0 0 0 0 54662 0 32460 0 1269087 0 0 0 Stephen A Malone MD MD Cardiology 891246 0 119424 0 5710 0 62395 0 28070 0 1106845 0 119424 0 David Saenger MD MD Cardiology 1086010 0 0 0 0 0 64295 0 29121 0 1179426 0 0 0 Beth O'Brien Former Chief Operating Officer 0 0 0 0 289200 0 0 0 0 0 289200 0 0 0 Dan A Hein Former Senior VP 0 0 73039 0 386069 0 0 0 0 0 459108 0 73039 0 Renato V Baciarelli Former Senior VP 0 0 96592 0 543712 0 1778 0 0 0 642082 0 96592 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 2018: Beth O'Brien 289,200 Dan A. Hein 386,069 Rand J. O'Leary 329,364 Renato V. Baciarelli 543,712 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2018: Elizabeth V. Dunne 258,576 Rand J. O'Leary 117,382 Victoria L. King 100,809 Michael C. Metcalf 81,147 Kimberly A. Hodgkinson 128,940 Michael P. Dwyer 119,132 Ron L. Saxton 139,065 Dale J. Zender 103,856 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. IT ESTABLISHES SALARIES FOR PEACEHEALTH EXECUTIVES BASED ON THE MARKET MEDIAN (50TH PERCENTILE). AS PART OF THE TOTAL COMPENSATION PACKAGE, OTHER BENEFITS ARE PROVIDED CONSISTENT WITH THE MEDIAN (MIDDLE) OF 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 OR 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 2018 WAS $278,431,536 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 2019, 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 (15,337,322). CHANGE IN INTEREST IN RELATED FOUNDATIONS (5,769,667). OTHER CHANGES IN TEMP RESTRICTED NET ASSETS 7,090,435. OTHER CHANGES IN UNRESTRICTED NET ASSETS 5,906,129. TOTAL TO FORM 990, PART XI, LINE 9 (8,110,425). HEALTH VENTURES 1115 SE 164TH AVENUE VANCOUVER WA 98683 911350776 HEALTHCARE JV WA 501(C)(3) 12A, I PEACEHEALTH true 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 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 ST 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 RELATED 904942 2443795 false 0 true 0.51020 POOLED INCOME FUND OF PEACEHEALTH #1 1115 SE 164TH AVE VANCOUVER WA 98683 276030191 POOLED INCOME WA PEACEHEALTH Trust 842793 10400615 1.00000 true WHATCOM REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466129451 POOLED INCOME WA PEACEHEALTH Trust 192440 3622777 1.00000 true LOWER COLUMBIA REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466157497 POOLED INCOME WA PEACEHEALTH Trust 92926 1851540 1.00000 true OREGON REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466180599 POOLED INCOME WA PEACEHEALTH Trust 91760 6095928 1.00000 true SIUSLAW REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466221760 POOLED INCOME WA PEACEHEALTH Trust 84373 1951610 1.00000 true SOUTHWEST REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466168710 POOLED INCOME WA PEACEHEALTH Trust 175802 5192532 1.00000 true PEACEHEALTH NETWORKS ON DEMAND LLC 1115 SE 164TH AVENUE VANCOUVER WA 98683 832849989 MEDICAL CLINICS WA PH NETWORKS 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 11381000 AT COST HEALTH VENTURES l 84231 AT COST PEACEHEALTH POOLED INCOME FUNDS r 1593525 AT COST PEACEHEALTH POOLED INCOME FUNDS s 738180 AT COST RELATED FOUNDATIONS c 6935 AT COST RELATED FOUNDATIONS n 144529 AT COST RELATED FOUNDATIONS o 2890707 AT COST RELATED FOUNDATIONS p 1192400 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) $1.6 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 06/30/2019, 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 $111,673. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.