2019-12-16T09:44:32-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2018-01-01 912003593 INSTITUTE FOR SYSTEMS BIOLOGY INST 2067321200 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 KATHY SCANLAN COO/TREASURER 2067321200 2019-12-16 1 EVA NITTA P01286320 4158948000 104.187.159.70 2019-12-16 09:42:58 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 03333E4B0684ADD489F38648AD786F05819FFCF0 2018 2020-04-17 16:48:07Z X X LEROY HOOD MD PHD 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 89324231 0 X WWW.SYSTEMSBIOLOGY.ORG X 1999 WA USING THE SCIENCE OF SYSTEMS BIOLOGY TO PREDICT, PREVENT AND CURE DISEASE. 15 10 226 0 404642 389720 25682439 26413369 564742 408995 3907336 3227199 1071764 1199771 31226281 31249334 0 0 0 0 17003025 18219226 0 0 278980 14850987 14905802 31854012 33125028 -627731 -1875694 85281060 74178732 13531311 11111080 71749749 63067652 X NON-PROFIT RESEARCH INSTITUTE TO ADVANCE A SYSTEMS (OR HOLISTIC ANDCROSS-DISCIPLINARY) APPROACH TO SCIENCE; PERSONALIZED MEDICINE; GLOBALHEALTH & ENVIRONMENTAL SUSTAINABILITY; SCIENCE EDUCATION; & THEPIONEERING & INVENTION OF BIOLOGICAL & TECHNOLOGICAL METHODS & TOOLS. 0 0 21173112 0 137606 SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROGRAM SERVICE ACCOMPLISHMENTS: BIOMOLECULAR RESEARCH: IN 2018, ISB RESEARCHERS PUBLISHED 126 ACADEMIC RESEARCH PAPERS IN A RANGE OF HIGH-PROFILE JOURNALS, COVERING GENOMICS, MICROFLUIDICS, PROTEOMICS, HIGH-THROUGHPUT COMPUTATION, MULTISCALE MODELING, SYSTEMS BIOLOGY APPLICATIONS, BIOINFORMATICS, GLOBAL HEALTH, AND CANCERS. 1001013 0 271389 SEE SCHEDULE OSCIENCE EDUCATION: IN 2018, THE LOGAN CENTER WORKED WITH 8 SCHOOL DISTRICTS ACROSS THE PUGET SOUND REGION ON THEIR K-12 SCIENCE/STEM PROGRAMS; THESE 8 DISTRICTS SERVE OVER 100,000 STUDENTS. -STUDENTS: WE PROVIDED ONSITE LEARNING EXPERIENCES FOR STUDENT GROUPS. THESE GROUPS CONSISTED OF 100 UNDERGRADUATE STUDENTS AND 100 HIGH SCHOOL STUDENTS. -TEACHERS: WE PROVIDED OVER 80 DAYS OF PROFESSIONAL DEVELOPMENT FOR SECONDARY SCIENCE TEACHERS IN THOSE DISTRICTS, WHICH TOTALED 1064 TEACHER-DAYS. WE ALSO PROVIDED 38 PROFESSIONAL DEVELOPMENT DAYS TO 10 ELEMENTARY AND MIDDLE SCHOOL TEACHERS PARTICIPATING IN A DEEP LEARNING EXPERIENCE WITH SCIENCE AND ENGINEERING. -PRINCIPALS: WE PROVIDED A PROFESSIONAL LEARNING SERIES FOR PRINCIPALS IN 4 DISTRICTS. -SCIENCE CURRICULUM LEADERS: WE PROVIDED 21 PROFESSIONAL DEVELOPMENT SESSIONS FOR SCIENCE LEADERS FROM A COLLABORATIVE OF 35 SCHOOL DISTRICTS ACROSS KING AND PIERCE COUNTIES. ISB ALSO HELD VARIOUS SYMPOSIA, SEMINARS, AND WORKSHOPS TO DISSEMINATE BASIC KNOWLEDGE ABOUT SYSTEMS BIOLOGY AND CREATE DIALOG ABOUT LEADING-EDGE TOPICS. DURING 2018, 308 EXTERNAL PERSONS ATTENDED SUCH EVENTS. 22174125 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 81 0 1 226 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 WA CA X GARY C STREICHER 2067321200 401 TERRY AVENUE N SEATTLE WA 98109 THOMAS BROWN MD VICE CHAIRMAN 1.00 49.00 X X 0 657974 106233 THOMAS CABLE DIRECTOR 1.00 0.00 X 0 0 0 CHARLES CHUCK WATTS MD DIRECTOR 1.00 1.90 X 0 509406 4125 AMY COMPTON-PHILLIPS DIRECTOR 1.00 54.00 X 0 1654073 667254 STEPHEN GRAHAM DIRECTOR 1.00 0.00 X 0 0 0 LEROY HOOD MD PHD DIRECTOR 1.00 49.00 X 0 1097995 304055 DOUGLAS HOWE DIRECTOR 1.00 0.00 X 0 0 0 DANIEL LING DIRECTOR 1.00 0.00 X 0 0 0 CRAIG MUNDIE DIRECTOR 1.00 0.00 X 0 0 0 ROGER PERLMUTTER MD PHD DIRECTOR 1.00 0.00 X 0 0 0 DAVID SABEY BOARD CHAIR 3.00 0.25 X X 0 0 0 CHRISTINE SCHAEFFER DIRECTOR 1.00 0.00 X 0 0 0 DREW SENYEI MD DIRECTOR 1.00 0.00 X 0 0 0 BRIAN TURNER DIRECTOR 1.00 0.00 X 0 0 0 MARY WOOLLEY DIRECTOR 1.00 0.00 X 0 0 0 NITIN BALIGA SVP DIR OF INTEGRATIVE SCIENCE/PROF 60.00 0.00 X 270838 0 51207 JAMIE C CREOLA VP OF EDUCATION - THRU 5/18 60.00 0.00 X 95947 0 18878 JAMES R HEATH PHD PRESIDENT/PROFESSOR 40.00 0.00 X 464466 0 36152 KATHY SCANLAN COO/TREASURER 40.00 0.00 X 285732 0 44978 CYNTHIA SHUMATE CLO/CCO/SECRETARY - THRU 1/18 40.00 0.00 X 37429 0 3113 SUI HUANG MD PHD PROFESSOR 60.00 0.00 X 187637 0 25248 ROBERT L MORTIZ PHD PROFESSOR 60.00 0.00 X 211492 0 37120 NATHAN PRICE PHD ASSOC DIR INTEGRATIVE SCIENCE/PROFES 60.00 0.00 X 233612 110622 62241 JEFFREY A RANISH PHD PROFESSOR 60.00 0.00 X 176696 0 35330 ILYA SHMULEVICH PHD PROFESSOR 60.00 0.00 X 248268 0 49731 2212117 4030070 1445665 37 0 1 0 CSRA INC 1901 N MOORE ST SUITE 1004 ARLINGTON VA 22209 RESEARCH GRANT SUBCONTRACTOR 510335 UNIVERSITY OF CALIFORNIA SAN DIEGO 9500 GILMAN DRIVE MC 0009 LA JOLLA CA 92093 RESEARCH GRANT SUBCONTRACTOR 489090 UNIVERSITY OF WASHINGTON 4300 ROOSEVELT WAY NE SUITE 300 SEATTLE WA 98105 RESEARCH GRANT SUBCONTRACTOR 325621 THE REGENTS OF THE UNIVERSITY OF CALIFOR 10889 WILSHIRE BLVD STE 700 LOS ANGELES CA 90095 RESEARCH GRANT SUBCONTRACTOR 293393 OTTAWA HOSPITAL RESEARCH INSTITUTE 725 PARKDALE AVENUE OTTAWA ONTARIO CA RESEARCH GRANT SUBCONTRACTOR 117450 7 139530 690483 18592252 6991104 26413369 SCIENCE EDUCATION 541900 271389 271389 BIOMOLECULAR RESEARCH 541700 137606 137606 408995 1373439 1373439 522059 522059 3982460 3472148 510312 510312 404642 105670 56430134 54576374 1853760 1853760 1853760 6600 139530 26375 -19775 -19775 COST RECOVERIES 900099 187175 187175 187175 31249334 408995 404642 4022328 1300374 542124 758250 11940911 7535602 4270746 134563 960749 586211 364245 10293 2961175 1852969 1075099 33107 1056017 635155 410192 10670 271463 271463 107108 107108 239438 239438 288166 98760 189406 34887 4336 20184 10367 323593 2798 315155 5640 274480 274480 4789865 3182513 1586774 20578 387967 269224 98655 20088 155855 10129 139970 5756 2205360 1958121 219599 27640 18841 18841 SUBCONTRACTORS 2311710 2311710 SHARED SERVICES 2258213 2015812 242348 53 FELLOWSHIPS 379237 364074 15163 UBI TAX 53732 53732 805887 804587 1075 225 33125028 22174125 10671923 278980 300 300 10392413 9901038 4704708 5359528 150682 98410 1416326 1421872 40479062 30278573 9733244 10200489 57149433 46699830 1133463 71700 600491 425565 85281060 74178732 5440187 2377528 930518 3038343 7160606 5695209 13531311 11111080 X 57195742 47889286 5882507 6130511 8671500 9047855 71749749 63067652 85281060 74178732 -1875694 -6806403 0 X X 0 1 X 1 1 1 X 29320438 29000917 25993600 25682439 26413369 136410763 29320438 29000917 25993600 25682439 26413369 136410763 7577789 128832974 3645895 4051746 4993121 5437945 5473316 23602023 244876 378341 315188 334138 404642 1677185 60285 264006 302491 305419 187175 1119376 162809347 2878715 0.79130 0.78890 X Schedule A, Part II, Line 10, Explanation of Other Income: COST RECOVERIES - 2014 Amount: $ 60,285. 2015 Amount: $ 264,006. 2016 Amount: $ 302,491. 2017 Amount: $ 305,419. 2018 Amount: $ 187,175. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43981817 376355 -2321530 3600000 38436642 41627517 4654300 2300000 43981817 8671500 30000000 2956017 41627517 8671500 79000 79000 8671500 8671500 80000 80000 8671500 0.73710 0.22710 0.03580 0 0 18488064 11454450 7033614 21990998 18824123 3166875 10200489 DEFERRED RENT PAYABLE 5695209 5695209 27941467 -6806389 -6806389 34747856 -3498522 -3498522 31249334 36623564 3498523 3498523 33125041 -13 -13 33125028 Part V, Line 4: THE INCOME FROM THE ENDOWMENT FUNDS IS TO BE APPROPRIATED BY THE INSTITUTE AS GENERAL SUPPORT REVENUE FOR ITS PROGRAMS. Part XI, Line 4b - Other Adjustments: RENTAL EXPENSES -3,472,148. SPECIAL EVENT EXPENSES -26,375. ROUNDING 1. Part XII, Line 2d - Other Adjustments: RENTAL EXPENSES 3,472,148. SPECIAL EVENT EXPENSES 26,375. IN KIND EXPENSES Part XII, Line 4b - Other Adjustments: ROUNDING -13. VALERIE LOGAN LUNCHEON 96280 92080 4200 3976 12200 5410 REIMAGINE 49850 47450 2400 1000 2963 400 426 146130 139530 6600 4976 15163 400 5836 26375 -19775 X 0 1 0 0 0 0 0 0 0 THOMAS BROWN MD VICE CHAIRMAN 0 578040 0 53910 0 26024 0 74479 0 31754 0 764207 0 0 CHARLES CHUCK WATTS MD DIRECTOR 0 285574 0 200000 0 23832 0 4125 0 0 0 513531 0 23832 AMY COMPTON-PHILLIPS DIRECTOR 0 775101 0 744687 0 134285 0 638301 0 28953 0 2321327 0 90925 LEROY HOOD MD PHD DIRECTOR 0 830434 0 185643 0 81918 0 288762 0 15293 0 1402050 0 53530 NITIN BALIGA SVP DIR OF INTEGRATIVE SCIENCE/PROF 269100 0 0 0 1738 0 21583 0 29624 0 322045 0 0 0 JAMES R HEATH PHD PRESIDENT/PROFESSOR 448651 0 0 0 15815 0 8250 0 27902 0 500618 0 0 0 KATHY SCANLAN COO/TREASURER 278623 0 0 0 7109 0 22412 0 22566 0 330710 0 0 0 SUI HUANG MD PHD PROFESSOR 186345 0 0 0 1292 0 14976 0 10272 0 212885 0 0 0 ROBERT L MORTIZ PHD PROFESSOR 209796 0 0 0 1696 0 17600 0 19520 0 248612 0 0 0 NATHAN PRICE PHD ASSOC DIR INTEGRATIVE SCIENCE/PROFES 232114 110446 0 0 1498 176 16682 7754 27502 10303 277796 128679 0 0 JEFFREY A RANISH PHD PROFESSOR 175159 0 0 0 1537 0 14384 0 20946 0 212026 0 0 0 ILYA SHMULEVICH PHD PROFESSOR 246624 0 0 0 1644 0 20000 0 29731 0 297999 0 0 0 Part I, Line 4b NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PSJH SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS. SCHEDULE J, PART II - COMPENSATION BOARD MEMBERS RECEIVING COMPENSATION FROM RELATED ORGANIZATIONS ARE BEING PAID FOR THEIR SERVICES TO THE RELATED ORGANIZATION AND NOT FOR THEIR SERVICE TO THE INSTITUTE. SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS. Form 990, Part VI, Section A, line 6 CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF INSTITUTE FOR SYSTEMS BIOLOGY. Form 990, Part VI, Section A, line 7a CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS INSTITUTE FOR SYSTEMS BIOLOGY HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE INSTITUTE FOR SYSTEMS BIOLOGY BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE INSTITUTE FOR SYSTEMS BIOLOGY BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, AS THE CORPORATE MEMBER. Form 990, Part VI, Section A, line 7b CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. Form 990, Part VI, Section B, line 11b PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. Form 990, Part VI, Section B, line 12c PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY. Form 990, Part VI, Section B, line 15b PROCESS FOR DETERMINING COMPENSATION IN APRIL 2017, THE EMPLOYMENT AGREEMENT FOR THE ISB PRESIDENT WAS JOINTLY EXECUTED BY ISB'S SOLE MEMBER AND ISB'S INCUMBENT PRESIDENT AND CHIEF OPERATING OFFICER. THE EFFECTIVE DATE OF HIS APPOINTMENTS AS ISB PRESIDENT AND PROFESSOR WAS JANUARY 1, 2018. THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES ARE BASED ON AND SUBJECT TO APPROVAL OF THE PRESIDENT AND ARE REVIEWED BY THE BOARD OF DIRECTORS AS NECESSARY. TYPICALLY, THIS IS DONE WHEN SUCH POSITIONS ARE REFILLED DUE TO VACANCIES. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. Explanation of Amended Changes THE RETURN IS BEING AMENDED TO REFLECT CHANGES TO PARTS VI, VII, AND VIII OF THE 990. FOR PART VI, BOX 15B OF SECTION B, THE SCHEDULE O NARRATIVE REGARDING THE PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL HAS BEEN UPDATED AND A CORRESPONDING UPDATE HAS BEEN ADDED TO SCHEDULE J. AN ERRONEOUS COMPENSATION ENTRY FOR BRIAN TURNER WAS ALSO INCLUDED IN THE ORIGINALLY FILED RETURN. THIS HAS BEEN REMOVED FOR THE AMENDED RETURN. THE RETURN IS ALSO BEING AMENDED TO RECLASS 376,355 OF CONTRIBUTIONS FROM MEMBERSHIP DUES TO ALL OTHER CONTRIBUTIONS. COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611573313 HEALTHCARE TX 501(c)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461259908 HEALTHCARE CA 501(c)(3) 12,III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 463516417 HEALTHCARE TX 501(c)(3) 12,I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752765566 HEALTHCARE TX 501(c)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752897026 HEALTHCARE TX 501(c)(3) 7 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 822913146 HEALTHCARE TX 501(c)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752743883 HEALTHCARE TX 501(c)(3) 3 CHS 1 E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(c)(3) 12,I PHS WA 1 EVERETT TRANSITIONAL CARE SERVICES PO Box 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(c)(3) 10 N/A 0 FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954322584 SUPPORT CA 501(c)(3) 7 PHS SOCAL 1 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 201910170 SUPPORT WA 501(c)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(c)(3) 7 SHS 1 HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 453583707 HEALTHCARE CA 501(c)(3) 12,I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 IRVINE CA 92612 452982422 SUPPORT CA 501(c)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 330676831 HEALTHCARE CA 501(c)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(c)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 951643327 HEALTHCARE CA 501(c)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT 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