STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PEACEHEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH (EIN 91-0939479)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-13
IRS object ID
201911339349303126
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-13T10:45:29-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 Eighth Avenue Suite 2900AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910939479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEFF SEIRERInCareOfNm
Business Name ControlPEACBusinessNameControlTxt
Phone3607291000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIMBERLY HODGKINSONPersonNm
Person TitleEVP CFOPersonTitleTxt
Phone3607291000PhoneNum
Signature2019-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA M MEYERPreparerPersonNm
PTINP01490170PTIN
Phone2069134000PhoneNum
Preparation2019-04-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id91023620191335000000FederalOriginalSubmissionId
Federal Original Submission Id2019-05-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF9879A289B819FCB51DEFA5C6B1E34A55F4A0D0EAtSubmissionCreationDeviceId
At Submission Filing Device Id6014789CD4597C76E3BF61B597BCFDC6CFF62BB4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIMBERLY A HODGKINSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,821,923,221GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PEACEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionWE CARRY ON THE HEALING MISSION OF JESUS CHRISTActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee18750TotalEmployeeCnt
Total Volunteers2408TotalVolunteersCnt
Total Gross UBI$1,504,557TotalGrossUBIAmt
PY Contributions Grants$12,398,855PYContributionsGrantsAmt
CY Contributions Grants$12,070,790CYContributionsGrantsAmt
PY Program Service Revenue$2,503,305,762PYProgramServiceRevenueAmt
CY Program Service Revenue$2,673,293,492CYProgramServiceRevenueAmt
PY Investment Income$230,540,197PYInvestmentIncomeAmt
CY Investment Income$92,915,109CYInvestmentIncomeAmt
PY Other Revenue$8,224,829PYOtherRevenueAmt
CY Other Revenue$7,445,998CYOtherRevenueAmt
PY Total Revenue$2,754,469,643PYTotalRevenueAmt
CY Total Revenue$2,785,725,389CYTotalRevenueAmt
PY Grants And Similar Paid$1,521,548PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,377,434CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,417,293,291PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,514,618,369CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,591,157CYTotalFundraisingExpenseAmt
PY Other Expenses$1,024,860,816PYOtherExpensesAmt
CY Other Expenses$1,088,459,436CYOtherExpensesAmt
PY Total Expenses$2,443,675,655PYTotalExpensesAmt
CY Total Expenses$2,605,455,239CYTotalExpensesAmt
PY Revenues Less Expenses$310,793,988PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$180,270,150CYRevenuesLessExpensesAmt
Total Assets BOY$3,794,909,456TotalAssetsBOYAmt
Total Assets EOY$3,921,713,607TotalAssetsEOYAmt
Total Liabilities BOY$1,623,045,792TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,540,488,540TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,171,863,664NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,381,225,067NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH, RELIEVING PAIN AND SUFFERING, AND TREATING EACH PERSON IN A LOVING AND CARING WAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,836,590,607ExpenseAmt
Grant$2,377,434GrantAmt
Revenue$2,336,967,524RevenueAmt
DescHOSPITALS: FOUNDED BY THE SISTERS OF ST. JOSEPH OF PEACE, PEACEHEALTH HAS PROVIDED EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO NORTHWEST COMMUNITIES FOR MORE THAN A CENTURY. PEACEHEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH HOSPITALS LOCATED IN ALASKA, WASHINGTON AND OREGON. RURAL COMMUNITIES RELY ON THEIR HOSPITALS AS CRITICAL COMPONENTS OF THE COMMUNITIES' ECONOMIC AND SOCIAL FABRIC. THESE HOSPITALS ARE TYPICALLY THE LARGEST OR SECOND LARGEST EMPLOYER IN THE COMMUNITY, AND OFTEN STAND ALONE IN THEIR ABILITY TO OFFER HIGHLY-SKILLED JOBS. (COMMENTARY CONTINUED ON SCHEDULE O.)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$470,970,226ExpenseAmt
Grant$0GrantAmt
Revenue$336,325,968RevenueAmt
DescCLINICS AND MEDICAL GROUPS: IN ADDITION TO PROVIDING ACUTE CARE THROUGH A NETWORK OF HOSPITALS SUMMARIZED ON LINE 4A, THE PEACEHEALTH HEALTH CARE SYSTEM ALSO INCLUDES CLINICS AND MEDICAL GROUPS LOCATED IN ALASKA, WASHINGTON AND OREGON.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,307,560,833TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1785IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee18750EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF SEIRERPersonNm
Phone3607291000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SR ANDREA NENZEL CSJP
CHAIRMAN40.04.0Yes (X)Yes (X)$0$0$0
SR KATHLEEN PRUITT CSJP
VICE CHAIR40.02.0Yes (X)Yes (X)$0$0$0
SR SUSAN DEWITT CSJP
SECRETARY40.02.0Yes (X)Yes (X)$0$0$0
KARL CARRIER
TREASURER40.02.0Yes (X)Yes (X)$0$0$0
TIM ACKMAN
DIRECTOR10.02.0Yes (X)$0$0$0
SR CHARLOTTE DAVENPORT CSJP
DIRECTOR10.02.0Yes (X)$0$0$0
DAN HOLLINGSHEAD
DIRECTOR10.02.0Yes (X)$0$0$0
LEE KEARNEY
DIRECTOR10.02.0Yes (X)$0$0$0
KEVIN MURPHY
DIRECTOR10.02.0Yes (X)$0$0$0
TODD STRUMWASSER MD
DIRECTOR10.02.0Yes (X)$0$0$0
RICK WOLLENBERG
DIRECTOR10.02.0Yes (X)$0$0$0
ELIZABETH V DUNNE
PRESIDENT & CEO40.02.0Yes (X)$2,028,930$0$362,851
CRAIG ARMSTRONG
ASSISTANT SECRETARY40.02.0Yes (X)$254,874$0$52,051
CAROL AARON
EXECUTIVE VP40.00.0$1,580,775$0$278,836Yes (X)
RICHARD DECARLO
EXECUTIVE VP40.00.0$693,570$0$13,932Yes (X)
MICHAEL P DWYER
EXECUTIVE VP40.02.0$725,320$0$14,354Yes (X)
KIMBERLY A HODGKINSON
EXECUTIVE VP40.02.0$800,038$0$26,672Yes (X)
RON L SAXTON
EXECUTIVE VP40.00.0$797,440$0$19,432Yes (X)
MARK C ADAMS
SENIOR VP40.00.0$386,495$0$4,811Yes (X)
RENATO V BACIARELLI
SENIOR VP40.00.0$879,711$0$168,650Yes (X)
SUSAN BRUECHNER
SENIOR VP40.00.0$459,423$0$50,276Yes (X)
STEVEN GLENN
SENIOR VP40.00.0$361,642$0$28,965Yes (X)
DAN A HEIN
SENIOR VP40.00.0$619,977$0$151,715Yes (X)
VICTORIA L KING
SENIOR VP40.00.0$594,406$0$137,603Yes (X)
SEAN GREGORY
CHIEF EXECUTIVE COLUMBIA40.04.0$696,222$0$20,626Yes (X)
MICHAEL C METCALF
CHIEF EXECUTIVE PHMG40.00.0$497,905$0$121,448Yes (X)
RAND J O'LEARY
PRESIDENT HOSPITAL SVCS OR40.02.0$693,741$0$162,381Yes (X)
DALE J ZENDER
CHIEF EXECUTIVE NORTHWEST40.02.0$627,894$0$188,351Yes (X)
STEPHEN L COOK MD
M.D. CARDIOLOGY40.00.0$934,468$0$103,528Yes (X)
ALLEN GABRIEL MD
M.D. SURGERY40.00.0$1,510,048$0$144,232Yes (X)
WEN-HUAN S HO MD
M.D. GASTROENTEROLOGY40.00.0$1,155,028$0$131,282Yes (X)
RAMAKOTA REDDY MD
M.D. CARDIOLOGY40.00.0$967,209$0$104,657Yes (X)
DAVID SAENGER MD
M.D. CARDIOLOGY40.00.0$1,073,100$0$85,679Yes (X)
CYNTHIA A FINTER
FORMER SENIOR VP0.00.0$369,600$0$0Yes (X)
BETH O'BRIEN
FORMER CHIEF OPERATING OFFICER0.00.0$928,741$0$0Yes (X)
NANCY J STEIGER
FORMER SENIOR VP0.00.0$706,953$0$12,874Yes (X)
ALAN R YORDY
FORMER PRESIDENT EMERITUS0.00.0$504,004$0$26,886Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$20,847,514TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,412,092TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1899IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NURSEFINDERS LLC
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011HEALTHCARE STAFFING$29,731,055
STAFF CARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA92130HEALTHCARE STAFFING$11,663,481
THOMAS CUISINE MANAGEMENT
700 E FRANKLIN RDMERIDIANID83642FOOD & NUTRITION SER$5,078,301
QUEST DIAGNOSTICS
1737 AIRPORT WAY SUITE 200SEATTLEWA98134LABORATORY SERVICES$4,066,277
SOUTH SOUND INPATIENT PHYSICIANS P
1498 PACIFIC AVENUE SUITE 400TACOMAWA98402HEALTHCARE STAFFING$3,824,347
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K203CntrctRcvdGreaterThan100KCnt
Related Organizations$6,041,161RelatedOrganizationsAmt
Government Grants$3,789,648GovernmentGrantsAmt
All Other Contributions$2,239,981AllOtherContributionsAmt
Total Contributions$12,070,790TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue621110$2,609,614,786$2,609,614,786
Other Operating Revenue621110$63,678,706$62,334,392$1,344,314
FieldValueIRS element (for citing)
Total Program Service Revenue$2,673,293,492TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,940,054TotalRevenueColumnAmt
Unrelated Business Revenue$160,243UnrelatedBusinessRevenueAmt
Exclusion$86,779,811ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,509,424RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$7,882,068RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,627,356RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,627,356TotalRevenueColumnAmt
Exclusion$2,627,356ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,380,903SecuritiesAmt
Other$909,916OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$28,055,392SecuritiesAmt
Other$260,372OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,325,511SecuritiesAmt
Other$649,544OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,975,055TotalRevenueColumnAmt
Exclusion$5,975,055ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteria IncomeDesc
Business900099BusinessCd
Total Revenue Column$4,818,642TotalRevenueColumnAmt
Exclusion$4,818,642ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,818,642OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,785,725,389TotalRevenueColumnAmt
Related Or Exempt Func Income$2,671,949,178RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,504,557UnrelatedBusinessRevenueAmt
Exclusion$100,200,864ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,026,108TotalAmt
Program Services$2,026,108ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$351,326TotalAmt
Program Services$351,326ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$20,847,514TotalAmt
Program Services$18,494,358ProgramServicesAmt
Management And General$2,353,156ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,237,787,077TotalAmt
Program Services$1,095,738,048ProgramServicesAmt
Management And General$139,417,769ManagementAndGeneralAmt
Fundraising$2,631,260FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$73,294,876TotalAmt
Program Services$64,883,555ProgramServicesAmt
Management And General$8,255,550ManagementAndGeneralAmt
Fundraising$155,771FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$96,359,352TotalAmt
Program Services$85,195,003ProgramServicesAmt
Management And General$10,839,906ManagementAndGeneralAmt
Fundraising$324,443FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$86,329,550TotalAmt
Program Services$76,419,969ProgramServicesAmt
Management And General$9,723,402ManagementAndGeneralAmt
Fundraising$186,179FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,005,052TotalAmt
Program Services$9,761,307ProgramServicesAmt
Management And General$1,241,994ManagementAndGeneralAmt
Fundraising$1,751FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,185,820TotalAmt
Program Services$1,939,096ProgramServicesAmt
Management And General$246,724ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$623,390TotalAmt
Program Services$443,265ProgramServicesAmt
Management And General$56,400ManagementAndGeneralAmt
Fundraising$123,725FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$283,030TotalAmt
Program Services$251,083ProgramServicesAmt
Management And General$31,947ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$214,486,627TotalAmt
Program Services$189,685,442ProgramServicesAmt
Management And General$24,134,894ManagementAndGeneralAmt
Fundraising$666,291FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,631,964TotalAmt
Program Services$4,040,126ProgramServicesAmt
Management And General$514,051ManagementAndGeneralAmt
Fundraising$77,787FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,327,137TotalAmt
Program Services$3,827,569ProgramServicesAmt
Management And General$487,006ManagementAndGeneralAmt
Fundraising$12,562FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,196,219TotalAmt
Program Services$28,477,620ProgramServicesAmt
Management And General$3,623,390ManagementAndGeneralAmt
Fundraising$95,209FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$49,108,931TotalAmt
Program Services$43,565,778ProgramServicesAmt
Management And General$5,543,153ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,715,414TotalAmt
Program Services$5,002,971ProgramServicesAmt
Management And General$636,560ManagementAndGeneralAmt
Fundraising$75,883FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,788,142TotalAmt
Program Services$4,235,790ProgramServicesAmt
Management And General$538,947ManagementAndGeneralAmt
Fundraising$13,405FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,234,166TotalAmt
Program Services$28,595,746ProgramServicesAmt
Management And General$3,638,420ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,759,036TotalAmt
Program Services$120,425,826ProgramServicesAmt
Management And General$15,322,549ManagementAndGeneralAmt
Fundraising$10,661FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,637,319TotalAmt
Program Services$17,420,764ProgramServicesAmt
Management And General$2,216,555ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Med Supplies & Services$380,153,605$337,243,903$42,909,702
Bad Debt$71,814,986$63,708,895$8,106,091
Other Tax$94,559,356$83,886,003$10,673,353
Interest Rate Swaps-$10,315,092-$9,150,780-$1,164,312

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$35,264,334TotalAmt
Program Services$31,092,062ProgramServicesAmt
Management And General$3,956,042ManagementAndGeneralAmt
Fundraising$216,230FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,605,455,239TotalAmt
Program Services$2,307,560,833ProgramServicesAmt
Management And General$293,303,249ManagementAndGeneralAmt
Fundraising$4,591,157FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$99,302,285BOYAmt
EOY$47,863,839EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$517,396,794BOYAmt
EOY$873,231,567EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$346,347,853BOYAmt
EOY$382,013,322EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,345,695BOYAmt
EOY$8,345,695EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$41,147,101BOYAmt
EOY$43,157,368EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$25,227,401BOYAmt
EOY$27,024,390EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,770,213,080LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,550,310,086LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,247,067,406BOYAmt
EOY$1,219,902,994EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,290,106,942BOYAmt
EOY$1,114,176,994EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$94,079,698BOYAmt
EOY$71,382,560EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$34,085,640BOYAmt
EOY$33,656,210EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$91,802,641BOYAmt
EOY$100,958,668EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,794,909,456BOYAmt
EOY$3,921,713,607EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$297,191,547BOYAmt
EOY$300,020,651EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,653,553BOYAmt
EOY$2,059,363EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$946,674,024BOYAmt
EOY$842,105,729EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$373,526,668BOYAmt
EOY$396,302,797EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,623,045,792BOYAmt
EOY$1,540,488,540EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,090,555,634BOYAmt
EOY$2,284,383,967EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$59,162,042BOYAmt
EOY$71,809,448EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,145,988BOYAmt
EOY$25,031,652EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,171,863,664BOYAmt
EOY$2,381,225,067EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,794,909,456BOYAmt
EOY$3,921,713,607EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$180,270,150ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,869,378NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$27,221,875OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$564,891DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$65,000OtherActivitiesAmt
Total Lobbying Expenditures$629,891TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,485,058BeginningYearBalanceAmt
Contributions$1,057,545ContributionsAmt
Investment Earnings Or Losses$2,691,393InvestmentEarningsOrLossesAmt
Other Expenditures$4,637,901OtherExpendituresAmt
End Year Balance$40,596,095EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,043,493BeginningYearBalanceAmt
Contributions$126,052ContributionsAmt
Investment Earnings Or Losses$4,621,855InvestmentEarningsOrLossesAmt
Other Expenditures$306,342OtherExpendituresAmt
End Year Balance$41,485,058EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,416,309BeginningYearBalanceAmt
Contributions$3,277,289ContributionsAmt
Investment Earnings Or Losses-$377,148InvestmentEarningsOrLossesAmt
Other Expenditures$272,957OtherExpendituresAmt
End Year Balance$37,043,493EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,158,276BeginningYearBalanceAmt
Contributions$1,882,561ContributionsAmt
Investment Earnings Or Losses$1,037,344InvestmentEarningsOrLossesAmt
End Year Balance$35,078,181EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,466,288BeginningYearBalanceAmt
Contributions$175,566ContributionsAmt
Investment Earnings Or Losses$4,020,665InvestmentEarningsOrLossesAmt
Other Expenditures$14,504,243OtherExpendituresAmt
End Year Balance$32,158,276EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.18605BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.57121PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24274TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,287,020OtherCostOrOtherBasisAmt
Book Value$116,287,020BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,469,632,611OtherCostOrOtherBasisAmt
Depreciation$822,359,460DepreciationAmt
Book Value$647,273,151BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,922,452OtherCostOrOtherBasisAmt
Depreciation$51,603,502DepreciationAmt
Book Value$29,318,950BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,035,708,054OtherCostOrOtherBasisAmt
Depreciation$676,347,124DepreciationAmt
Book Value$359,360,930BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,662,943OtherCostOrOtherBasisAmt
Book Value$67,662,943BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,219,902,994TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
OBLIGATIONS UNDER CAPITAL LEASES$23,167,446
INTEREST RATE SWAPS$91,915,237
ACCRUED PENSION LIABILITY$97,320,097
SELF-INSURANCE LIABILITY$64,055,293
BONDS & NOTES PAYABLE$99,515,163
CONDITIONAL ARO LIABILITY$19,897,653
OTHER LIABILITIES$431,908
FieldValueIRS element (for citing)
Total Liability$396,302,797TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH FOUNDATIONS. THE PEACEHEALTH FOUNDATIONS ARE SEPARATELY INCORPORATED AND EACH FOUNDATION FILES A SEPARATE FORM 990. REFER TO THE SCHEDULE R, PART II FOR A LISTING OF THESE RELATED FOUNDATIONS. THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: 1) THE PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT 2) SUPPORT FOR HOSPICE AND INDIGENT CARE 3) PATIENT CARE AND OTHER OPERATING ACTIVITIES
PART X, LINE 2:FIN 48 (ASC 740) FOOTNOTE CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE (2)(T) - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES 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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedHEALTHCARESpecificServicesProvidedTxt
Region Total Expenditures$351,326RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$351,326SubtotalSpentAmt
Total Spent$351,326TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Purpose Of GrantPROGRAM SERVICESPurposeOfGrantTxt
Cash Grant$351,326CashGrantAmt
Manner Of Cash DisbursementBANK WIREMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPEACEHEALTH 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,213,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,213,285NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$588,932,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$443,379,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$145,553,527NetCommunityBenefitExpnsAmt
Total Expense0.05590TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$624,145,814TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$443,379,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$180,766,812NetCommunityBenefitExpnsAmt
Total Expense0.06940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,199,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$677,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,522,196NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,671,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,199,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,471,943NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,390,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,174,254DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,216,558NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,221,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,221,514NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,483,859TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,051,648DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,432,211NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$640,629,673TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$449,430,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$191,199,023NetCommunityBenefitExpnsAmt
Total Expense0.07340TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,321NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$629,692TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$629,692NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$153NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$459NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$633,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$633,625NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$71,814,986BadDebtExpenseAmt
Bad Debt Expense Attributable$28,807,869BadDebtExpenseAttributableAmt
Reimbursed By Medicare$598,723,831ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$671,754,995CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$73,031,164MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
PH SACRED HEART MED CTR AT RIVERBEND
13333 RIVERBEND DRIVESPRINGFIELDOR97477Yes (X)Yes (X)Yes (X)A
PH SACRED HEART MED CTR UNIV DISTRICT
21255 HILYARD STREETEUGENEOR97401Yes (X)Yes (X)Yes (X)A
PH SOUTHWEST MEDICAL CENTER
3400 NE MOTHER JOSEPH PLVANCOUVERWA98683Yes (X)Yes (X)Yes (X)A
PH ST JOSEPH MEDICAL CENTER
42901 SQUALICUM PARKWAYBELLINGHAMWA98225Yes (X)Yes (X)Yes (X)A
PH ST JOHN MEDICAL CENTER
51615 DELAWARE STREETLONGVIEWWA98632Yes (X)Yes (X)Yes (X)A
PH KETCHIKAN MEDICAL CENTER
63100 TONGASS AVENUEKETCHIKANAK99901Yes (X)Yes (X)Yes (X)AYes (X)
PH PEACE HARBOR MEDICAL CENTER
7400 9TH STREETFLORENCEOR97439Yes (X)Yes (X)AYes (X)
PH COTTAGE GROVE COMMUNITY MED CTR
81515 VILLAGE DRIVECOTTAGE GROVEOR97424Yes (X)Yes (X)AYes (X)
PH PEACE ISLAND MEDICAL CENTER
91117 SPRING STREETFRIDAY HARBORWA97401Yes (X)Yes (X)AYes (X)
PH UNITED GENERAL MEDICAL CENTER
104000 HOSPITAL DRIVESEDROWOOLLEYWA98284Yes (X)Yes (X)AYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility10FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PEACEHEALTH.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.PEACEHEALTH.ORG - IN THE CHNASStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PEACEHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.PEACEHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PEACEHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 9 - HOSPITAL 9 PEACE ISLAND MEDICAL CENTERPEACE ISLAND MEDICAL CENTER (PIMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN CONSECUTIVE YEARS IN ORDER TO BE ALIGNED WITH THE OTHER PEACEHEALTH FACILITIES. THE LATEST IMPLEMENTATION STRATEGY WAS NOT FORMALLY ACCEPTED UNTIL JUST AFTER THE CLOSE OF TAX YEAR 2015.
PART V, SECTION B, LINE 5TO 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 6APEACEHEALTH 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. THE FOLLOWING HOSPITALS CONDUCTED THEIR CHNAS TOGETHER: SACRED HEART MEDICAL CENTER RIVERBEND; SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT; COTTAGE GROVE COMMUNITY MEDICAL CENTER; PEACE HARBOR MEDICAL CENTER. THE FOLLOWING HOSPITALS CONDUCTED THEIR CHNAS INDEPENDENTLY WHILE COORDINATING WITH NEIGHBORING PEACEHEALTH HOSPITALS: PEACE ISLAND MEDICAL CENTER; ST. JOSEPH MEDICAL CENTER; ST. JOHN MEDICAL CENTER; KETCHIKAN MEDICAL CENTER; SOUTHWEST MEDICAL CENTER; UNITED GENERAL MEDICAL CENTER.
PART V, SECTION B, LINE 6BREFER 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 AND LIVE HEALTHY LANE (LHL). ST. JOSEPH MEDICAL CENTER, PEACE ISLAND MEDICAL CENTER, AND UNITED GENERAL MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, 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. ST. JOSEPH MEDICAL CENTER ALSO COLLABORATED WITH THE WHATCOM ALLIANCE FOR HEALTH ADVANCEMENT; PEACE ISLAND MEDICAL CENTER ALSO COLLABORATED WITH SAN JUAN COUNTY OUTSIDE OF THE NS-ACH; UNITED GENERAL MEDICAL CENTER ALSO COLLABORATED WITH SKAGIT COUNTY OUTSIDE OF THE NS-ACH INVOLVEMENT. KETCHIKAN MEDICAL CENTER COLLABORATED WITH THE STATE OF ALASKA AND THE KETCHIKAN WELLNESS COALITION. SOUTHWEST MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, CLARK COUNTY PUBLIC HEALTH DEPARTMENT, SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE AND THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON. 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 11PLEASE 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 13HPEACEHEALTH 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 22DIRS 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 65% WITH A MAXIMUM UNINSURED DISCOUNT OF 100%. FOR INSURED ACCOUNTS WE OFFER DISCOUNTS RANGING FROM 100% TO 10% DEPENDING ON FEDERAL POVERTY GUIDELINES. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAP.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AS WELL AS THE FOLLOWING CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES. ASSETS ARE NOT CONSIDERED FOR FINANCIAL ASSISTANCE APPLICANTS WHOSE ANNUALIZED GROSS INCOME FALLS BELOW 200 PERCENT OF THE FPL. ASSETS MAY BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE FOR APPLICANTS WHOSE GROSS HOUSEHOLD INCOME IS BETWEEN 201-400 PERCENT OF FPL. CONSIDERATION FOR FINANCIAL ASSISTANCE INCLUDES A REVIEW OF: * GROSS HOUSEHOLD INCOME * NUMBER OF PEOPLE IN THE HOME * SECURABLE ASSETS EXCLUDING PRIMARY RESIDENCE * BANK, BROKERAGE, AND RETIREMENT ACCOUNTS * SPECIAL MEDICAL COSTS * 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. EQUITY IN THE PRIMARY RESIDENCE IS EXCLUDED FROM THE ASSET CALCULATION. IF THE ASSET CONSISTS OF REAL PROPERTY, THE ASSET CONSIDERED IS THE DIFFERENCE BETWEEN THE VALUE OF THE ASSET AND THE AMOUNT OWED AGAINST THE ASSET. A $3,000 ASSET EXEMPTION IS ALLOWED FOR HOUSEHOLDS WITH 1 MEMBER, AND AN ADDITIONAL $500 IS ALLOWED FOR EACH ADDITIONAL HOUSEHOLD MEMBER. ASSETS OUTSIDE OF THE EXEMPTIONS LISTED ABOVE MAY BE USED TO DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED TO APPLICANTS WITH HOUSEHOLD INCOME BETWEEN 201-400% OF FPL.
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 TO HAVE ALL COMMUNITY BENEFIT EXPENDITURES MADE BY PEACEHEALTH DIRECTLY.
PART II - COMMUNITY BUILDING ACTIVITIESPEACEHEALTH'S COMMUNITY BUILDING ACTIVITIES ARE AIMED AT THE CAUSES OF HEALTH PROBLEMS IN A LOCAL COMMUNITY, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. 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 COMMUNITY MINISTRY COORDINATES A YOUTH MENTORSHIP PROGRAM. THIS PROGRAM RECRUITS AT RISK YOUTH FOR JOB TRAINING, JOB SHADOWING, MENTORING, LIFE SKILLS AND PROVIDES SCHOLARSHIPS FOR COLLEGE OR TECHNICAL SCHOOLS. * THE SACRED HEART MEDICAL CENTER AT RIVERBEND COORDINATED 905 VOLUNTEER HOURS TO SUPPORT THE UNITED WAY DAY OF CARING. THE DAY OF CARING IS ORGANIZED TO GATHER COMMUNITY RESOURCES FOR COMPLETING PROJECTS THAT THE LOCAL NONPROFIT AGENCIES LACK THE RESOURCES TO COMPLETE ON THEIR OWN.
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 4:6/30/2018 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES SECTION (M) NET PATIENT SERVICE REVENUE: THE CORPORATION PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE CORPORATION ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE CORPORATION.
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 1,054,277,385 AND 1,107,854,578 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF 53,577,193.
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 OR PARTNERS WITH OTHER PEACEHEALTH HOSPITALS TO CONDUCT THE 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 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.
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: NEARLY 30% OF THE SERVICE AREAS POPULATION IS AMERICAN INDIAN OR ALASKAN NATIVE WITH 21.5% OF THE MORE POPULOUS KETCHIKAN GATEWAY BOROUGH AND 47.3% OF THE PRINCE OF WALES-HYDER CENSUS AREA BELONGING TO THIS RACE/ETHNICITY GROUP. ALMOST 77% OF KETCHIKAN RESIDENTS ARE WHITE COMPARED TO 57.9% OF PRINCE OF WALES-HYDER AND 73.1% OF ALASKANS OVERALL. ABOUT 10% OF THE POPULATION IS 65 YEARS OF AGE OR OLDER, COMPARED TO 7.7% OF STATE OF ALASKA RESIDENTS AND 13.0% OF UNITED STATES RESIDENTS. COMMUNITY INFORMATION FOR EUGENE, OREGON: THE US CENSUS 2010 PLACED THE POPULATION OF LANE COUNTY AT 351,715 RESIDENTS. EUGENE, HOME TO THE UNIVERSITY OF OREGON, IS THE LARGEST CITY IN THE COUNTY WITH A 2010 POPULATION OF ABOUT 156,000 RESIDENTS, OR NEARLY 45% OF THE COUNTY'S POPULATION. THE EUGENE-SPRINGFIELD METRO AREA CONTAINS OVER 60% OF THE COUNTY'S POPULATION. OVER 88% OF THE POPULATION IN LANE COUNTY IS WHITE, IN CONTRAST TO OVER 83% IN THE STATE OF OREGON. LANE COUNTY CURRENTLY HAS FEWER RESIDENTS OF HISPANIC ANCESTRY (7.4%) THAN EITHER THE STATE (11.4%) OR THE NATION (16.3%), BUT HISPANICS ARE THE LARGEST AND FASTEST GROWING MINORITY GROUP IN THE COUNTY. SPRINGFIELD HAS A SIGNIFICANTLY HIGHER PERCENTAGE OF HISPANIC RESIDENTS (12.1%) THAN ANY OF THE OTHER CITIES IN LANE COUNTY. THE AGE DEMOGRAPHICS VARY SIGNIFICANTLY BY COMMUNITY. OVERALL LANE COUNTY HAS A LARGER ELDERLY POPULATION THAN EITHER THE STATE OR NATION (ABOUT 15% VS. 14% AND 13%, RESPECTIVELY). THIS FINDING HAS SIGNIFICANT IMPLICATIONS FOR OVERALL HEALTH, AS WELL AS FOR THE NEED FOR HEALTH CARE SERVICES. SPRINGFIELD, EUGENE AND CRESWELL HAVE MUCH SMALLER ELDERLY POPULATIONS, BARELY OVER 10%. STRIKINGLY, MORE THAN A THIRD OF THE POPULATION OF FLORENCE IS 65 YEARS OF AGE OR OLDER. 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 28,000 RESIDENTS, MOST OF WHOM RESIDE IN FLORENCE. REEDSPORT, WALDPORT AND YACHATS ARE THE ONLY OTHER COMMUNITIES WITH MORE THAN 1,000 RESIDENTS. OVERALL, THE SERVICE AREA IS RURAL AND OVERWHELMINGLY WHITE, RANGING FROM 98% IN SWISSHOME TO 94% IN GARDINER. THE HISPANIC POPULATION COMPRISES 4% OF THE POPULATION, SIGNIFICANTLY LOWER THAN LANE COUNTY, OF WHICH 7.4% OF THE POPULATION IS OF HISPANIC ANCESTRY. THE MOST STRIKING DEMOGRAPHIC FEATURE OF THE SERVICE AREA IS THE LARGE SENIOR CITIZEN POPULATION. SENIOR CITIZENS COMPRISE OVER 15% OF THE POPULATION OF LANE COUNTY, BUT OVER 31% OF RESIDENTS OF THE SERVICE AREA ARE 65 OR OLDER. AT LEAST 20% OF THE POPULATION IN EACH COMMUNITY IS AT LEAST 65 YEARS OF AGE, AND IN FLORENCE, FULLY 35% OF RESIDENTS ARE 65 OR OLDER. THIS LARGE ELDERLY POPULATION, ALONG WITH TOURISM, HAS BECOME AN IMPORTANT PART OF THE LOCAL ECONOMY AS THE TIMBER AND FISHING INDUSTRIES HAVE DECLINED. COMMUNITY INFORMATION FOR COTTAGE GROVE, OREGON: COTTAGE GROVE OFFERS PROGRAMS TO THE APPROXIMATELY 40,000 RESIDENTS OF THE SERVICE AREA. THE SERVICE AREA IS PREDOMINANTLY WHITE WITH A GROWING HISPANIC POPULATION. AT THE 2010 CENSUS, 5% OF THE POPULATION WAS OF HISPANIC ORIGIN IN COMPARISON TO OVER 7% OF LANE COUNTY. STRIKINGLY, THE SERVICE AREA HAD A MUCH LARGER SENIOR CITIZEN POPULATION IN COMPARISON TO LANE COUNTY. WITH THE EXCEPTION OF CRESWELL AND DEXTER, THE PERCENT OF THE POPULATION THAT IS 65 OR OLDER IS GREATER THAN THAT OF LANE COUNTY AS A WHOLE. MOST STRIKING IS ELKTON WHERE 27% OF THE POPULATION WAS AT LEAST 65 YEARS OLD. 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 OVER 425,000, BETWEEN 2000 AND 2010, THE POPULATION GREW BY OVER 23%. THE LARGEST CITY IN THE COUNTY IS VANCOUVER, WHICH HAS 38% OF THE COUNTY'S POPULATION. OTHER LARGER CITIES INCLUDE CAMAS, BATTLE GROUND AND WASHOUGAL. AS WITH MANY PRIMARILY SUBURBAN COMMUNITIES, CLARK COUNTY IS FAST-GROWING AND AFFLUENT; COUNTY HEALTH RANKINGS CURRENTLY RANKS CLARK COUNTY THE EIGHTH HEALTHIEST COUNTY IN THE STATE OF WASHINGTON. AT 7.8% CLARK COUNTY HAS A SMALLER HISPANIC POPULATION THAN THE REST OF THE STATE OF WASHINGTON AND THE SMALLEST HISPANIC POPULATION IN THE PORTLAND METRO AREA. WITHIN CLARK COUNTY, THE CITIES OF VANCOUVER AND WOODLAND HAVE RELATIVELY LARGE HISPANIC POPULATIONS. THE PROPORTION OF ELDERLY POPULATION IN CLARK COUNTY (12.0%) IS SIMILAR TO THE STATE OF WASHINGTON (12.7%) AND VARIES BY LOCALE WITHIN CLARK COUNTY. IT IS THE SECOND LARGEST IN THE PORTLAND REGION, WITH ONLY CLACKAMAS COUNTY HAVING A LARGER ELDERLY POPULATION. COMMUNITY INFORMATION FOR LONGVIEW, WASHINGTON: THE US CENSUS 2010 PLACED THE POPULATION OF COWLITZ COUNTY AT 102,410 RESIDENTS. THE LARGEST POPULATION CENTER IS LONGVIEW, HOME TO NEARLY HALF OF ALL COWLITZ COUNTY RESIDENTS. THIS IS FOLLOWED BY THE GEOGRAPHICALLY ADJACENT CITY OF KELSO, WHICH HAS ABOUT A QUARTER OF THE COUNTY'S RESIDENTS. RACIALLY, COWLITZ COUNTY IS PREDOMINANTLY WHITE (92.5% OF RESIDENTS); THE SECOND LARGEST RACIAL GROUP IS NATIVE AMERICAN, AT 3.3% OF THE POPULATION. ETHNICALLY, COWLITZ COUNTY IS LESS THAN 8% HISPANIC, WHICH IS SIGNIFICANTLY LOWER THAN THE STATE AVERAGE OF ALMOST 12%. OVERALL, COWLITZ COUNTY HAS A LARGER POPULATION OF RESIDENTS AGE 65 AND OLDER (15.4%) COMPARED TO EITHER THE STATE (12.3%) OR THE NATION (13.0%). THE PROPORTION OF THE COMMUNITY IN THIS AGE GROUP VARIES SIGNIFICANTLY ACROSS THE COUNTY, RANGING FROM OVER 68% OF RESIDENTS IN RYDERWOOD TO ONLY 12% OF RESIDENTS IN TOUTLE. COMMUNITY INFORMATION FOR BELLINGHAM, WASHINGTON: WHATCOM COUNTY IS THE 12TH LARGEST IN THE STATE OF WASHINGTON IN TERMS OF AREA AND THE NINTH LARGEST IN TERMS OF POPULATION. ACCORDING TO THE 2010 CENSUS, 201,140 PEOPLE LIVE IN WHATCOM COUNTY. MOST (43%) LIVE IN UNINCORPORATED AREAS, AND 40% (80,885) LIVE IN BELLINGHAM. FROM 2000 TO 2010, WHATCOM COUNTY'S POPULATION INCREASED 21%, COMPARED TO THE 14% INCREASE IN POPULATION FOR WASHINGTON STATE AS A WHOLE. THE COUNTY'S POPULATION IS GETTING OLDER AS THE MEDIAN AGE GREW FROM 34 IN 2000 TO 36.1 IN 2010. DATA FROM THE CENSUSES THOSE TWO YEARS SHOWS THE PROPORTION OF CHILDREN UNDER 5 YEARS OLD FELL FROM 6.1% IN 2010 TO 5.8% WHILE THE PROPORTION OF ADULTS OVER 65 YEARS OLD INCREASED FROM 11.6% TO 12.8%. COMMUNITY INFORMATION FOR FRIDAY HARBOR, WASHINGTON: FRIDAY HARBOR IS A TOWN IN SAN JUAN COUNTY, WASHINGTON, UNITED STATES. THE POPULATION WAS 2,162 AT 2010 CENSUS. LOCATED ON SAN JUAN ISLAND, FRIDAY HARBOR IS THE MAJOR COMMERCIAL CENTER OF THE SAN JUAN ISLANDS ARCHIPELAGO AND IS THE COUNTY SEAT OF SAN JUAN COUNTY. AS OF THE CENSUS OF 2010, THERE WERE 2,162 PEOPLE, 1,015 HOUSEHOLDS, AND 481 FAMILIES RESIDING IN THE TOWN. THE RACIAL MAKEUP OF THE TOWN WAS 83.1% WHITE, 0.3% AFRICAN AMERICAN, 0.5% NATIVE AMERICAN, 2.0% ASIAN, 0.1% PACIFIC ISLANDER, 10.9% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE WERE 15.9% OF THE POPULATION. THERE WERE 1,015 HOUSEHOLDS OF WHICH 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 30.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.0% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 5.1% HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT, AND 52.6% WERE NON-FAMILIES. 46.0% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 17.7% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. COMMUNITY INFORMATION FOR SEDRO-WOOLLEY, WASHINGTON: SEDRO-WOOLLEY IS A CITY IN SKAGIT COUNTY, WASHINGTON, UNITED STATES. THE POPULATION WAS 10,540 AT THE 2010 CENSUS. AS OF THE CENSUS OF 2010, THERE WERE 10,540 PEOPLE, 3,995 HOUSEHOLDS AND 2,609 FAMILIES RESIDING IN THE CITY.
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. PEACEHEALTH HAS THE WHEREWITHAL TO IMPROVE POPULATION HEALTH IN ALL REGIONS SERVED BY PEACEHEALTH MEDICAL FACILITIES. THROUGH SYSTEMWIDE SHARING OF BEST PRACTICES, PEACEHEALTH IS IMPROVING AND SUPPORTING THE POPULATION HEALTH OF OUR COMMUNITIES ACROSS THE NORTHWEST.
PART VI, LINE 6:PEACEHEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.
PART VI, LINE 7:LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: AK, OR, WA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmt
SISTERS OF ST JOSEPH OF PEACE
1663 KILLAMEY WAYBELLEVUEWA98009910567741501(C)(3)$341,200MISSION SUPPORT
TOUTLE RIVER RANCH
907 DOUGLAS STLONGVIEWWA98632910726260501(C)(3)$241,230ADDICTION RECOVERY
COUNCIL FOR THE HOMELESS
2500 MAIN STREETVANCOUVERWA98660912001828501(C)(3)$165,673HOUSING ASSISTANCE
UNITY CARE NW
1616 CORNWALL AVE STE 205BELLINGHAMWA98225912168190501(C)(3)$150,000EDUCATION SUPPORT
LANE COMMUNITY COLLEGE FOUNDATION
4000 EAST 30TH AVEEUGENEOR97405237113266501(C)(3)$137,500EDUCATION SUPPORT
WESTERN LANE AMBULANCE DIST
PO BOX 2690FLORENCEOR97439936010869OREGON$105,000COMMUNITY BENEFIT
WSMA FOUNDATION FOR HEALTHCARE
2001 6TH AVENUE SUITE 2700SEATTLEWA98121916074463501(C)(3)$100,000COMMUNITY HEALTH NEEDS
WASHINGTON STATE MEDICAL GROUP MANAGEMENT
2033 SIXTH AVE STE 1100SEATTLEWA98121916182713501(C)(3)$100,000COMMUNITY HEALTH NEEDS
FREE CLINIC OF SW WASHINGTON
4100 PLOMONDON STVANCOUVERWA98661911707542501(C)(3)$76,250COMMUNITY HEALTH NEEDS
WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
800 EAST CHESTNUT LL STE 2BELLINGHAMWA98225810677295501(C)(3)$65,000COMMUNITY HEALTH NEEDS
CHUCKANUT HEALTH FOUNDATION
PO BOX 971BELLINGHAMWA982270971911192943501(C)(3)$55,000COMMUNITY HEALTH NEEDS
COUNTY OF WHATCOM
311 GRAND AVE STE 103BELLINGHAMWA98225916001383WASHINGTON$53,400COMMUNITY BENEFIT
COMMUNITY HEALTH PARTNERS
PO BOX 2853LONGVIEWWA98632912016542501(C)(3)$50,000COMMUNITY HEALTH NEEDS
MERCY HOUSING NORTHWEST
2505 3RD AVE SUITE 204SEATTLEWA98121911546525501(C)(3)$35,000HOUSING ASSISTANCE
SAN JUAN ISLAND FAMILY RESOURCE
PO BOX 1981FRIDAY HARBORWA98250912014083501(C)(3)$34,000COMMUNITY BENEFIT
UNITED WAY OF LANE COUNTY
3171 GATEWAY LOOPSPRINGFIELDOR97477930394142501(C)(3)$30,000COMMUNITY HEALTH NEEDS
BRIGID COLLINS FAMILY SUPPORT CENTER
1231 N GARDEN STREET 200BELLINGHAMWA98225943121951501(C)(3)$25,000COMMUNITY BENEFIT
PATHWAYS 2020
1452 HUDSON ST US BANK STE 209LONGVIEWWA98632911954815501(C)(3)$24,000COMMUNITY HEALTH NEEDS
SAN JUAN ISLAND COMMUNITY FOUNDATION
PO BOX 1352FRIDAY HARBORWA98250911648730501(C)(3)$21,000COMMUNITY BENEFIT
LANDING HOTEL
3434 TONGASS AVEKETCHIKANAK99901920075395$20,158PATIENT LODGING
CASCADE HEALTH SOLUTIONS
2650 SUZANNE WY STE 200EUGENEOR97408930421470501(C)(3)$20,000COMMUNITY HEALTH NEEDS
CARDINAL HEALTH 112 LLC
7000 CARDINAL PLDUBLINOH43017475322872$17,650COMMUNITY BENEFIT
PULSARA
2880 TECHNOLOGY BLVD W SUITE 183BOZEMANMT59718464244768$17,500COMMUNITY BENEFIT
THE VOLUNTEERS IN MEDICINE CLINIC
3321 W 11TH AVENUEEUGENEOR97402931276816501(C)(3)$17,000COMMUNITY HEALTH NEEDS
SKAGIT COUNTY
PO BOX 518MOUNT VERNONWA98273916001361WASHINGTON$15,000COMMUNITY BENEFIT
LOWER COLUMBIA SCHOOL GARDENS
PO BOX 3010LONGVIEWWA98632910823636501(C)(3)$15,000NUTRITION EDUCATION
SE ALASKA REGIONAL HEALTH CONS
PO BOX 812CRAIGAK99921920056274501(C)(3)$15,000COMMUNITY HEALTH NEEDS$0
HIV ALLIANCE
1966 GARDEN AVENUEEUGENEOR97403930963546501(C)(3)$15,000COMMUNITY BENEFIT
FIRST CITY HOMELESS SERVICES
PO BOX 23095KETCHIKANAK99901262565838501(C)(3)$14,000HOUSING ASSISTANCE
OREGON HEALTH CARE QUALITY
520 SW 6TH AVE SUITE 830PORTLANDOR97204931293103501(C)(3)$13,656COMMUNITY BENEFIT
UNITED WAY OF WHATCOM COUNTY
1511 CORNWALL AVEBELLINGHAMWA98225910570788501(C)(3)$12,500COMMUNITY BENEFIT
COUNTY OF SOUTH LANE DIST 4553
1275 SOUTH RIVER RDCOTTAGE GROVEOR97424936000589OREGON$12,500COMMUNITY BENEFIT
WHATCOM FAMILY YMCA
1256 NORTH STATE STREETBELLINGHAMWA98225910482690501(C)(3)$12,000COMMUNITY BENEFIT
SW WASHINGTON FAMILY YMCA
766 15TH AVENUELONGVIEWWA98632910565021501(C)(3)$11,488COMMUNITY BENEFIT
NEIGHBORS FOR BELLINGHAM HOME
PO BOX 2187BELLINGHAMWA98227825322033WASHINGTON$10,000HOUSING ASSISTANCE
CATHOLIC COMMUNITY SERVICES
1025 G STREETEUGENEOR97477930409105501(C)(3)$10,000COMMUNITY BENEFIT
OREGON PUBLIC BROADCAST
7140 SW MACADAM AVEPORTLANDOR97219930814638501(C)(3)$10,000COMMUNITY BENEFIT
CHILDRENS COURSE
19825 RIVER ROADGLADSTONEOR97027931212530501(C)(3)$10,000EDUCATION SUPPORT
IDENTITY CLARK COUNTY
915 BROADWAY SUITE 302VANCOUVERWA98660911623724501(C)(3)$8,000Community Benefit
KAYHI KETCHIKAN HIGH SCHOOL
2610 FOURTH AVEKETCHIKANAK99901920031096ALASKA$7,360COMMUNITY BENEFIT
ST JOSEPH MEDICAL CENTER FOUNDATION
2901 SQUALICUM PKWYBELLINGHAMWA98225721545902501(C)(3)$7,000MISSION SUPPORT
WHATCOM COMMUNITY COLLEGE
237 WEST KELLOGG ROADBELLINGHAMWA98226910855768501(C)(3)$6,751EDUCATION SUPPORT
FRIENDS OF FLORENCE
PO BOX 598FLORENCEOR97439930931139501(C)(3)$6,600COMMUNITY BENEFIT
COLUMBIA RIVER ECONOMIC DEVELOPMENT COUNCIL
805 BROADWAY SUITE 412VANCOUVERWA98660911186305501(C)(4)$6,000COMMUNITY BENEFIT
SOUTH LANE MENTAL HEALTH SERVICES
410 N 9TH STREETCOTTAGE GROVEOR97424930966461501(C)(3)$5,500COMMUNITY BENEFIT
UNITED GENERAL DISTRICT #304
2241 HOSPITAL DRSEDRO WOOLLEYWA98284810622393501(C)(3)$5,341MISSION SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org42Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELIZABETH V DUNNE
PRESIDENT & CEO$1,192,717$0$731,144$0$105,069$0$350,235$0$12,616$0$2,391,781$0$0$0
CAROL AARON
EXECUTIVE VP$623,691$0$934,303$0$22,781$0$257,766$0$21,070$0$1,859,611$0$661,152$0
RICHARD DECARLO
EXECUTIVE VP$458,467$0$129,598$0$105,505$0$0$0$13,932$0$707,502$0$0$0
MICHAEL P DWYER
EXECUTIVE VP$479,394$0$176,016$0$69,910$0$0$0$14,354$0$739,674$0$0$0
KIMBERLY A HODGKINSON
EXECUTIVE VP$557,408$0$238,684$0$3,946$0$2,285$0$24,387$0$826,710$0$0$0
RON L SAXTON
EXECUTIVE VP$544,512$0$243,106$0$9,822$0$1,151$0$18,281$0$816,872$0$0$0
MARK C ADAMS
SENIOR VP$108,944$0$0$0$277,551$0$1,742$0$3,069$0$391,306$0$0$0
RENATO V BACIARELLI
SENIOR VP$386,370$0$341,460$0$151,881$0$149,367$0$19,283$0$1,048,361$0$137,302$0
SUSAN BRUECHNER
SENIOR VP$346,012$0$110,337$0$3,074$0$24,519$0$25,757$0$509,699$0$0$0
STEVEN GLENN
SENIOR VP$295,331$0$61,956$0$4,355$0$25,962$0$3,003$0$390,607$0$0$0
DAN A HEIN
SENIOR VP$292,155$0$237,245$0$90,577$0$129,538$0$22,177$0$771,692$0$98,844$0
VICTORIA L KING
SENIOR VP$420,893$0$161,290$0$12,223$0$117,901$0$19,702$0$732,009$0$0$0
SEAN GREGORY
CHIEF EXECUTIVE COLUMBIA$536,321$0$108,016$0$51,885$0$0$0$20,626$0$716,848$0$0$0
MICHAEL C METCALF
CHIEF EXECUTIVE PHMG$363,834$0$133,117$0$954$0$101,619$0$19,829$0$619,353$0$0$0
RAND J O'LEARY
PRESIDENT HOSPITAL SVCS OR$479,399$0$214,342$0$0$0$134,762$0$27,619$0$856,122$0$0$0
DALE J ZENDER
CHIEF EXECUTIVE NORTHWEST$458,173$0$167,632$0$2,089$0$160,752$0$27,599$0$816,245$0$0$0
CRAIG ARMSTRONG
ASSISTANT SECRETARY$219,828$0$35,046$0$0$0$25,937$0$26,114$0$306,925$0$0$0
STEPHEN L COOK MD
M.D. CARDIOLOGY$784,017$0$148,695$0$1,756$0$70,516$0$33,012$0$1,037,996$0$148,695$0
ALLEN GABRIEL MD
M.D. SURGERY$1,510,048$0$0$0$0$0$116,368$0$27,864$0$1,654,280$0$0$0
WEN-HUAN S HO MD
M.D. GASTROENTEROLOGY$1,155,028$0$0$0$0$0$99,150$0$32,132$0$1,286,310$0$0$0
RAMAKOTA REDDY MD
M.D. CARDIOLOGY$818,845$0$148,364$0$0$0$65,475$0$39,182$0$1,071,866$0$148,364$0
DAVID SAENGER MD
M.D. CARDIOLOGY$941,539$0$131,561$0$0$0$55,286$0$30,393$0$1,158,779$0$131,561$0
CYNTHIA A FINTER
FORMER SENIOR VP$0$0$22,669$0$346,931$0$0$0$0$0$369,600$0$22,669$0
BETH O'BRIEN
FORMER CHIEF OPERATING OFFICER$0$0$229,835$0$698,906$0$0$0$0$0$928,741$0$229,835$0
NANCY J STEIGER
FORMER SENIOR VP$0$0$91,959$0$614,994$0$12,874$0$0$0$719,827$0$91,959$0
ALAN R YORDY
FORMER PRESIDENT EMERITUS$0$0$0$0$504,004$0$26,886$0$0$0$530,890$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2017: Beth O'Brien 698,906 Dan A. Hein 86,123 Renato V. Baciarelli 146,384 Cynthia A. Finter 346,931 Mark C. Adams 274,539 Alan R. Yordy 504,004 Nancy J. Steiger 614,994 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2017: Elizabeth V. Dunne 333,130 Carol Aaron 191,456 Dan A. Hein 98,844 Rand J. O'Leary 129,362 Renato V. Baciarelli 137,302 Victoria L. King 112,661 Michael C. Metcalf 98,160 Wen-Huan S. Ho, M.D. 56,944 David Saenger, M.D. 27,974 Ramakota Reddy, M.D. 28,277 Stephen L. Cook, M.D. 32,404 Allen Gabriel 89,056 Dale J. Zender 122,640 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA HEALTHCARE FACILITIES AUTHORITY
A91110892993978EU262008-06-26$80,650,000REFUND WHCFA 2005 BONDS ISSUED '05falsefalsefalse
OR FACILITIES AUTHORITY
B93600178768608JJG72008-06-26$95,495,000REFINANCE OFA04 B-F ISSUED 10/2012falsefalsefalse
OR FACILITIES AUTHORITY
C93600178768608JJH52008-06-26$99,175,000REFINANCE OFA04 B-F ISSUED 10/2012falsefalsefalse
OR FACILITIES AUTHORITY
D93600178768608JKB62009-10-15$105,257,760REFUND OFA08A&B '08, HHECFA '98falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$80,650,000$0$0$0$647,613$0$0$80,002,387$0$02008Yes (true)falseYes (true)Yes (true)
B$24,520,000$0$95,495,000$0$0$0$566,281$363,456$0$94,565,263$0$02008Yes (true)falseYes (true)Yes (true)
C$24,175,000$0$99,175,000$0$0$0$588,103$377,461$0$98,209,436$0$02008Yes (true)falseYes (true)Yes (true)
D$14,485,000$0$105,257,760$0$0$0$1,321,927$0$0$103,935,833$0$02008Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
CfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
DfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
CfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
DfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA HEALTHCARE FACILITIES AUTHORITY
A91110892993978E5T52009-10-15$100,340,553REFUND WHCFA 2008B-D ISSUED 2008falsefalsefalse
STATE OF OREGON
B93600178768608JPE52011-08-11$150,000,000REFUND OFA 2008 C&D ISSUED 6/2008falsefalsefalse
WA HEALTHCARE FACILITIES AUTHORITY
C911108929NONEAVAIL2013-02-27$53,464,898REFUND WHCFA 2008A ISSUED 11/2008falsefalsefalse
WA HEALTHCARE FACILITIES AUTHORITY
D91110892993978HJM82014-03-18$44,678,262REFUND WHCFA 1999 ISSUED 3/10/1999falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$22,425,000$0$100,340,553$0$0$0$1,232,220$0$0$99,108,333$0$02008Yes (true)falseYes (true)Yes (true)
B$0$0$150,000,000$0$0$0$0$0$0$150,000,000$0$02011Yes (true)falseYes (true)Yes (true)
C$3,400,000$0$53,464,898$0$0$0$0$0$0$53,464,898$0$02013Yes (true)falseYes (true)Yes (true)
D$3,520,000$0$44,678,262$0$0$0$873,262$0$0$43,805,000$0$02014Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
CfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)
DfalsefalseYes (true)Yes (true)false0.000100.00010falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
CfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
DfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1OR FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN936001787BondIssuerEIN
CUSIP68608JSB8CUSIPNum
Bond Issued2014-03-18BondIssuedDt
Issue Price$71,088,211IssuePriceAmt
PurposeREFUND HHECFA 2001 ISSUED 10/2001PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$71,088,211TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$1,019,562IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$70,068,649CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00010PrivateBusUseByOthersPct
Total Private Business Use0.00010TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0.00000ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:CHARITY CARE AND COMMUNITY BENEFITS: PEACEHEALTH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO PAY FOR SERVICE. FINANCIAL ASSISTANCE PATIENTS RECEIVE CARE AT REDUCED COST OR NO CHARGE WHEN IT IS DETERMINED THAT PAYMENT CANNOT BE OBTAINED THROUGH INSURANCE, OUTSIDE AGENCIES, OR PRIVATE MEANS. PEACEHEALTH OFFERS INFORMATION ON AVAILABLE ASSISTANCE PRIOR TO ADMISSION, FINANCIAL ASSISTANCE IS ALSO AVAILABLE POST-CARE THROUGH FINANCIAL COUNSELING OTHER COMMUNITY BENEFIT COSTS INCLUDE THE UNREIMBURSED COST OF MEDICAID AND GOVERNMENT PROGRAMS, HEALTH EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. NET COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING ACTIVITIES FOR TAX YEAR 2017 WAS $195,123,959 AS INDICATED ON THE SCHEDULE H IN PART I, LINE 7K COLUMN (E) AND PART II, LINE 10 COLUMN (E).
FORM 990, PART VI, SECTION A, LINE 4:SUMMARY OF CHANGES TO PH ARTICLES ARTICLE 7: THERE IS NO LONGER A REQUIREMENT TO HAVE A MINIMUM NUMBER OF DIRECTOR POSITIONS ON THE BOARD BELONG TO SISTERS OF ST. JOSEPH OF PEACE, NOR A REQUIREMENT FOR THE CONGREGATION LEADER OF SISTERS OF ST. JOSEPH OF PEACE BE A MEMBER. SUMMARY OF CHANGES TO PH BYLAWS ARTICLE 2.2: THERE IS NO LONGER A REQUIREMENT TO HAVE A MINIMUM NUMBER OF DIRECTOR POSITIONS ON THE BOARD BELONG TO SISTERS OF ST. JOSEPH OF PEACE, NOR A REQUIREMENT FOR THE CONGREGATION LEADER OF SISTERS OF ST. JOSEPH OF PEACE BE A MEMBER. ARCTICLE 2.5: ALL DIRECTORS WILL SERVE A 3 YEAR TERM IN OFFICE. DIRECTORS WHO ARE PROFESSED SISTERS OF ST. JOSEPH OF PEACE ARE NOT SUBJECT TO THE SAME LIMIT OF 9 CONSECUTIVE YEARS OF SERVICE. ARTICLE 2.18: THE GOVERNANCE COMMITTEE SHALL INCLUDE AT LEAST ONE PROFESSED SISTER OF ST. JOSEPH OF PEACE AS LONG AS ONE IS SERVING AS A PEACEHEALTH DIRECTOR.
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 2018, 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 15,216,405. CHANGE IN INTEREST IN RELATED FOUNDATIONS 13,525,001. TEMPORARILY RESTRICTED CASH DONATIONS 3,274,250. OTHER CHANGES IN UNRESTRICTED NET ASSETS (4,793,781). TOTAL TO FORM 990, PART XI, LINE 9 27,221,875.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HEALTH VENTURES
1115 SE 164TH AVENUEVANCOUVERWA98683911350776HEALTHCARE JVWA501(C)(3)12A, IPEACEHEALTHYes (true)
PEACEHEALTH NETWORKS
1115 SE 164TH AVENUEVANCOUVERWA98683911230425SUPPORTWA501(C)(3)12B,IINAfalse
PEACEHEALTH SW MEDICAL CENTER FOUNDATION
PO BOX 1600VANCOUVERWA98668911231436FUNDRAISINGWA501(C)(3)7PEACEHEALTHYes (true)
KETCHIKAN MEDICAL CENTER FDN
3100 TONGASS AVENUEKETCHIKANAK99901651225184FUNDRAISINGAK501(C)(3)7PEACEHEALTHYes (true)
COTTAGE GROVE MEDICAL CENTER FDN
1515 VILLAGE DRIVECOTTAGE GROVEOR97424930688381FUNDRAISINGOR501(C)(3)7PEACEHEALTHYes (true)
PEACE HARBOR MEDICAL CENTER FDN
400 NINTH STREETFLORENCEOR97439931084126FUNDRAISINGOR501(C)(3)7PEACEHEALTHYes (true)
SACRED HEART MEDICAL CENTER FDN
PO BOX 10905EUGENEOR97440936026548FUNDRAISINGOR501(C)(3)7PEACEHEALTHYes (true)
ST JOHN MEDICAL CENTER FDN
1615 DELAWARE ST PO BOX 3002LONGVIEWWA98632911538852FUNDRAISINGWA501(C)(3)7PEACEHEALTHYes (true)
ST JOSEPH MEDICAL CENTER FDN
2901 SQUALICUM PARKWAYBELLINGHAMWA98225721545902FUNDRAISINGWA501(C)(3)7PEACEHEALTHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RB AMBULATORY SURGERY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13355 RIVERBEND DRAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97477ZIPCd
FieldValueIRS element (for citing)
EIN205575145EIN
Primary ActivitiesMEDICALPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTH VENTURESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$774,608ShareOfTotalIncomeAmt
Share Of EOY Assets$2,154,624ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.51830OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
COLUMBIA UNITED PROVIDERS
PO BOX 87400VANCOUVERWA98687911624736MEDICAID CAREWAPH NetworksC Corp$0$248,7420.92000false
POOLED INCOME FUND OF PEACEHEALTH #1
1115 SE 164TH AVEVANCOUVERWA98683276030191POOLED INCOMEWAPEACEHEALTHTrust$815,503$10,336,2451.00000Yes (true)
WHATCOM REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466129451POOLED INCOMEWAPEACEHEALTHTrust$182,992$3,628,9321.00000Yes (true)
LOWER COLUMBIA REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466157497POOLED INCOMEWAPEACEHEALTHTrust$88,132$1,875,5671.00000Yes (true)
OREGON REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466180599POOLED INCOMEWAPEACEHEALTHTrust$80,907$5,989,6131.00000Yes (true)
SIUSLAW REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466221760POOLED INCOMEWAPEACEHEALTHTrust$79,564$1,974,8321.00000Yes (true)
SOUTHWEST REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466168710POOLED INCOMEWAPEACEHEALTHTrust$164,120$5,029,0071.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH VENTURES
c$9,900,000AT COST
HEALTH VENTURES
l$34,800AT COST
PEACEHEALTH POOLED INCOME FUNDS
r$1,604,169AT COST
PEACEHEALTH POOLED INCOME FUNDS
s$738,180AT COST
RELATED FOUNDATIONS
c$56,613AT COST
RELATED FOUNDATIONS
n$144,914AT COST
RELATED FOUNDATIONS
o$3,283,309AT COST
RELATED FOUNDATIONS
p$1,163,072AT COST
COLUMBIA UNITED PROVIDERS
l$132,262AT COST

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PART IV:COLUMBIA UNITED PROVIDERS FILED FOR DISSOLUTION ON APRIL 22, 2016. THE ORGANIZATION WAS GRANTED APPROVAL TO SURRENDER ITS CERTIFICATE OF AUTHORITY WITH THE OFFICE OF INSURANCE COMMISSIONER EFFECTIVE APRIL 30, 2017.
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 06/30/2018, 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 $110,526. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.